SMCDS Presents: Combatting Day to Day Insurance Problems – 10/16/24

Live webinar. The attendee link will be emailed October 15

1.5 CE (Core)

In a dental office, each day can come with new surprises. Since the majority of active dental patients have some type of dental benefits (insurance, Medicare, Medicaid…etc.),  it is quite common for administrative team members to spend the majority of their time preparing claims, filing claims, appealing denied claims, and many other insurance related functions that are required to keep insurance related accounts receivables up to date. This course will discuss solutions to the following daily issues that dental practices face:

1. Consistent denial of clean claims
2. Preventing and managing refund requests by insurance
3. Being dropped (pushed out of network) by insurance and with no prior notice to you
4. Minimizing and eliminating statements to patients (for situations where out-of-pocket estimates to the patient were low)
5. Professionally handling frustration from patients that results from non-coverage or lack of coverage on the part of insurance
6. Understanding why you were audited and how to respond to insurance audits in general
7. Managing situations where insurance changes treatment definitions to downgrade payment or deny payment altogether

Speaker Bio

Benjamin Tuinei began his dental career in 2007 while working for a small dental corporation in Phoenix Arizona managing all insurance-related functions.  During his first few months, he created systems and operating protocols and restructured a 12-person billing department that improved collections from a low 65% to 98%.  Mr. Tuinei opened Optimum Dental Solutions in September 2009 to serve the needs of dentists who were actively seeking assistance in improving their insurance reimbursements. In 2014 Optimum Dental Solutions was rebranded to Veritas Dental Resources.

During its first 2 years in operation, Optimum Dental Solutions contracted with over 400 dental practices influencing a combined $10 million in additional annual revenue increases by implementing Mr. Tuinei’s proprietary PPO optimization strategies and effective 3rd party payor negotiating.  To date, Mr Tuinei has worked with over 7000 dentists influencing over 3 billion dollars of newly negotiated revenue for his clients.

He currently serves as the President of Veritas Dental Resources and sits on the Board of Directors for The Dental Business School, Business Ownership Mentoring of America, The Dental Leadership Academy, and a co-host on The Navigating Dental Insurance Podcast.

Mr. Tuinei has been recognized by several state Dental Associations and various dental study clubs as “The Authority” on PPO strategies and PPO fee Negotiating.