June webinar will address contracts, effect they have on revenue
May 09, 2019
Editor’s note: This is the 24th story in the Decoding Dental Benefits series featuring answers and solutions for dentists when it comes to the world of dental benefits and plans. The series is intended to help untangle many of the issues that can potentially befuddle dentists and their teams so that they can focus on patient care.
An important business decision any dentist makes is whether or not to sign a preferred provider organization agreement.
There are many considerations a dentist should take into account before signing, and the ADA will stream and record a free webinar on the topic June 6 from noon to 1 p.m. Central time.
The webinar, Contracts and Processing Policies: Impact on Your Revenue, offers one hour of continuing education credit.
This webinar will discuss common contractual clauses within third-party payer contracts and their potential financial implications on a dental practice, including most favored nation, affiliate carrier, recoupment clauses and more.
Dr. Hope Watson, a member of the ADA Council on Dental Benefit Programs, is one of the presenters, along with Dr. Dave Preble, senior vice president of the ADA Practice Institute.
Dr. Watson, based in Tennessee, said that she will share some of her experiences with contracts. “I think the major takeaway I would like dentists to remember is that they have options, and that the ADA is here to help them understand their contract and its vocabulary,” Dr. Watson said. “I want dentists to remember to review their contracts regularly, and reach out to benefit carriers they decide to invite into their practices to make sure they are being paid a fair wage for their services. I want dentists to understand what they are signing and what they are signing up for.”
Dr. Watson addressed some of the questions that dentists may want to consider prior to signing a contract with a third party payer:
- What discount on services will this carrier expect the dentist to take if they agree to sign up to accept their plan?
- What kind of exclusions or downgrades of payments may this plan exercise (i.e., no implant coverage or downgrading a composite fee to an amalgam fee)?
- Does this plan have an affiliated carrier clause, meaning that the plan can lease the dentist’s commitment under the contract to other benefit plans and dentists will be required to take the same discounts on those plans that they take on the original plan that they signed up for even though they don’t have a direct contract with these additional plans?
Dr. Watson pointed to the ADA Contract Analysis Service and the Third-Party Payer Concierge as excellent resources for member dentists to educate themselves so that they make the best possible choices for themselves.
“In my opinion, the greatest advantage to being a member of organized dentistry is the wealth of knowledge under one roof at the ADA,” Dr. Watson said. “If you have a question about anything in our profession, guaranteed there is a person at the ADA that knows the answer to your question. The amount of time you save just by having not to search for answers to your questions is worth every dollar you invest in your membership.”
To learn more about contracts, visit Success.ADA.org.
The ADA Contract Analysis Service provides members with information concerning a proposed contract so they can better understand and analyze its terms. To learn more about the ADA contract analysis service, visit ADA.org.
ADA’s Third Party Payer Concierge is where members can get one-on-one support for dental benefit issues, including third-party payer, provider contracts, coding and dental plan issues. Call 1-800-621-8099 between 8:30 a.m. – 5 p.m. Central time or email benefit questions to firstname.lastname@example.org and coding questions to email@example.com.
For more information on ADA’s activities on third-party payer advocacy and dental benefits, visit ADA.org/dentalbenefits.
Previous installments in the Decoding Dental Benefits series are available at ADA.org/decoding.