We Turn PPOS Into Profit For Your Dental Practice
PPO PROBLEMS?
YOU'VE COME TO THE RIGHT PLACE!
From negotiations to credentialing, we help our clients every step of the way to turn their PPOs into profit.
We are the only PPO company that offers a risk-free PPO analysis – we prove our ROI and your savings before you spend a cent.
Our team has over 110 years of experience and has helped hundreds of dental practices navigate PPOs and save thousands. Stop your PPO headache today.
What type of practice you run?
Established Practices
Our established dental practice clients receive the biggest ROI for our services. Typically, these clients receive 5x their investment! The best part is, thanks to our risk-free PPO analysis, they have nothing to lose and everything to gain!
Analyze your participation and production
Discover the increases available
Understand your ROI to implement
Start-up
We can suggest the best insurance companies for your dental practice. Thanks to our years of dental industry knowledge, this valuable information can help you save time and make more money in the long run!
Establish a competitive UCR
Negotiate and strategically credential at the highest rates
Insurance team training and 12 months of support
Acquisitions
PPO Advisors knows how to navigate through insurance roadblocks to ensure the new buyer is on the best networks and fee schedules available which often results in a 20-30% increase of PPO reimbursements.
Analysis of the sellers UCR
Negotiate and strategically credential at the highest rates
Insurance team training and 12 months of support
Credentialing
Most dentists do not understand what they are signing. This often means decreased profits, reduces your ability to negotiate your fees in the future and more. The team at PPO Advisors is well versed in the details of your contracts and will take the time to clearly articulate what you are signing.
CAP - Credentialing Access Point
Checking participation
Adding PPO Contracts
Adding providers and locaitons to existing contracts
Changing locations and TIN
Why PPO Advisors?
20%
Average Increase In PPO Fees
1650+
Dental Practices Helped
$15.4M
Money Increased To Date
Working with PPO Advisors has been worth every dollar and more. They take the headache out of understanding your options for credentialing and participation with insurance. I would recommend their profound knowledge and expertise time and time again.
We were really unsure of whether we could successfully go through the negotiation process. PPO Advisors assured us that we could do it with their support and we were pleasantly surprised to see they were absolutely right! With PPO Advisors, I was assigned a coordinator who was the person I always touched base with. I knew I could go to her for questions and answers and the service was personal; she always made it feel like she was partnering with us in the journey.
I have been extremely happy with PPO Advisors and it has been a pleasure working with Shelley and her team for my start-up dental practice. They provided me with local fee schedules and were able to obtain generous fee schedules from insurance providers. PPO Advisors even helped me complete the numerous forms required for credentialing – saving me hours of work! I see the benefits of their work every time I bill the insurance company!
We were able to increase our collections without necessarily increasing our production which was advantageous during the time of Covid.
The PPO Advisors team offer 5-star service to any dental practice owner looking to enhance their position as an in-network provider with any insurance company. Their initial credentialing analysis is thorough, and their presentation is both professional and decisive. I purchased a pediatric dental practice 7 years ago having used another company to setup our credentialing. I was very disappointed in the way we were contracted with the insurance companies and PPO Advisors helped us improve our position and therefore, maximize our reimbursement. I will continue to work with PPO Advisors for years to come.
We have been through the transitions process of updating fee schedules twice with PPO Advisors. Each time we find it advantageous to our bottom line. We take many insurances and with the transitions we are getting a higher reimbursement rate. We see more new patients due to our participation with more insurance carriers. PPO Advisors gave us the steps to complete the transitions and their monthly calls make it easy to stay on track.
Established Practices
THE BEST TIME TO NEGOTIATE PPO CONTRACTS IS BEFORE YOU RE-CREDENTIAL WITH THE INSURANCE COMPANY.
Most established dental practices think of their PPOs as a big headache that are eroding their profits and most of the time, they are right! Thanks to years of experience, PPO Advisors knows how to play the game; we are often able to get new contracts that provide you with better fee schedules and improved long-term benefits.
That’s right, you are not stuck with your existing PPO contracts. PPO Advisors can find ways to optimize your PPO fees and increase your bottom line. PPO Advisors can provide your dental practice a substantial ROI regardless of your size. Our clients range from single providers to large multi-provider established dental practices.
