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Jan 2024
36m 7s

1899: Solving the PPO Riddle Pt. 2

Mark Costes
About this episode

On today’s episode, we have the second of a 2-part series from the TPL (The Practice Launchpad) event in San Diego, CA. Vivek Kinra’s (founder of PPO Profits) presentation, “Solving the PPO Riddle” is broken down and shared in this episode.

If you missed Part 1, be sure to check it out for valuable insights. Today, we dive deeper into the critical importance of proper credentialing in dental practices and the significant financial benefits of securing better fee schedules. Vivek further discusses the flexibility and negotiation possibilities with PPO insurance, emphasizing that fee schedules are indeed negotiable. We continue exploring the High Tech Law's application in specialty procedures, allowing certain treatments to be performed at cash fees through specific patient agreements. The conversation also revisits the value of expert support in negotiating insurance contracts, such as that provided by PPO Profits, to achieve substantial returns. We further discuss the different aspects of insurance in dentistry, including the distinctions between credentialing, contracting, and fee negotiations, and their implications for practices. Lastly, we delve into the technicalities of National Provider Identifiers (NPIs) and the detailed process of credentialing for dentists and associates.

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