Courses
Membership plans can provide tremendous value to patients and significantly boost your practice. However, they also pose potential risks for fraud when dealing with dental insurance. Co-hosted with Dr. Chris Phelps, an expert in communications and marketing, this insightful session addresses common questions about setup, organization, and effective...
The direct and umbrella contracting is a complex arena that many misunderstand and sadly many negotiation companies don't even understand well. This leads to many offices DIY or utilizing negotiation companies that achieve minimal results. The expected results for using umbrella contracts and true negotiations is to have fee structures that are on...
Many dental professionals didn't pursue dentistry to become legal experts, which is understandable. However, this often translates to a lack of understanding of basic legal principles and their impact on our daily practices. In this session, join Dr. Campbell and Justin Withrow, a dental fraud attorney, as they delve into fundamental legal concepts...
Have you found yourself jumping from one marketing company to another, only to feel frustrated by the process and lack of results? It's a common challenge for most of us, and one we personally experienced years ago. During this session, we'll explore the reasons behind marketing failures, strategies for enhancing the process, the influence of insur...
A common concern for offices is whether 3rd party financing with associated fees are worthwhile handling within a PPO office that already takes a large percentage hit on their prices. This course will review these challenges and ways to evaluate whether 3rd party financing would work for your office.
Dental insurance is complex and has generated multiple myths over the years. This course will uncover the truth behind these common myths so that you can better understand the dental insurance arena.
There are many benefits to being an out of network office; however, it comes with unique challenges as well. One of which is that insurance companies do not tend to share fee schedule data with offices that are not contracted. This course reviews a solution to this problem by showing you how to create and use your own blue book.
To lower premium costs, many insurance policies will have exclusions. A semi-common exclusion is not paying for exams on the same date of treatment. This is a frustration for offices because they feel this limits the patient’s choices.
This course is designed to help you understand this limitation. Learn how to handle this exclusion to allow pat...
A common question that arises when patients over 65 call the office involves whether you participate with Medicare. Learn what the patient is really asking and how to answer correctly. Hint: most of you already participate without even knowing it.
One of the most common questions online about insurance involves why insurance paid less for a service than expected. Is this fraud on the insurance company’s side? This course reviews how, why they happen, and most importantly what to do about them as an office and for the patient. Learn how to effectively estimate for downgrades to avoid surpri...
Dental coding is complex and often misunderstood by many who work with it daily. Can you imagine how much worse this is for patients who rarely encounter coding? Learn how to manage dental coding when presenting treatment plans for patients to be able to simplify the process for the team and the patients. Ultimately this will result in less conf...
PreDeterminations are often misunderstood and frequently used in a way that hampers office function and treatment acceptance unnecessarily. This course reviews the pros and cons of PreDs and can provide information and best practices in order to help you create your own system to utilize the strengths and avoid the challenges.
A common requirement insurance companies have when reviewing claims for implants and bridges is to have a pano or full mouth series of x-rays. Learn why this requirement exists and how to manage it.
Most offices in the country deal with in-network insurance. This course is designed to help you understand the basics of what is involved when working with insurance. The course reviews some of the most common misconceptions dental office professionals have and gives a glimpse into what is possible.
PREMIUM COURSE$249.99
This course is designed to educate the provider in how to set up an effective denture process in the office. Dr. Campbell will review how to effectively communicate and manage the denture patient, including how to avoid multiple adjustments. You will learn how to organize denture cases to be completed quickly, efficiently, and with better outcomes....
PREMIUM COURSE$249.99
Have you felt that you cannot provide the level of care you want under an in-network fee structure?
PREMIUM COURSE$199.99
Are you getting denied for legitimate claims on common services like SRP? Do you ever have patients upset because they owe more money after their EOB comes in? Are your perio treatments constantly getting denied or disallowed?
PREMIUM COURSE$199.99
Are you unsure of how to make Invisalign work under an in-network pricing model? Would you like to know more about how ortho payments work with insurance? Would you like to learn how to make $1,000- $2,000 more per case while in-network?
PREMIUM COURSE$199.99
Are you getting denied for legitimate claims on common services like buildups and crowns? Do you ever have upset patients because they owe more money after their EOB comes in?
Contracting and credentialing can be lengthy, complex processes that impact your practice’s efficiency and growth. This recorded session provides a comprehensive overview of the contracting and negotiation process, outlining what to expect and how to navigate it effectively. You'll gain practical solutions for common challenges in credentialing new...
