In the Dark About How PPO Participation Can Affect You?
Participating with PPOs can give you access to more patients or help to retain your current patients, however, PPOs require you to accept a discount off of your standard fee. Unitas will help you evaluate potential or additional PPO participation, giving you the necessary data in order to make an informed business decision.
What We Provide
Office Fee Analysis
As the primary component to how you get reimbursed, we analyze your office fees to ensure that they are at a competitive level for your area. We also analyze your annual production summary to determine your top 35 grossing procedures codes, these will be used in future negotiations.
In order to optimize your future insurance participation, we have to be absolutely certain about how you actually participate. We call & confirm your out-of-network participation with each major PPO insurance company.
Proposal Collection & Negotiation
To ensure our evaluation is accurate and negotiations are effective, we request your proposed fee schedules directly from each PPO insurance company. Our team of experts will negotiate with our vast list of contacts at each major PPO insurance company in an effort to obtain high proposed reimbursement plans. With our combined experience and dedication, we strive to obtain the highest reimbursements possible.
Participation Recommendation Report
Similar to a treatment plan, we create an in-depth report outlining what we’ve found from our analysis. This report includes a map of your possible future participation, a detailed analysis of each fee schedule proposal, a calculation indicating the adjustment percentage you’ll take on each fee schedule, and a proposed implementation plan, which projects what we can do to implement your PPO participation and improve your revenue.
If you choose to move forward with the plan we outlined for you, Unitas will carry out the necessary credentialing in order to ensure your providers become effective with the appropriate PPOs and under your newly negotiated reimbursements.
Due to the ever-changing and confusing relationships between many PPO companies, many dentist’s can find themselves being paid under new fee schedules or through plans they’re not familiar with. We ensure that your participation is mapped out clearly and optimized in order to produce the optimal amount of patients at the highest rate of reimbursement.
Unitas’ Patient Education Program is designed to help you stay in constant communication with your patients, educate your patients on dental care, treatment planning, managing dental expenses, and understanding dental benefits. We help you educate your patients through an online patient education resource center, patient communication, and a patient loyalty incentive program. Coming Soon Mid 2017!
Continual PPO Management
PPO participation is constantly changing. As an added group of team members, Unitas will schedule and track when each of your PPOs are due for re-negotiation and take the necessary action. We can also assist with credentialing needs, re-credentialing, staff education and more! *additional charges apply.