Customer Support
Dental Credentialing
The most important factors of dental credentialing for growing a practice include:
Fee Schedule Negotiation Strategy
Prioritizing Procedures: Identify which procedures are most critical to your practice’s revenue and focus on negotiating better rates for those.
Building a Case: Present data-driven arguments to insurance companies, demonstrating why higher reimbursement rates are justified based on your practice’s quality of care, patient satisfaction, and market rates.
Understanding Current Fee Schedules
Review Existing Contracts: Assess the current fee schedules from various insurance providers to understand the reimbursement rates and identify areas where fees are below market rates.
Benchmarking: Compare your fees with regional or national averages to determine if your current fees are competitive.
Insurance Participation
Wider Patient Access: Being in-network with various insurance companies allows a practice to attract patients who prefer or require their dental services to be covered by their insurance plans.
Increased Patient Base: Acceptance of a broad range of insurance plans makes the practice accessible to a larger number of potential patients.
Patient Trust and Confidence
Verification of Qualifications: Credentialing verifies the dentist’s qualifications, education, and professional background, which builds trust with patients.
Reputation for Quality Care: Credentialing ensures that the practice meets professional standards, enhancing its reputation for providing high-quality care.
Referral Opportunities
Insurance Company Referrals: Credentialed practices are often included in insurance company directories, making it easier for patients to find and choose the practice.
Professional Referrals: Other healthcare providers are more likely to refer patients to a credentialed practice, expanding its patient base.
Recredentialing and Renewals
Periodic Recredentialing: Be prepared for regular recredentialing, which is required by most insurance companies to ensure ongoing compliance and quality of care.
License and Certification Renewal: Keep track of expiration dates for licenses, certifications, and insurance, and ensure timely renewal to prevent lapses in network participation.
Why Choose Mediproxx?
