When Do You Need Help with PPO Credentialing?

At some point, most dental practices have to consider becoming credentialed for PPO insurance and Medicaid reimbursement.

Many practices take on the responsibility of painstakingly filling out the massive paperwork over several months themselves, which can be a more significant undertaking than many of them expect at first. Fortunately, there’s a much more convenient and effective option – having an expert handle the process for you, allowing you and your team to focus on the day-to-day concerns of running an exceptional dental practice.

You’re buying a new or existing practice

If you plan on buying an existing practice to make it your own, then seeking help with insurance credentialing should be a given. Any dental practice’s success can rely heavily on its ability to effectively deal with patients’ insurance claims, and credentialing could be crucial to a profitable revenue cycle management (RCM) strategy. Filling out the 30 or more pages that come with each application could take several months, and could draw attention away from other important duties. 

You’re expanding your roster

If your practice doesn’t already work with a professional to handle credentialing, then adding a new insurance company and/or doctor to the roster may be a good time to consider it. These days, insurance companies and their plans vary more than ever before, and patients’ plans can change at a moment’s notice. The complexity grows even more challenging the more doctors and plans you add, and a professional can help you gain the credentialing your practice needs to accommodate it without taking a significant amount of time from your schedule.

You’re adding new locations

If you plan on expanding your practicing by adding one or new locations, then you’ll almost certainly need credentialing to take on new patient bases in new areas. While many of the new location’s patients may have similar insurance plans from the same company as patients at your existing one, not all of them will. Ensuring your practice is covered and ready to serve all patients will require ensuring that the new location is properly credentialed with the appropriate PPO companies and Medicaid.

Learn more by calling us today

Going through the processes of PPO and Medicaid credentialing can be tiresome, frustrating, and extremely stressful for most dental practices. To learn more about we can help streamline process by handling it for you, contact PPO Experts today!