Did You Know?
Our established dental practice clients receive the biggest ROI for our services. Typically, these clients receive 5x their investment! The best part is, thanks to our risk-free PPO analysis, they have nothing to lose and everything to gain!
How does an established dental practice begin working with PPO Advisors?
Established dental practices simply need to contact us for a free PPO analysis. Our experienced team will collect and review their existing fee schedules, analyze areas for improvements, and research the financial benefits we can make. From there, we present the information back to the dental practice and answer any questions they may have. Once the upside is realized, we commence our engagement and work on your behalf.
PROBLEM: Credentialing
SOLUTION: PPO Advisors enjoys working with established dental practices to negotiate on their behalf. We remove or rearrange your existing contracts to allow for new contracts that are financially beneficial. In addition, we update all licensing, map the information and provide you with optimized fee schedules that are crystal clear about terms, renegotiations, long term impacts and more.
PROBLEM: Knowing how and when to increase master fees
SOLUTION: The rule of thumb is that you should increase your master fees annually by 1-3%. When you work with PPO Advisors, we address this topic for you ensure that a new fee schedule is included in our negotiations. PPO Advisors knows how and when to increase your master fees which can have a massive impact on your profit.
ESTABLISHED PRACTICE SERVICES OFFERED:
Risk-Free ROI analysis this includes evaluating current PPO history and master fees.
Check the the providers participation with the insurance networks.
Custom negotiations for higher fees.
Determining the best ways to be contracted.
Completing the credentialing process with insurance companies on your behalf.
Stack contracts correctly to ensure long-term success.
PPO Network Playbook.
Insurance Team Training.
Ongoing Professional Support for 12 months.
Exclusive access to Credentialing Access Point (CAP).
Start-up Practices
THE BEST TIME TO NEGOTIATE PPO CONTRACTS IS BEFORE YOU CREDENTIAL WITH THE INSURANCE COMPANY.
Starting a new dental practice can be overwhelming to say the least! Every second you and your dental team spend navigating PPOs isn’t time well spent. Let us manage your credentialing process including helping you set your master fees based on your demographic, negotiate the best possible PPO fee schedules and turn PPOs into profit for you! In addition, we work with you and your team to manage the dreaded ‘out of network’ period.
Did You Know?
PPO Advisors can suggest the best insurance companies for your dental practice. Thanks to our years of dental industry knowledge, this valuable information can help you save time and make more money in the long run! Ask a member of our team if we have demographic analysis that relates to your area.
How does a startup dental practice begin working with PPO Advisors?
Startup dental practices are shelling out thousands of dollars on equipment, fit-out costs and more. Our savvy team will start by collecting information required to commence your credentialing and negotiation process with the right insurance providers. We then assess, research and present your options in a clear and easy to follow overview that shows how much our services can grow your profits for PPO success. Once we have the greenlight, we guide you through every step to turn your PPOs into profit.
PROBLEM: Credentialing
SOLUTION: PPO Advisors makes sure you are entering into contracts that continue vs. contracts that will hold you back without specific terms or renegotiation options to name a few. Understanding what you are signing and what to look for are imperative. Having PPO Advisors by your side ensures your licensing is updated and all information is mapped back to make the credentialing process as smooth as possible.
PROBLEM: Knowing how and when to increase master fees
SOLUTION: PPO Advisors has helped hundreds of dental practices set their fee schedules thanks to an independent zip code analysis. Their knowledge and experience will provide you with the insights you need to set the best master fees for your back pocket.
DENTAL PRACTICE STARTUP SERVICES OFFERED:
Analyze UCR/Zip codes to set master fees.
Custom negotiations with insurance companies for highest fees.
Determining the best ways to be contracted.
Complete the credentialing process with insurance companies on your behalf.
Stacking contracts correctly to ensure long-term success.
PPO Network Playbook.
Insurance Team Training.
Ongoing Professional Support for 12 months.
Exclusive access to Credentialing Access Point (CAP).