Accurately coding and scheduling periodontal treatments is one of the most common challenges in dental practices. This session provides clarity on the most frequently asked questions, including the correct coding for procedures like D1110, D4346, D4355, and D4241/D4242. It also covers guidelines for coding the first visit after scaling and root pla...
ADA codes apply to most services in a dental office, but not all. For tracking and billing purposes, creating new internal codes is extremely important for your practice. In this session, I discuss the financial impact internal codes have on your office, as well as how to create, apply, and manage them. Check out our resources section to view a lis...
Gain a foundational understanding of dental anatomy, x-rays, and coding, essential for accurate communication with insurance companies. It covers the basics, common mistakes, and key strategies to improve coding accuracy and efficiency. Ideal for both new and experienced dental professionals.
Review the different types of insurance plans and participation. PPO is the most popular, but it’s important to know what other types of insurance exist. Learn essential terms such as EOB (Explanation of Benefits), verification, and breakdown, along with tips for managing common mistakes and preventing fraud.
Learn the insurance processes that directly impact your practice’s bottom line! In the first portion, we'll break down your office's role in navigating the complexities of EOBs, AOB, reprocessing, and appeals. Discover proven strategies for managing claims and handling appeals to ensure accurate reimbursement. By the end, you'll be equipped with a...
Discover the strategies and insights needed to navigate insurance complexities effectively. Learn how to anticipate challenges, prevent claim denials through improved documentation, and manage patient expectations. Understand the role of employers in defining policies, the importance of accurate estimates, and how to leverage state regulations for ...
![Non-Covered Services [updated for 2024]](https://twp-dentalinsuranceguy.imgix.net/https%3A%2F%2Ftwp-dentalinsuranceguy.imgix.net%2Foh_Non-Covered%2520Services_2024.png%3Fixlib%3Dvue-2.8.1?ixlib=vue-2.8.1)
Over 42 states have laws to protect dentists against insurance companies setting fees for NCS. However, there often is a lot of confusion about how to read these laws and what a NCS truly is and is not. Secondarily, many offices and teams have a hard time getting patients to agree to non-covered services because of how they communicate to patients....
Discover the strategic considerations behind deciding which networks to drop and when, and sharpen your communication skills for effective negotiation. We'll also explore alternative options for achieving success in network management.
One of the most misunderstood sections of codes involves implants and their use. Everything from insurance not reimbursing to code mismatches leads to many team challenges. This series will help clear up misconceptions and guide you to the best way to code and bill implants with everything from single crowns to hybrid dentures.
"Is Delta Dental evil?" This question frequently surfaces on social media, and I'll leave it to you to form your own opinion. Often, the inquiry stems from various systems Delta has implemented, which can impede dentists' success, whether they're in-network or out-of-network. This session explores common challenges and offer strategies for addressi...
We often attribute many of our challenges to insurance, and some of those grievances are indeed warranted. However, the biggest setbacks to our profitability and efficiency stem less from insurance itself and more from how we manage it. From claim denials to patient treatment declines, and even to collections, these issues are entirely solvable wit...
Dealing with insurance refund demands can be exceptionally frustrating, particularly when they arise months or even years later. Mishandling patient refunds has the potential to result in significant losses, if not more. This course aims to address these challenges by examining preventive measures from the outset and providing guidance on navigatin...
The use of HITECH/HIPAA forms has sparked considerable debate. Are they truly helpful, or do they introduce more problems than solutions? This session explores the functionality of these forms, delving into their effectiveness and potential pitfalls. See how to appropriately utilize these forms, when it is advisable not to use them, and the proper ...
Sending unnecessary information can lead to claim delays, while omitting essential details may result in claim rejection. This session specifically addresses submission requirements for common services.
This session reviews the most frequently asked questions of the year, provides best practice solutions, and offers an overview of essential information about insurance. It serves as a beneficial refresher for those with more experience and a helpful overview for those who are just starting out.
While most larger software systems automatically update the codes, having them in your system doesn't guarantee you're aware of their implications. Additionally, some of the new codes are quite significant. For instance, in the previous year, the codes were restructured to improve clarity and understanding, particularly in the case of membrane code...
There are many aspects to managing patient care near the end of the year that can easily be forgotten. This session reviews common end-of-year tasks, including open enrollment, holiday scheduling, lab case management, and more.
Insurance contracts typically state we must provide patients with 24/7 emergency availability. This session will discuss how to handle this requirement with minimal stress on the doctor and the team, how to bill for it, what processes work best in the office regarding insurance and more.
