The Navigating Dental Insurance Podcast

This episode provides pure education on how or when a dental office can drop certain PPO networks. In no way does this podcast support or promote PPO boycotting in any way. The intent of this podcast is to provide education on how doctors can identify if they are ready to drop any PPO network and how to properly prepare themselves for a transition to out –of-network. Our Guest, Bill Rossi, has ove...

During this episode Tessina and Angie discuss the following issues: How to run reports to track if procedures have not been billed to insurance Billing procedures that are not covered to increase utilization and influence coverage on the part of insurance and employers who design benefit packages A discussion of non-covered service laws across the country How to best initiate an appeal for a denie...

Jordon is famous for quoting his story building a pipeline. The model for most successful businesses is building a reoccurring revenue stream. Costco, Amazon, Sirius, and many other organizations have figured out how to retire the old "transaction" businesses and replace them with a reoccurring revenue stream called memberships. In this episode Jordon Comstock shares his insight on the 7...

There are so many myths out there in the dental industry about what you can and cannot do in terms of direct patient billing as a participating provider of PPO's. We've heard them all and wanted to give a few facts about charging material fees or upgrades. In the end, patients are empowered with choices in the type of dental care they want and need. We also believe that patients should be responsi...

Scott McDonald is a professional market researcher. More than a demographer, he specializes in helping doctors know whether one site or location is better than another, to find places where they can thrive, and to tell them how to promote their practices ethnically and from a scientific standpoint. He believes in highly personalized service with good research. During this episode Scott explains th...

During this Episode Tessina and Angie give insight on the efficacy of billing your UCR's to insurance. Many practices only bill their contracted PPO rates to insurance and this episode will explain why billing PPO fee is not good for the industry. Insurance carriers will look for any excuse to lower reimbursements and we collectively believe that billing PPO fee to insurance not advised. In additi...

Dr. Tanya Brown has worked in ALL ASPECTS of dentistry for over 25 years-from chair side dental assistant, to practice administrator, to owner dentist. She is still practicing dentistry & understands what it takes to HELP YOUR PATIENTS SAY YES! During this episode Dr. Brown helps us CONNECT THE DOTS so patients can say “YES”, and from a dentist who is fee for service. Case presentation in a co...

Tessina Barney is our first repeat offender. If you go back to Episode 5 you can listen to her explain how she polices illegal and unethical practices by insurance carriers. During this episode, Tessina explains the basics of Primary and Secondary Insurance. She also explains her system of COB (coordination of benefits). Tessina also talks about strategic ways to get claims paid the first time aro...

Brad Petersen is the CEO of Sharp Edge Marketing Group, an leading marketing firm that helps dentists maximize their strategic and financial goals by proactively monitoring and managing their patient base. Sharp Edge’s 12-month marketing plans include best-in-class lead generation and conversion strategies, real-time analytics and ongoing training and education. Petersen has led companies, non-pro...

Angie has been in dentistry for 31 yrs. She is President and co-founder of UDOLLS (Utah Dental Office Leaders Learning) in 2012 to share the things she has learned over the years with more dental colleagues. She started her career as a dental assistant in 1985. She assisted for 12 yrs, and then moved to the front office. She became a lifetime member of AADOM (American Association of Dental Office...

As a dental marketing director and a practice consultant, Kelly has more than 20 years of experience helping dentists and their teams develop practical, effective marketing strategies to both attract and retain patients. As Manager of Strategic Alliances with RevenueWell, Kelly now partners with industry leaders in the dental community to help practices flourish and measurably increase their botto...

Chris Torres is a personal friend of Ben Tuinei. Chris is an insurance broker in Phoenix AZ who helps dentist establish Tax Saving and protection strategies. Chris has helped both Jordon and Ben with managing their personal and corporate finances. The peace of mind he can create for all dentist in America is yours for the asking. Chris teaches us to avoid common financial pitfalls business owners...

Dr. Phelps is an entrepreneur and general dentist who owns multiple practices in the Charlotte, NC region. He graduated from the University of North Carolina at Chapel Hill in 1998 with a BS in Biology and in 2003 he graduated Magna Cum Laude from the prestigious Nova Southeastern University, College of Dental Medicine in Ft. Lauderdale Florida. From 2003 to 2010 his passion for business and his f...

Bruce Thompson is the reason Ben Tuinei and Jordon Comstock connected. Without Bruce's networking efforts the stars wouldn't be shining on this podcast! With already 20,000 regular listeners to this podcast we extend our thanks to Bruce for being a match maker. Now Ben and Jordon are not a couple. They are both individually happily married to their wives but without Bruce's help this podcast would...

As CEO of Dental Intelligence, Weston oversees the strategic direction of the company and its products. He manages Dental Intelligence’s revenue growth and future expansion plans. He also dedicates a large part of his time to be intimately involved with our clients, the dentists, to fully understand their needs, wants and experience with Dental Intelligence’s products and solutions. Weston has spe...

Lorraine Guth started out as a dental assistant at the age of 17. Although her job consisted of the “dirty work” like cleaning out suction, plaster traps and dip tanks, she quickly fell in love with dentistry. After shifting into administrative roles, she spent time helping people make potentially life-altering decisions about their care and realized something was missing. She observed a disconnec...

The Revolution is here folks! Imagine a future that reduces the need for you to submit claims. Imagine a future where you don't have to be on hold for hours each day to fight claims. For years many though that such a future doesn't exist. Many even argue that the DSO model is the way of the future as solo practitioners simply cannot keep up with the risking cost to deliver dentistry combined with...

First of all, Quality Care matters! We believe dental insurance was an inspired effort to encourage the public to seek dental care and receive routine preventative care. Unfortunately, dental insurance has become increasingly difficult to manage within the dental practice. Too often do we submit clean claims that get denied over and over again with no legitimate cause or reason. Many dentist feel...

3rd party payor negotiating, more specifically Dental Insurance Fee Negotiations, is still a foreign concept to dentists nationwide, and worldwide. Mr. Tuinei has spent the last 10 years improving and perfecting this relatively new effort in the Dental Business world and will be sharing a few secrets about how to effectively negotiate better fees with dental insurance companies in his lecture “3rd...

Christine Taxin is the founder and president of Links2Success, a practice management consulting company to the dental and medical fields. Prior to starting her own consulting company Ms. Taxin served as an administrator of a critical care department at Mt. Sinai Hospital in New York City and managed an extensive multi-specialty dental practice in New York. With over 25 years’ experience as a pract...

Tessina Barney is a high powered dental office manager in Salem Utah. She co-operates the Utah Chapter of the Academy of Dental Office Managers. Tessina explains her experience in policing unethical and illegal insurance practices by a particularly large national insurance carrier. In this day and age when insurance carriers tend to make up their own rules many dental practices feel hopeless and h...

Mike Pedersen is the founder of The Dental Boost a leading-edge dental SEO and web design agency helping dentists attract more visitors and converting them into new patients. We met Mike through mutual clients he's helped. One of our clients raved about Mike helping to improve this doctor's online ranking from page 44 to page 1 in a matter of weeks. We've never seen that before and that's why we'v...

Alan Hollander began consulting healthcare professionals as an individual in 1985. Nine years later, with a team of over 50 and a roster of thousands of clients, the company had become one of the largest healthcare consulting entities in the US. Alan sold the company in 1995. Alan then developed Practice Optimizer™ an online suite of services with over 2000 pages of practice management content and...

In this podcast interview we discuss the issues with dental insurance and how to improve your practice by creating an in-house membership program.