Acquisitions
TAKE THE GUESSWORK OUT OF YOUR PPOS
Acquisitions bring countless positives and their share of challenges! One of these challenges is navigating intricacies of the new entity’s PPO contracts. As you may know (or are learning), the acquisitions process is extremely detailed and managing the seller and buyers PPOs are a necessary but time-consuming task. Thankfully, PPO Advisors have helped hundreds of dental practice buyers to efficiently renegotiate their PPOs to achieve better terms and improved fee schedules. Lucky for you, we offer a buyer/seller analysis. Save your precious time and contact us today!
Did You Know?
PPO Advisors knows how to navigate through insurance roadblocks to ensure the new buyer is on the best networks and fee schedules available which often results in a 20-30% increase of PPO reimbursements.
How does a dental practice buyer begin working with PPO Advisors?
We offer two levels of support depending on your needs: Change of Ownership and Complete Acquisition Program. To begin, simply contact to decide which service suits your needs.
PROBLEM: Credentialing
SOLUTION: In an acquisition, a new entity is formed and existing contracts setup with the Seller must be removed. Failing to do so can result in new contracts not being accepted. Your new tax ID number and credentialing creates an opportunity for PPO Advisors to negotiate on your behalf to obtain better fee schedule rates. The results are typically better terms, information clearly mapped and licensing updates. You’ll receive an optimized fee agreement, and we will clearly outline all details so that you know exactly what you are signing.
PROBLEM: Knowing how and when to increase master fees
SOLUTION: In an acquisition, the timeframe given to be setup as a new provider before taking ownership is typically 4 weeks, but this process takes about 7 months; 4 weeks for PPO Advisors to complete negotiations and applications and then around 6 months for the networks to review and accept. This is a common problem that our acquisition clients face, and we work with them on how to be an ‘out of network provider’ during this transition period. We also work with your team on how to communicate this to your patients to mitigate lost clients and ensure their continuity of care.
Credentialing
The credentialing process is often compared to a tooth extraction – very painful! PPO Advisors has completed over 12,000 credentialing applications and hard to believe, but we love what we do. At PPO Advisors, we help dental providers wherever they are at in the process.
From credentialing to re-credentialing, our Credentialing Access Point (CAP) can help manage the process for you and provide better contracts and fee schedules with all information mapped clearly and efficiently.
Confused by your PPO contracts?
Most dentists do not understand what they are signing. This often means decreased profits, reduces your ability to negotiate your fees in the future and more. The team at PPO Advisors is well versed in the details of your contracts and will take the time to clearly articulate what you are signing. Turning PPOs into profits is what we do for our clients!
What is involved in credentialing and re-credentialing?
Credentialing is a process that each provider (aka dentist) needs to complete to be eligible for participation with insurance companies in various networks. The process includes completing detailed paperwork and proof of your education, residency, training, work history, licenses and if applicable, specialty certificates and malpractice history.
Each provider is credentialed and then re-credentialed every 2-3 years depending on the contract. After the initial credentialing, providers need to be re-credentialed which includes re-verifying licenses, malpractice history and more. Missing the deadline for re-credentialing can have serious revenue impacts. Providers often choose to have their credentialing and re-credentialing managed by PPO Advisors.
ABOUT CREDENTIALING ACCESS POINT (CAP)
Imagine an efficient tool that can manage all the moving pieces of your licenses, fee schedules, re-credentialing and more. Credentialing Access Point (CAP) is that tool! PPO Advisors created CAP to help the dental industry streamline their credentialing and re-credentialing requirements.
Did you know?
*PPO Advisor’s current clients receive an annual Ultimate Access at no cost additional cost!
MASTER FEE ANALYSIS
Most dental practices are reluctant to raise fees or understand how their fee levels compare to their local competitors. PPO Advisors includes UCR also known as master fee or zip code analysis in our negotiations with your providers. The results are increased revenue for the same amount of patients and procedures.
Let PPO Advisors provide a detailed analysis of your master fee schedule to show how you compare with other providers in your area.
We will also make suggestions and provide you with guidance to maximize your profits. Why work harder when you can work smarter?
Did you know?
Analyzing and updating your UCR/master fee schedule typically equates to a 5% increase in your fee for service revenue.
Michelle Field - Brush 365
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