There are many dental codes that are rarely used, often because we don't think about them. Nevertheless, these codes hold significant importance, not only in increasing income within our network but also in maintaining detailed documentation when dealing with out-of-network cases. This session will shed light on frequently overlooked codes, when to...
We recently treated a patient with failing work, she faced major challenges that can be handled in most general dental offices, as well as incorporating the help of specialist care. In this session, we will review her options with a somewhat out-of-the-box approach. Coding, potential insurance issues, as well as how to handle patient communication ...
One of the most common and incorrect practices an office has with regards to insurance is providing "free" care to team and family members, and then billing insurance companies. In this session, Dr. Campbell reviews challenges and solutions to achieve the same goal, without legal concerns.
Patients walking out the door without paying should never happen. There are so many myths on what you can and cannot do with collections and insurance patients. If your accounts receivable is longer than a single page, or more than 1 months collections, this is the discussion for you!
Identify what you may want to add, change or improve about your practice that will help you become more successful in the new year.
The only aspect more complex than dealing with insurance, is dealing with TWO insurance companies. The amount of misunderstanding when it comes to secondary insurance is high, which often leads to a lot of confusion and incorrect ledgers, often in a way that costs offices thousands of dollars a year.
Discussion of the new coding additions, deletions, and how carriers are likely to respond to these changes.
See which products and services you can add to your practice that will help increase collections and bring more value to your patients.
If you've seen EOBs state: “This service is inclusive of another and therefore you cannot charge the patient…” this video is for you!
Avoid the most common mistakes team members make. Also included: the solution to the #1 asked coding concern, new codes for 2022, insurance reimbursement trends, and how to evaluate x-rays for scaling and root planing.
It is uncommon to find an office that is correctly billing for services on periodontal patients. This office hour reviews what is recommended by the AAP and how to manage scheduling and coding.
Do you have patients complain about paying more after they receive an EOB? We often structure our discussions in a way that invites patients to do just this. Instead, let's focus on ways to prevent these types of conversations by removing the ownership and blame of insurance paying differently than expected.
Membership plans can provide tremendous value to patients and significantly boost your practice. However, they also pose potential risks for fraud when dealing with dental insurance. Co-hosted with Dr. Chris Phelps, an expert in communications and marketing, this insightful session addresses common questions about setup, organization, and effective...
The direct and umbrella contracting is a complex arena that many misunderstand and sadly many negotiation companies don't even understand well. This leads to many offices DIY or utilizing negotiation companies that achieve minimal results. The expected results for using umbrella contracts and true negotiations is to have fee structures that are on...
Many dental professionals didn't pursue dentistry to become legal experts, which is understandable. However, this often translates to a lack of understanding of basic legal principles and their impact on our daily practices. In this session, join Dr. Campbell and Justin Withrow, a dental fraud attorney, as they delve into fundamental legal concepts...
Have you found yourself jumping from one marketing company to another, only to feel frustrated by the process and lack of results? It's a common challenge for most of us, and one we personally experienced years ago. During this session, we'll explore the reasons behind marketing failures, strategies for enhancing the process, the influence of insur...
A common concern for offices is whether 3rd party financing with associated fees are worthwhile handling within a PPO office that already takes a large percentage hit on their prices. This course will review these challenges and ways to evaluate whether 3rd party financing would work for your office.
Dental insurance is complex and has generated multiple myths over the years. This course will uncover the truth behind these common myths so that you can better understand the dental insurance arena.
On-Demand courses are for members only. Join today and subscribe to a membership plan to gain access to these courses, office hour recordings, and more.
There are many benefits to being an out of network office; however, it comes with unique challenges as well. One of which is that insurance companies do not tend to share fee schedule data with offices that are not contracted. This course reviews a solution to this problem by showing you how to create and use your own blue book.
To lower premium costs, many insurance policies will have exclusions. A semi-common exclusion is not paying for exams on the same date of treatment. This is a frustration for offices because they feel this limits the patient’s choices.
This course is designed to help you understand this limitation. Learn how to handle this exclusion to allow pat...
A common question that arises when patients over 65 call the office involves whether you participate with Medicare. Learn what the patient is really asking and how to answer correctly. Hint: most of you already participate without even knowing it.
One of the most common questions online about insurance involves why insurance paid less for a service than expected. Is this fraud on the insurance company’s side? This course reviews how, why they happen, and most importantly what to do about them as an office and for the patient. Learn how to effectively estimate for downgrades to avoid surpri...
