The document discusses the challenges dental practices face with dental insurance, including limited information from insurance companies, preauthorizations only being issued to patients, and slow or partial payments. It provides strategies for dental practices to effectively manage dental insurance, such as educating patients on their responsibilities and utilizing forms and letters to inform patients of office policies. The entire dental team must be supportive of the practice's philosophy and approach regarding dental insurance.

1. Dental Insurance
Overcoming Challenges The Rules Have Changed
&
Managing Effectively
Debbie & Paddy
Victoria, BC 2009
Topics:
• Dental Insurance difficulties & effective strategies
Our Dental Profession • Informing patients regarding the challenges the
dental office faces
Deserves • Educating patients about their role & responsibility
• Utilizing verbal skills, forms & letters
To Be Treated With Fairness • Diagnosis based on patient needs versus insurance
• The impact of AR and collections
& • Consideration, planning steps, and anticipated
Respect outcome of transitioning from assignment to non
assignment
Challenges Dental Practices Are
We Want To Know Facing
What Insurance Challenges • Patients not understanding their coverage
Are You Facing? • Not being able to obtain adequate coverage
information from the insurance company
• Pay patient only plans
• Pre-auths only being issued to the patient
• Pre-authorized treatment being declined
• Unusually slow payments or partial
payments
• Limited re-submission time frames
• Claw back payments

2. Dental Insurance is Never Intended to Cover
Intended To Everything
Make Dentistry Affordable
Sell Dental Premiums
Dental Insurance
Companies
Are In the Business to: Not pay dental claims
Explanation of This Statement
• Information regarding coverage not
forthcoming
Dental Insurance Does Not
• Pre-authorizations issued by Dentist,
are most often sent to the patient Have:
• Not allowing coordination of benefits A relationship with the dental
• In some cases pre-authorized treatment practice
is not paid
• Unreasonably short re-submission
policies

3. Criticisms Aside
If you are an assignment practice
& get paid directly by the
We do earn money from insurance company
dental insurance then
We have to strategize in
order to survive you have to learn how to play
the game to win
Here’s how you’re A/R dollar is
greatly reduced when it’s paid
late!
Accounts Receivable
Facts • 60 days past due - .61 cents
&
Financial Comparative Analysis • 90 days past due - .38 cents
• 6 months past due - .18 cents
First
This Strongly Affects Your
lets examine the bigger
Cash Flow
picture

4. Building a business
& What is your philosophy
building relationships
regarding dental insurance?
& providing healthcare Then & Now
services to patients
We are no longer able to do
what we once did
• Costs far too much time & money
We Must Change our Mind
Set
• Reduces quality time with patients & time spent in
more valuable practice management areas
• Not able to communicate effectively
with the insurance companies
• Lack of control = us looking incompetent
• WE MUST EDUCATE THE PATIENT ON THE CHANGES & THEIR
RESPONSIBILITY
If the entire dental team does not
In order to be effective
support the philosophy and
the entire dental team
approach to be taken with patients
has to support the regarding dental insurance
philosophy & approach to
be taken with patients It can……

5. Are your administrative staff
comfortable
Cost you money! communicating with patients
about
alienate staff members
Money?
confuses patients
Fees, patient portions, amounts
poor Treatment Acceptance
not covered, maximums
reached
Begin
We can offer solutions
& 1. Managing Expectations
strategies regarding dental Yours & The Patients
insurance
However, it’s up to the entire
team every day
What Do Patients Expect Regarding
Dental Team Expectations Dental Insurance?
• Want to use their benefits to their
advantage
• Patients understand their
responsibilities • Informed of what will take place
• Patients understand the difficulties financially
involved & appreciate your efforts • Given options
• Patients understand why they require
treatment & the benefits of the • Be involved in the process
treatment
• No unexpected occurrences
• Patients don’t assume everything is
covered

6. Dental practices don’t have a
Can we meet those patient
relationship
expectations? with the insurance company
Not In Every Instance
Because Privacy Act
How do we manage patient
expectations? Effective Communication
Dentists Role
Begin by: • Dentists diagnose treatment according
to the patients needs rather than their
reviewing each team members
dental insurance coverage
role regarding dental
insurance • Routinely record in your diagnosis: the
reason/rationale for treatment
• Our suggestion – don’t discuss money

