Making Dentistry Affordable for Millions Through Education and Information
In Our Practice…
- We take way too many plans.
- We take no plans.
- Patients don’t stay with us if their plan changes.
- We have available chair time.
Our Existing Patients…
- Accept only the treatment that is covered by their plan.
- Expect us to know exactly what their plan is going to pay.
- Hold us accountable when something goes not as planned.
- Come in only once or maybe twice then disappear.
Our New Patients…
- Want to know if we are part of their insurance.
- Expect to have their teeth cleaned on the first visit.
- Only want x-rays if the insurance pays for them.
- Are emotionally driven by their insurance benefits.
Our Administrative Support Team…
- Spends hours on the phone chasing down benefit information.
- Feels the need to tell patients everything about their plan.
- Wants stock narratives to satisfy requests for additional information.
- Keeps the doctor owners away from the daily EOBs.
- Has and wants nothing to do with the clinical team.
Our Clinical Support Team…
- Thinks auto-notes are the solution to everything.
- Wants the doctor to stop talking and simply run on time.
- Tells the patient that insurance is not part of what they do.
- Has and wants nothing to do with the administrative team.
Our Doctors…
- Want to do more dentistry.
- Want to get paid for what they do.
- Want to get paid now.
- Want the insurance to not be such a big deal.
And As The Owners…
- Have to keep everybody happy.
- Hear that the administrative team wants another employee.
- Knows that the clinical team wants another employee.
- Fears that the hygienists want more time with new patients.
- Realizes the actual cost of doing business.
- Frustrated that dentistry is not the team’s top priority.
Here's Your Solution...
Click here to view the simple four-part action plan that I have helped implement in thousands of offices.
Tom Limoli is the prevailing expert on proper coding and administration of dental insurance benefit claims, with over 30 years of experience. Limoli & Associates, LLC has, over the past quarter century, assisted dental offices in streamlining the insurance reimbursement process and ahead of reimbursement trends.
Tom’s no-nonsense approach to the management of third-party reimbursement has been implemented in thousands of dental practices across the United States and Puerto Rico.
The free Resources Area offers a vast selection of additional information to assist you in simplifying and streamlining the challenges associated with all the various forms and formats of dental reimbursement.
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May 2017
If you’ve ever participated with an insurance plan or are simply considering the option, it has crossed your mind before… Are you really making money by participating with XYZ plan, or are you losing your shirt?
First, let’s acknowledge that no one wants to be paid less than “the going rate” for their services. Also, we have to address the myth of the write-off. There has been a thought process in the dental industry that write-off equals money you have lost. This would be 100% true if you were choosing whether or not to do something for your full fee in room one or for a reduced fee in room two.
The main reason the “write-off equals money you have lost” logic is faulty is that most practices don’t have an endless supply of patients lined up to do the services at the full fee.
With the shift in our economy over the last several years, insurance plan participation is playing a more significant role. Knowing how to tell if you are making money on a plan is a skill that is paramount to your practice profitability.
Are You Making Money?
First, determine how much income each plan contributes to the practice…