Dental coding is complex and often misunderstood by many who work with it daily. Can you imagine how much worse this is for patients who rarely encounter coding? Learn how to manage dental coding when presenting treatment plans for patients to be able to simplify the process for the team and the patients. Ultimately this will result in less conf...
PreDeterminations are often misunderstood and frequently used in a way that hampers office function and treatment acceptance unnecessarily. This course reviews the pros and cons of PreDs and can provide information and best practices in order to help you create your own system to utilize the strengths and avoid the challenges.
A common requirement insurance companies have when reviewing claims for implants and bridges is to have a pano or full mouth series of x-rays. Learn why this requirement exists and how to manage it.
Most offices in the country deal with in-network insurance. This course is designed to help you understand the basics of what is involved when working with insurance. The course reviews some of the most common misconceptions dental office professionals have and gives a glimpse into what is possible.
Contracting and credentialing can be lengthy, complex processes that impact your practice’s efficiency and growth. This recorded session provides a comprehensive overview of the contracting and negotiation process, outlining what to expect and how to navigate it effectively. You'll gain practical solutions for common challenges in credentialing new...
Accurately coding and scheduling periodontal treatments is one of the most common challenges in dental practices. This session provides clarity on the most frequently asked questions, including the correct coding for procedures like D1110, D4346, D4355, and D4241/D4242. It also covers guidelines for coding the first visit after scaling and root pla...
ADA codes apply to most services in a dental office, but not all. For tracking and billing purposes, creating new internal codes is extremely important for your practice. In this session, I discuss the financial impact internal codes have on your office, as well as how to create, apply, and manage them. Check out our resources section to view a lis...
Gain a foundational understanding of dental anatomy, x-rays, and coding, essential for accurate communication with insurance companies. It covers the basics, common mistakes, and key strategies to improve coding accuracy and efficiency. Ideal for both new and experienced dental professionals.
Review the different types of insurance plans and participation. PPO is the most popular, but it’s important to know what other types of insurance exist. Learn essential terms such as EOB (Explanation of Benefits), verification, and breakdown, along with tips for managing common mistakes and preventing fraud.
Learn the insurance processes that directly impact your practice’s bottom line! In the first portion, we'll break down your office's role in navigating the complexities of EOBs, AOB, reprocessing, and appeals. Discover proven strategies for managing claims and handling appeals to ensure accurate reimbursement. By the end, you'll be equipped with a...
Discover the strategies and insights needed to navigate insurance complexities effectively. Learn how to anticipate challenges, prevent claim denials through improved documentation, and manage patient expectations. Understand the role of employers in defining policies, the importance of accurate estimates, and how to leverage state regulations for ...
Over 42 states have laws to protect dentists against insurance companies setting fees for NCS. However, there often is a lot of confusion about how to read these laws and what a NCS truly is and is not. Secondarily, many offices and teams have a hard time getting patients to agree to non-covered services because of how they communicate to patients....
Discover the strategic considerations behind deciding which networks to drop and when, and sharpen your communication skills for effective negotiation. We'll also explore alternative options for achieving success in network management.
One of the most misunderstood sections of codes involves implants and their use. Everything from insurance not reimbursing to code mismatches leads to many team challenges. This series will help clear up misconceptions and guide you to the best way to code and bill implants with everything from single crowns to hybrid dentures.
"Is Delta Dental evil?" This question frequently surfaces on social media, and I'll leave it to you to form your own opinion. Often, the inquiry stems from various systems Delta has implemented, which can impede dentists' success, whether they're in-network or out-of-network. This session explores common challenges and offer strategies for addressi...
We often attribute many of our challenges to insurance, and some of those grievances are indeed warranted. However, the biggest setbacks to our profitability and efficiency stem less from insurance itself and more from how we manage it. From claim denials to patient treatment declines, and even to collections, these issues are entirely solvable wit...
Dealing with insurance refund demands can be exceptionally frustrating, particularly when they arise months or even years later. Mishandling patient refunds has the potential to result in significant losses, if not more. This course aims to address these challenges by examining preventive measures from the outset and providing guidance on navigatin...
The use of HITECH/HIPAA forms has sparked considerable debate. Are they truly helpful, or do they introduce more problems than solutions? This session explores the functionality of these forms, delving into their effectiveness and potential pitfalls. See how to appropriately utilize these forms, when it is advisable not to use them, and the proper ...
Sending unnecessary information can lead to claim delays, while omitting essential details may result in claim rejection. This session specifically addresses submission requirements for common services.