7. Hygienists Role With
Scaling and Root Planning
Insurance
• Regardless of insurance coverage!
• Educate patients on the importance of • Hygienist discusses and educates the
periodontal health, it’s relevance to patient regarding their need for any
their current dental status & the additional scaling / root planing
correlation to their over all general Regardless of their dental insurance limit
health
• New Data – a high% of infections in our Have printed information available & use
body are directly related to periodontal photography
disease – lung & heart/cardiovascular
Hygienist Script CDA’s Role With Insurance
• Patient – I am not covered for 3/ 6 month Continues the education process
hygiene appointments ( Never say with patients on:
cleaning)
• The need & rationale for treatment
• Hygienist – When you compare the cost to • Liaison with the receptionist regarding
the benefits of this preventive treatment, financial concerns the patient may have
you will find it quite affordable. Lets go see
Paddy at the front desk and find out the • Supports the policies of the office
cost.
If We Properly Manage Expectations
Administrative Role Then Patients Will:
• Responsible for overseeing the collection of
information
• Understand insurance challenges & :
• Communication & follow through of policies • Pay their deductibles
• Pay their co-insurance
• Empathetic • Pay for uninsurable services
• Perform insurance tasks • Pay maximums when reached
• Pay differences in fee guides
• Follow through • Pay any insurance shortfalls
• Pay for fees above the fee guide

8. Know who you are talking to
What’s your approach
How do we do this?
Educate your patients
in advance of the
appointment
Know yourself
Know each other Personality Profiling
Generational Differences
Golds Greens
Gold - needs to follow rules Green - cool, calm, self controlled
- respects authority / - does not express emotion
professional - information ‘gatherers’,
- organized, good with details research
- believe work comes before - excellent problem solvers
play - values intelligence - thinker
- values home, family and
tradition

9. Blues Oranges
Blue - people oriented, empathic, Orange - determined, driven, decisive
unstructured
- competitive, thrives on variety
- “people come first”,
appreciates feedback - risk taker, courageous
- values authenticity, honesty, - good at managing multiple
team projects at once
- good communicators,
establishing rapport & - values action, freedom, quick
keeping confidentiality completion of tasks
Differences Between the Four Matures – 1922 – 1943 (64 – 85
Generations years old)
• Matures Values
• Dedication and sacrifice
• Baby Boomers • Duty before pleasure
• Hard work
• Generation X • Respect for authority
• Adherence to the rules
• Generation Y
Baby Boomers – 1944 – 1964 (43
Matures Cont’d
– 63 years old)
Work Ethic Values
• Seniority and age directly correlated • Optimism
• Tend to respond well to directive • Idealistic
leadership • Team orientation
• Obedience and conformity over • Personal growth
individualism • Personal gratification
• Work is a priority • Health and wellness

10. Generation X – 1965 – 1980 (27 –
Boomers Cont’d
42 years old)
Characteristics / Values
Work Ethic • Accept diversity
• Think globally
• Service oriented • Latch key kids – single families
• Balance work / life (family first)
• Driven by the legacy of WWII • Grew up with recession
• Uncomfortable with conflict • Technologically literate
• Informal
• Can be overly sensitive to feedback • Self reliant
• Reject rules
• Can be judgmental of those who see • Practical
• Have multiple careers
things differently • Involved in extreme sports
Generation Y - approx 1980 –
2000 – (27 and younger)
Characteristics / Values
Remember with Generation • Technologically brilliant
• Optimistic
“X” • Realists
• Individualistic
• Globally conscious /
environmentally aware
The value of time is very • Street smart
important to them • Sense of entitlement
• Irrelevance of institutions
More about Yer’s More about the Yer’s
• Product of self esteem movement • Because they have been overpraised
in the 1990’s – where all children were and protected from feeling
WINNERS unsuccessful – they often struggle with
• Want constant open communication processing failure and criticism
and positive reinforcement
• Want to reduce stress • This generation frequently lacks the
• Believe age and experience are ability to internalize the lessons they
irrelevant, what matters is ability need to learn

11. Latest Statistics Say Generation X & Y
• Regarding Generation Y
On the horizon of the workplace looms the bulk Will represent 60% of the
of Generation Y. At over 80 million strong
they are the next big workforce
workforce by 2012
we will experience, so it best to prepare now
and get familiar with what is to come –
there is no alternative!
Begin by Verbally Educating Your
Patient
• The intention of dental insurance
• The difficulties & challenges you face What does this information
• Their involvement & responsibilities mean to us in dentistry?
• What your willing to do & who can help In your group discuss the approach you
need to take with each personality type &
• What they should expect generation regarding your dental
insurance policies
• What are their options?
Specific Verbal Skills
• Insurance is a contract between your Forms
employer and the insurance company
• The Privacy Act has limited us in Assist with cooperation
obtaining personal information
• We are third party and do not have a often as a gentle
relationship with your insurance reminder
company

