This on-demand webinar will help dentists determine whether participating in a preferred provider organization (PPO) plan makes good business sense. The presenter is Tom Limoli, Jr., an expert on proper coding and administration of dental insurance benefit claims.
Mr. Limoli, Jr. will teach dentists on how to evaluate the financial implications of signing or not signing a PPO participating provider agreement. Topics for discussion include:
- Reviewing current participating provider agreements.
- The top common contractual clauses within third-party payer contracts and their potential financial implications on a dental practice.
- Available ADA resources to help practices succeed.
Note: Due to the COVID-19 crisis, dentists may need to negotiate their fee schedules with payers. This negotiation should be done individually, between only them and their plan, and not with or on behalf of other dentists. To assist dentists, the ADA has developed a free downloadable resource: Dental Benefits: Handling Contract Negotiations.
For more information on dental benefits, visit ADA.org/dentalbenefits.
About the presenters
Tom Limoli, Jr., President, Limoli and Associates/Atlanta Dental Consultants, Inc.
Tom Limoli, Jr. is the nation’s prevailing expert on proper coding and administration of dental benefit claims. He serves as president of Limoli and Associates/Atlanta Dental Consultants, Inc., a company that over the past quarter century has assisted dental offices in streamlining the dental reimbursement process. Mr. Limoli’s no-nonsense approach to the management of third-party reimbursement has been implemented in thousands of dental practices across the country.
Mr. Limoli received a BS in Criminal Justice from Valdosta State University. Following his work with the Treasury Department’s Federal Law Enforcement Training Center he has actively investigated fraudulent claims for the insurance industry and numerous other third-party fiduciaries. He is a licensed private investigator, a member of American Association of Dental Consultants, National Speakers Association, National Health Care Anti-Fraud Association and past president of Academy of Dental Management Consultants.
Dennis McHugh is the manager, third party payer advocacy for the American Dental Association and works in the Practice Institute’s Center for Dental Benefits, Coding and Quality (CDBCQ). CDBCQ is the ADA agency responsible for promoting resources and information on dental benefit plans to employers and member dentists. In addition, CDBCQ responds to requests and helps resolve problems from member dentists regarding concerns with third party payers and the Code. He has been with the ADA for 17 years and prior to that spent seven years working for the American Association of Orthodontists.