Got questions? Send Ericka a Text!

Uncover the critical connections between HIPAA compliance and dental billing practices in our episode featuring host Ericka Aguilar. Discover how safeguarding patient privacy extends beyond ethical boundaries to play a pivotal role in averting billing fraud in dental practices. We delve into the cutting-edge strategies employed by insurance companies, such as predictive analytics, to detect inconsistencies and initiate audits without relying on whistleblowers. Erika sheds light on the risks associated with common pitfalls like inappropriate code adjustments and the negligent waiving of co-payments that insurers might interpret as fraudulent activity. By gaining a deeper understanding of insurance audits and adhering strictly to HIPAA's privacy, breach, and anti-kickback policies, dental professionals can uphold their practice's integrity and maintain the trust of insurance companies.

Explore the heightened scrutiny dental offices face due to the rise of AI in insurance auditing, as Ericka highlights the dire consequences of billing inaccuracies, including high denial rates and the ominous threat of clawbacks. With the potential for significant financial repercussions, she emphasizes the importance of accurate billing and the dangers of fraudulent resubmissions. Learn how diligent denial tracking and effective appeals can be your defense against unnecessary audits and penalties. Hear practical advice on how to navigate the complexities of maintaining compliance, including when to involve the insurance commissioner to protect your practice from potential pitfalls and maintain ethical billing standards.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

Tired of bureaucratic inefficiencies and missed technological opportunities? Join us as we analyze the healthcare workforce, dissecting the tough reality of supply and demand in medical residencies, with a special focus on the rising field of pediatric dentistry. We'll reflect on personal encounters with government red tape and ponder how the tech boom of the 90s could have spurred a much-needed modernization of government systems. We'll even speculate on how influential figures like Bill Gates and Elon Musk could have further propelled these advancements.

Thinking about launching your dental career in an underserved area? Discover strategic insights on how to capitalize on dental care shortages by using data to pinpoint opportunities, and learn how buying out retiring dentists can set the stage for a prosperous practice. We also debate whether specialization in high-demand services like endodontics requires extensive schooling or if ambition and a good attitude can suffice. Expect candid discussions on the importance of self-care and reassessing your career path to ensure it brings you joy, much like evaluating the health of your personal relationships.

As technology continues to transform industries, we'll highlight why it's crucial to keep your skills sharp, whatever your field of expertise. From the evolution of dental billing practices and the indispensable role of consultants to the need for continuous education in today's rapidly changing world, our conversation covers it all. Enjoy a light-hearted wrap-up as we share personal family anecdotes that remind us of the importance of gratitude and the fun quirks of familial bonds. Prepare for an engaging episode that combines professional insights with personal charm.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

Legendary dental expert and Founder of Dental Town Howard Farran joins me, Ericka Aguilar, for a compelling exploration of the future of dentistry, challenging the conventional norms that govern the industry. We embark on a fascinating journey through Howard's personal story, from Kansas to Arizona, navigating the complex economic barriers and education demands that define the profession. Together, we unravel the financial intricacies of being a dentist, contrasting the roles of general practitioners, specialists, and practice owners while scrutinizing the implications of operating within a cartel system.

The digital age is upon us, and AI is set to redefine the landscape of dental practices. We dissect the inefficiencies plaguing current practice management software and uncover how AI innovations, like the pioneering dental AI chatbot, promise to streamline operations and unlock new levels of efficiency. Drawing from a wealth of experience, the conversation paints a vivid picture of how AI can transform the way dental practices operate, enhancing both user experience and operational effectiveness, setting a new benchmark for the industry.

As we navigate the evolving business dynamics and global challenges in dentistry, the conversation broadens to encompass healthcare access in America. We shine a light on the disparities in dental and women's health services, particularly in rural areas, and consider the potential of international specialists to bridge these gaps. Our discussion also highlights the pivotal role of Dental Service Organizations in capital formation and their strategic influence in the market. Through it all, we stress the importance of ensuring quality and integrity by having industry-specific professionals at the helm, safeguarding the core values of dentistry amid shifting economic and regulatory environments.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

This episode focuses on the critical issue of managing credit balances in dental practices and the associated legal implications. Various state laws dictate how these balances should be handled, with non-compliance leading to potential fines, making it essential for dental offices to incorporate credit balance reports into their regular billing processes.

• Overview of why credit balances are often ignored 
• Importance of credit balance reports in financial management 
• Explanation of state laws and dormancy periods for unclaimed property 
• Consequences of failing to manage credit balances 
• Practical steps to take for compliance and management 
• Resources provided for state-specific compliance information 
• Call for proactive measures in managing credit balances

Link to check your states laws for unclaimed property:

https://unclaimed.org/state-reporting/

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

The episode encapsulates a life-changing mastermind weekend experiences shared by three female entrepreneurs. They explore themes of accountability, personal growth, and overcoming mind trash, highlighting the necessity of supportive networks in elevating one’s entrepreneurial journey. 

• Erika reflects on her long-held dream of hosting a mastermind 
• Participants share breakthroughs and insights gained from their connection 
• Discussion around "mind trash" and how to overcome limiting fears 
• Focus on the importance of accountability among peers for business growth 
• Vision setting for the upcoming year, emphasizing positivity and clarity 
• A call to action for aspiring entrepreneurs to pursue their dreams and seek support

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

This episode highlights the essential components of a streamlined and effective daily workflow for dental billing professionals. Emphasizing critical reporting, compliance, and continuous education, we aim to empower new and experienced billers alike.