12. Develop a Letter Insurance Letter Suggestions
• That informs your patients of the changes • Dental benefits are changing rapidly with many
we experience continually regarding their reductions in your coverage
dental plan • Insurance companies do not inform the dental
offices of changes to your policy
• Often, your dental benefits will not cover 100%
• The letter should include the signature of of treatment
both the office and patient. It is then • We encourage our patients to talk to their
placed in the patients chart * reason insurance company regarding the coverage of
their plan. This will avoid any disappointments
regarding the decline in payment of treatment
Additional Ways To Inform
Memo to the Patient * Patients
Dr …………………………………..
Address……………………………. • Mail-out
MEMO TO ALL OUR PATIENTS WITH DENTAL INSURANCE
As a service to our patients we want to continue to bill your insurance
company, however, as a third party we are unable to acquire patients’ • Email news-letter
personal information. Because of this we have had to incorporate an office
policy where the patient must communicate personally with their insurance
carrier regarding their coverage, including any limits and then relate the
information to our office.
Any treatment that exceeds the limit of your individual plan will be your
• Website
responsibility and billed directly to you.
Please sign and date where indicated below.
Date_____________________________
• Signage
__________________________ __________________________________
Patient Signature Office Signature
Dental Insurance Information Required
Patient and birthdate______________________________________________________
Insured person and birthdate_______________________________________________
New Patients with Insurance Employer_______________________________________________________________
Employer’s address and phone number_______________________________________
Effective date of insurance coverage_________________________________________
Insurance carrier_________________________________________________________
• When they call to make the appointment: Group / policy number____________________________________________________
ID / Employee / Cert number_______________________________________________
– Ask if they have insurance Dependent number_______________________________________________________
Percentage of coverage Basic_________ Major_________ Ortho_______________
– Inform them of your policy (patients are Deductible______________________________________________________________
responsible for their insurance coverage) Annual financial limit________________ calendar / rolling________________________
Bill direct or reimbursement plan____________________________________________
– Ask them to complete the insurance Employee signature required_______________________________________________
Dual coverage allowable___________________________________________________
information form Authorized employer signature required_______________________________________
EDI / Itrans transmission possible___________________________________________
– If they do not, they will pay up front for the first Recall limit________________________________________________________
appointment Scaling / root planning maximum_____________________________________________
Composite restoration on molar teeth_________________________________________
Fissure sealants covered on children / adults____________________________________
Is this plan covered by current fee guide ______________________________________
What is the re-submission time frame allowed __________________________________

13. Common challenges we face
and strategies
• Minimal information provided by insurance company
• Subscriber/employee has to sign the form Strategy
• Employer signature is required
Our recommendation is to not direct
• Insurance does not pay the current fee schedule bill these plans
Consider them “Pay Patient Plans
• Unusually short re-submission time Only”
Patient “My last dental office did Educate your patient on the
everything with my insurance” difficulties
“I can understand your concern, Show empathy
however there are new changes daily
Offer your patients options
affecting dental insurance and soon
most all dental offices will be
implementing these policies”
What you are willing to do for Preauthorization Challenges (Rejection)
them: Ensure the Following Information:
• Collect the fee for service from them
• All relevant information is provided:
• Send in the form on their behalf to help • Clinical description/rationale
them receive their benefits • Missing teeth
• Explain that they will be paid promptly • Current restoration in place & date
by their insurance company • X-rays, photos or models included
• Tell them that there are better more • If pre-authorized treatment changes while
service oriented plans available treating the patient or if you are performing
treatment due to an emergency always
include the above

14. Preauthorization Challenges Resubmission Challenges
• # 1. EOB
• The approval is sent to the patient • 2. Call Insurance first, enquire the reason &
document
• Strategy: Have the patient sign a • 3. *Enquire if there is any specific time period to re-
submit & document*
statement on the form
• “I Debbie Preissl request that you provide • Print additional claim at the time of treatment and it
is signed by the patient
a copy of my approval information directly
to my dentist Dr. Schmidt” • Use re-submission signed form
Billing Dual Insurance
Resubmission Form
Challenges
I, Brenda Smith, hereby authorize my • Our recommendation is to not bill the
dentist, Dr. George Jones to resubmit on second plan directly
my behalf to my dental insurance
company for dental treatment previously • Bill first plan only & patient pays for the
performed but not received by my carrier secondary at time of treatment
Date:__________
Signature: ________________ • Print up the second claim for patient &
send on their behalf after receiving
your first carrier payment. *
Here’s how you’re A/R dollar is Insurance Challenges Continued
greatly reduced when it’s paid
late! • Not knowing the patient’s previous
dental history, therefore unknown
• 60 days past due - .61 cents maximums can occur
• 90 days past due - .38 cents • Strategy: Ask the patient questions re
their former dental health & explain this
difficulty in advance to them
• 6 months past due - .18 cents

