Business of Dentistry: Introduction to PPO Plans

Course Description:

This presentation will explain the basics of how preferred provider organization (PPO) dental plans operate so that new dentists and front office staff will be better able to support patients presenting with these types of plans.

- PPO plan design

- Contract clauses and processing policies that affect your revenue

- Plan terminology

- Coordination of benefits and COB write-offs

- How to file an effective and proper claim appeal.

- How to talk to your patients about dental insurance

- Where to find ready-to-use educational resources to help your practice succeed

Learning Objectives:

• Participants will gain a basic understanding of PPO plan designs and how these plans manage care by controlling costs.
• Participants will acquire a better understanding of common contractual clauses and the national processing policies within PPO plans and the possible financial implications on a typical dental practice.
• Participants will gain a basic understanding of coordination of benefits (COB) rules and will learn how to find available guidance from the ADA.

CEUs - 1

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