Letters: PPO reimbursements
November 17, 2014
I recently took a course on dental coding from a dental consultant who discussed a conversation he had with a top level insurance executive. He said that the executive stated that so long as dentists continue to sign up in ever-increasing numbers to his preferred provider organization dental insurance plan, he saw no need to increase the reimbursements for dental procedures.
After I got back from the course, I wrote to three of my less than favorite dental PPO programs, asking them when and how much usual, customary and reasonable fees were increased. Needless to say, I never received a response, whereupon, I made a decision to act in my own best interests.
I might suggest to my fellow practitioners that, if they suspect that reimbursements have not been updated, to write a letter asking if the insurance UCR fees have been increased, by how much, and when.
As an aside, I found the ADA CDT 2015 Companion Manual to be extremely helpful.
I. J. Skalsky, D.D.S.