Professional Dental Insurance Fee Negotiation Services for Better Rates
Please keep the following information in mind regarding our fee schedule negotiation maintenance services in South Florida and across the U.S.A.
Fee Schedule Negotiations
Insurance companies often allow dentists to increase their fees. This can happen if they request it or if they receive assistance from a consulting firm like Health Management Solutions, Inc. This allows dentists to earn more money and remain competitive. While not all insurance plans will negotiate fee changes, dentists in South Florida and across the United States can request their fees to be increased biannually. Health Management Solutions, Inc., can utilize its subcontractors to assist dental offices in negotiating fees twice a year. We will thoroughly review each fee schedule and work out a fair increase based on typical fees (UCRF). Our team will support your office, helping to gradually increase your earnings. Over time, this will help your practice keep up with the rising cost of living and maintain competitive prices.
Fee Schedule PMS Update
Streamlining Dental Practice Management
Health Management Solutions, Inc. and its associate subcontractors understand the importance of maintaining up-to-date fee schedules in your Practice Management System (PMS) to enable efficient practice management. It is crucial to have accurate charges in the PMS before submitting claims to dental insurance providers. This ensures that your practice staff can appropriately calculate patients’ payment responsibilities based on your dental practice’s UCR Fees. By entrusting us to update your fee schedules in the PMS, we streamline your billing processes.
New Year Fee Schedule Maintenance
Staying Current and Relevant at the beginning of each year.
Health Management Solutions, Inc. and its subcontractors diligently obtain up-to-date fee schedules from various dental insurance providers. January is a time when many insurance providers update their fees annually. Our subcontractors will create a fee table in your practice’s PMS, aligning it with the procedure codes and calculating the dental insurance allowable amount. By staying on top of these fee schedule changes, we ensure that your practice remains current and relevant in the ever-evolving dental insurance industry.
The following fees will be updated
PPO Fees
We ensure that your PPOs’ fee schedules are up to date, reflecting the negotiated rates with participating dental insurance providers in your network. This allows your practice to provide cost-effective services to PPO patients while maximizing revenue.
UCR Fees
The Usual Customary Reasonable Fee (UCR) is an essential benchmark in dental practice management. Our subcontractors will update your UCR fee schedule, ensuring that your fees align with industry standards, and reflect the reasonable charges for your geographical area in South Florida and across the United States.
HMO/DMO Fee
For patients with Health Maintenance Organization (HMO) or Dental Maintenance Organization (DMO) policies, we will update their fee schedule accordingly. This ensures accurate billing and appropriate reimbursement for the services provided under these plans.
Specialty Fee
Specialists play a vital role in dental care, and their fees may differ from those of general practitioners. We will update the fee schedules for specialty services, aligning them with the specific insurance allowable amounts for each procedure. This enables accurate billing and fair reimbursement for specialized treatments.
By regularly performing fee schedule maintenance and updates, Health Management Solutions, Inc., helps your dental practice optimize revenue, maintain competitive pricing, and deliver high-quality care to your patients in South Florida and the United States. Let us handle the complexities of Fee Schedule Negotiations and Updates, allowing you to focus on providing exceptional dental services. Start maximizing your practice’s potential today.
Areas we serve
Frequently Asked Questions
What is Health Management Solutions, Inc.,?
Health Management Solutions, Inc., is a comprehensive healthcare management service provider offering Risk Management, Cycle Revenue Management (Back-office Support Services) , Board of Dentistry’s Continuing Education Provider and Compliance Staff Training Requirements
How can Risk Management Services benefit my dental practice?
Our dental practice Risk Management Services, assists dentists in identifying potential liabilities and risks in their practice. Consequently, we create Corrective Action Plans for dental practices to implement and protect them from potential liabilities, enhance employee and patient’ safety, and improve compliance with required and recommended community standards of dental practice, Federal and State industry requirements; such as OSHA and HIPAA compliance, and recommended standards from leading professional organizations; such as the ADA, and scientific organizations; such as the CDC and WHO.
What are Cycle Revenue Management Services?
Cycle Revenue Management Services provides back-office administrative support for managing dental insurance claims. This includes properly conducting insurance eligibility verification, processing, submitting, collecting, and recording claims accurately and quickly, as well as optimizing procedure code billing to maximize insurance reimbursement. Our expert dental insurance coders can identify reimbursable procedure codes that are often overlooked by dental practices, ensuring prompt and effective reimbursement.
How does insurance credentialing work?
Insurance credentialing services involve handling the application process for dental healthcare professionals who want to become participating providers for insurance plans. We assist dental and other healthcare providers seeking to work as participating providers with insurance companies and network administrators. To start, we have conversations with the healthcare provider and their practice administrator to determine the client base’s demographics they wish to serve and the types of dental or medical services they provide. After understanding their practice’s goals, we make recommendations from a list of insurance carriers for becoming participating providers, but the healthcare provider ultimately decides whether to accept or reject an offer. Our credentialing process begins by gathering all the healthcare professionals’ educational and reference credentials and ensuring that the practice meets all requirements to be accepted by a wide range of insurance plans. We submit the approval applications with the extensive required documentation and follow through to negotiate the proposed dental insurance fees. Our goal is to maximize the highest possible insurance reimbursement schedules for you. We offer expedient and efficient expert credentialing services through a team of experienced outsourced associate subcontractors.
Why is dental insurance verification important?
Dental insurance verification ensures that your patients’ coverage is accurately determined before their appointments, reducing claim denials and improving the efficiency of your practice.
Our Eligibility Insurance Verification Services provide dental practices with a comprehensive insurance benefit spreadsheet breakdown. This allows dentists and patients to establish a transparent financial relationship. Patients will know their financial responsibilities before and after the treatment, starting from the moment the Treatment Plan is presented to them. This reduces adverse events, eliminates surprise fees and unanticipated procedure denials, and allows dental practices to operate smoothly and efficiently.