• Overview of the Dental Billing Mastery Course 
• Importance of establishing a daily rhythm in billing 
• Running Procedures Not Attached and Claims Not Sent reports 
• Verifying clinical documentation and quality attachments 
• Role of the clearinghouse in claims submission 
• Timely follow-up procedures for older claims 
• Monthly reporting and reconciliation tasks 
• Importance of understanding compliance regulations 
• Continuous professional education for successful billing practices

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

Imagine transforming your career by launching a home-based dental billing business that aligns perfectly with your lifestyle and personal commitments. In this episode, I guide Esmeralda, a seasoned dental biller, through the exciting and challenging transition from working in a single dental practice to becoming an independent entrepreneur. We promise you’ll gain invaluable insights into how resilience, strategic planning, and a keen understanding of business fundamentals can pave the way for success in this evolving industry. Join us as we explore how boutique approaches can offer a competitive edge against larger companies, drawing from my own journey that began back in 1998.

We delve into the advantages of managing a small client base, highlighting how this focus can lead to both financial prosperity and a healthy work-life balance. As we discuss the critical steps of consulting a CPA and a small business attorney, the emphasis is on building a solid business foundation and safeguarding personal assets. The importance of having robust contracts and financial reserves cannot be understated. We also touch on the significance of excellent customer service and leadership in sustaining growth. Whether you're contemplating a similar career change or adapting to the shifting dental billing landscape, this episode is packed with inspiration and guidance for your entrepreneurial journey.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

Unlock the secrets to navigating the often-confusing world of dental billing with our latest episode, where we promise to make the coordination of benefits (COB) your new superpower. When a patient is juggling multiple insurance plans, determining the primary insurance can feel like solving a complex puzzle. We'll walk you through the essential rules and scenarios, including the role of the patient's employer's insurance, the birthday rule for dependent children, and the significance of the custodial parent's plan. Plus, we dive into the critical understanding of whether an insurance plan includes a COB clause, and what to do if it doesn't, to ensure your claims are never delayed or rejected.

Our mini master class is designed to empower you with the knowledge to avoid potential audits and reimbursement issues. Discover why non-duplication of benefits can be a game-changer in your billing strategy, and learn how to make the secondary insurance work for you when the primary has already paid its share. I'm passionate about equipping you with practical tools for smarter billing practices. Whether you're a seasoned professional or just starting out, you won't want to miss this opportunity to sharpen your skills. Grab your notepad and let's transform your approach to dental billing together. Don't forget to reach out with your questions and share this episode with colleagues who could benefit from these insights!

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

Unlock the secrets of dental billing as we challenge the conventional wisdom surrounding Coordination of Benefits and reveal strategies that can revolutionize your practice's revenue flow. Ever wondered why patients with dual coverage often face billing confusion? We unravel these complexities and offer practical insights to enhance collections and maintain patient trust. This episode is essential listening for anyone looking to master the intricate insurance rules and avoid the common pitfalls that lead to billing errors.

Dive deep into the importance of a robust follow-up system to shield your practice against revenue leaks. Discover how strategic reminders and effective follow-up protocols can dramatically reduce your days in Accounts Receivable, boosting your financial health. We critique the flaws in current insurance verification processes and stress the necessity of proper data entry for transparent billing. Gain actionable steps for accurately presenting treatment plans to avoid unexpected patient balances and dissatisfaction.

Transform your billing practices with real-world solutions designed to enhance collections and patient satisfaction. Hear firsthand reports from billers on the front lines and learn how to implement necessary adjustments that align with clear financial conversations, especially with new patients. By adopting comprehensive appointment and financial policies, you'll foster greater transparency and trust, leading to improved patient retention. Don't miss this opportunity to refine your billing processes and tackle challenges head-on for lasting success.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Got questions? Send Ericka a Text!

Unlock the secrets to error-free dental billing with insights from our esteemed guest, Jennifer Lyman, a seasoned hygiene coach and expert in the field. Join us as we uncover the common pitfalls that even experienced dental billers face and how to sidestep them for smoother operations and compliance. From the importance of keeping up with the American Dental Association’s annual coding updates to understanding the nuances of the CDT codes, we gear you up with the knowledge to eliminate costly errors and maximize your practice’s performance. Discover why the debridement code is often misunderstood and how getting it right can enhance your periodontal outcomes.

In this enlightening episode, we delve into the art of meticulous dental billing practices and the critical role of accurate clinical documentation. We emphasize the necessity of understanding Explanation of Benefits (EOBs) and balancing accounts daily to safeguard your practice’s financial health. With Jennifer, we explore the risks of over-relying on templates and the essential need for patient-specific details to prevent fraud allegations and claim denials. By the end of our discussion, you'll have actionable strategies to revolutionize your billing processes and ensure your documentation is as precise as your dental work.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you.

Email Ericka:
[email protected]

Schedule a call with Ericka:

https://calendly.com/ericka-dentalbillingdoneright/30min

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]