Why are more successful dental practices participating in PPO insurance?
Over the past 10 years, there has been a major shift in dental benefit enrollment. Today, nearly
80% of dental patients have access to dental benefits. This makes the reasons for participating
in PPO Insurance networks that much more important to the long term success of your practice.
Here are some of the top factors driving PPO participation decisions:
Strategy to attract and retain patients.
Understand the implications of leaving and break even analysis.
Strategic contracting to maximize reimbursements.
By evaluating objective data and a clear understanding of the goals for your practice - combined
with our expertise in negotiating and managing PPO programs, we will help you achieve your
financial objectives – one step at a time.
Put our experience with Negotiation and Optimization to work for you.
The landscape of network leasing and partner relationships can be very confusing and can
lead to a provider being paid under a fee schedule they did not expect.
Five Lakes can address these challenges thanks to our substantial expertise navigating the
complexity of PPO Insurance Carrier networks. Our experience with PPO negotiation and Plan
Optimization is invaluable in helping our clients make the best possible PPO decisions by
understanding the intricacy of carrier relationships and clarifying confusing issues – such
as state regulations, geographic alliances and multi-level fee schedules.
Setting office fee schedule
Access to new patients
Carrier fee reimbursement negotiation
Employer benefit offering
In depth analysis of PPO participation
Ranking of insurance plans based on profitability
Auditing and help setting office fees
Credentialing services and TIN changes
Marketplace analysis of demographics, employers & competitors.
Detailed PPO insurance analysis.
Set game-plan for PPO participation.
Negotiate and optimize the PPO reimbursement.
Implement the PPO strategy through PPO management services.
Develop strategic PPO participation by state or region
Set consistent PPO contracting
Improve reimbursements to maximize profitability
Enhance RCM process effectiveness
Increase practice overall value and EBITDA
Let us help you get better insights into your marketplace so you can make more informed decisions.
Call us at 877.955.2537 or click the button below.
We are happy to provide you with a free consultation and talk about your business goals.