This session reviews the most frequently asked questions of the year, provides best practice solutions, and offers an overview of essential information about insurance. It serves as a beneficial refresher for those with more experience and a helpful overview for those who are just starting out.
While most larger software systems automatically update the codes, having them in your system doesn't guarantee you're aware of their implications. Additionally, some of the new codes are quite significant. For instance, in the previous year, the codes were restructured to improve clarity and understanding, particularly in the case of membrane code...
There are many aspects to managing patient care near the end of the year that can easily be forgotten. This session reviews common end-of-year tasks, including open enrollment, holiday scheduling, lab case management, and more.
Insurance contracts typically state we must provide patients with 24/7 emergency availability. This session will discuss how to handle this requirement with minimal stress on the doctor and the team, how to bill for it, what processes work best in the office regarding insurance and more.
There are many dental codes that are rarely used, often because we don't think about them. Nevertheless, these codes hold significant importance, not only in increasing income within our network but also in maintaining detailed documentation when dealing with out-of-network cases. This session will shed light on frequently overlooked codes, when to...
We recently treated a patient with failing work, she faced major challenges that can be handled in most general dental offices, as well as incorporating the help of specialist care. In this session, we will review her options with a somewhat out-of-the-box approach. Coding, potential insurance issues, as well as how to handle patient communication ...
One of the most common and incorrect practices an office has with regards to insurance is providing "free" care to team and family members, and then billing insurance companies. In this session, Dr. Campbell reviews challenges and solutions to achieve the same goal, without legal concerns.
Patients walking out the door without paying should never happen. There are so many myths on what you can and cannot do with collections and insurance patients. If your accounts receivable is longer than a single page, or more than 1 months collections, this is the discussion for you!
Identify what you may want to add, change or improve about your practice that will help you become more successful in the new year.
The only aspect more complex than dealing with insurance, is dealing with TWO insurance companies. The amount of misunderstanding when it comes to secondary insurance is high, which often leads to a lot of confusion and incorrect ledgers, often in a way that costs offices thousands of dollars a year.
Discussion of the new coding additions, deletions, and how carriers are likely to respond to these changes.
See which products and services you can add to your practice that will help increase collections and bring more value to your patients.
If you've seen EOBs state: “This service is inclusive of another and therefore you cannot charge the patient…” this video is for you!
Avoid the most common mistakes team members make. Also included: the solution to the #1 asked coding concern, new codes for 2022, insurance reimbursement trends, and how to evaluate x-rays for scaling and root planing.
It is uncommon to find an office that is correctly billing for services on periodontal patients. This office hour reviews what is recommended by the AAP and how to manage scheduling and coding.
Do you have patients complain about paying more after they receive an EOB? We often structure our discussions in a way that invites patients to do just this. Instead, let's focus on ways to prevent these types of conversations by removing the ownership and blame of insurance paying differently than expected.
Premium Courses are more advanced and provide strategies and detailed solutions for specific issues. When implemented, these courses can immediately impact practice revenue and profitability, offering a significant return on investment.
These courses are available at individual pricing rather than increasing the overall cost of the DIG membership for everyone. With purchase, you will have access to the course as long as you are a member. Alternatively, you can opt for a premium membership and pay a one-time fee for access to all premium courses.
PREMIUM COURSE$249.99
This course is designed to educate the provider in how to set up an effective denture process in the office. Dr. Campbell will review how to effectively communicate and manage the denture patient, including how to avoid multiple adjustments. You will learn how to organize denture cases to be completed quickly, efficiently, and with better outcomes....
PREMIUM COURSE$249.99
Have you felt that you cannot provide the level of care you want under an in-network fee structure?
PREMIUM COURSE$199.99
Are you getting denied for legitimate claims on common services like SRP? Do you ever have patients upset because they owe more money after their EOB comes in? Are your perio treatments constantly getting denied or disallowed?
PREMIUM COURSE$199.99
Are you unsure of how to make Invisalign work under an in-network pricing model? Would you like to know more about how ortho payments work with insurance? Would you like to learn how to make $1,000- $2,000 more per case while in-network?
PREMIUM COURSE$199.99
Are you getting denied for legitimate claims on common services like buildups and crowns? Do you ever have upset patients because they owe more money after their EOB comes in?
Old habits die hard. If your current dental insurance claims process hasn’t been updated, it’s likely outdated.
Up-to-date, ongoing billing education isn’t just helpful, it’s essential for your practice to thrive.
JOIN TODAY