15. 100 % Coverage/Dual Coverage
Is There Such a Thing? *
Verbal Skills
• Eye contact – same level
• Deductibles • “Paddy that is good news, sounds like you have great coverage,
however we have found that with many of our patients who are
covered by two plans often it doesn’t mean that they actually have
• Composite versus amalgam 100% coverage. For example:
• Lab fees sometimes exceed what your plan will allow
• Lab costs & gold versus porcelain • Maximums may be reached on treatment performed on this tooth
prior to this procedure
• Fees above the fee guide • Paddy be prepared that you may have to pay something towards
your treatment
• We will do our best to provide you with an estimate however on
• Maximums reached occasion dental insurance companies continue to surprise us
• Document this conversation and do provide estimates!
• Uninsured procedures
Shortfall Payment Challenges Credit Card on File Form
• AUTHORIZATION DENTAL CARE FORM
Strategy: • I authorize ____________________________________________ Dental Clinic to keep my
signature on file and to charge my:
• VISA MASTERCARD OTHER
• for any balances not covered, or any balances not paid for by my dental insurance within 60 days.
I will be notified of the balance due and the date of
•
• Educate your patient in advance that • I understand that this form is valid unless I cancel the authorization through written notice to
______________________________ Dental Clinic.
short fall payments can occur • I also understand that this information will be kept strictly
confidential_________________________________________________________________
• Patient Name
• Explain your policy on payment •
•
_________________________________________________________________
Card Holder
• _________________________________________________________________
collection • City Province Postal
Code
• _________________________________________________________________
• E.G Credit card on file, or statment • Credit Card Account Number Expiration Date
• _________________________________________________________________
• Cardholder Signature
Verbal Skill Higher Fees
“Sally, I am so sorry that your dental insurance
didn’t pay for this service. You pay your
premiums in good faith and expect your dental • Make sure your higher fees are well
treatment to be covered.” thought out
“Sally, we are seeing more and more of this
happening where insurance companies are • Communicate this to your patients in
covering fewer services. We are recommending advance of their appointments
to all our patients that you personally contact
your employer regarding this shortfall and make
them aware that there are far better plans out • Must provide written estimates prior to
there that cover these services…… their appointment – dated & signed

16. Verbal Skills –Why Your Fees
Higher Fees
Are Higher
• Dr. Smith’s fee for a crown is $1,000.00 • Dr. Smith has over 15 years of experience
• BCDA fees PFM $613.40 • Latest Technology
• Lab fee $250.00
• Total $863.40 X 50% =$431.70 • Continuing Education Courses
• Insurance will pay approximately:
$431.70 towards your crown • An outstanding lab that produces high
• Your approximate portion is $568.30 quality work
The next series of dental
Pre-authorized treatment
insurance challenges
Are very serious in nature Payment declined!
Strategies are to follow
BCDA Broadcast News That is an unethical request
PBC previously requested dentists Does not fall under the current
to take x-rays of their final
restorations and send them into to
generally accepted professional
PBC along with the claim. standard of care

17. Authority Regulators
What can you do about
That Govern Insurance
this? Companies in BC
Notify the patient
Notify the BC Dental Association Enforce Discipline
And Notify……* Standards
FICOM
• Office Hours • Complaint Handling Procedure FICOM has a process
8:30am to 4:30pm Monday to Friday except holidays. in place for investigating complaints arising from the
conduct of members of the real estate, pension plan and
Financial Institutions Commission financial services sectors. All complaints are responded
Suite 1200 - 13450 102nd Avenue to in a timely and professional manner in keeping with
Surrey BC, V3T 5X3 our regulatory responsibilities and commitment to
• Complaints and Inquiries 604 953-5200On-line service. Complaints can be submitted in written form, by
Complaints: Complaint Form Reception: 604 953- telephone, email or by the on-line form below. To ensure
5300Toll Free : 866 206-3030 (outside local calling area complaints are addressed in the most expeditious
within B.C.)Fax: 604 953-5301General manner possible we recommend that all relevant
Email:FICOM@ficombc.caEmployment Applications: information and applicable documentation is included or
HR@ficombc.ca will be forwarded upon request. All complaints are filed
for tracking and statistical purposes, even in cases
where follow-up action is not required.
Dentists Unite
• We have to take back control of the
Federal office of the financial aspect of the practice
Superintendent Of Financial • We must not accept unfair practices by
Institutions insurance companies
1-800 385-8647 • We must educate our patients
• We must pressure our dental
organizations to assist us with this

18. Healthy Accounts Receivable Is
Dependent Upon:
Accounts Receivable
• Staff comfortable with fees
Collections and Controls
• Have policies & plan
• Communication
• Consistency & follow through
Financial Policies
• Educate you patients regarding their
The importance of following dental insurance
your financial policies &
protocol • Always provide written estimates
Will greatly reduce your AR and
time spent on collections • Provide your patients with a financial
plan and your expectations on payment
Payment Policies Posted Do You?
“Payment is anticipated when services • Provide verbal and
are performed” written estimates – patient must sign!
• Provide financing options
1. Reception area • Ensure patients are aware
of payment methods
2. Brochures
3. Website • Remind patients of financial arrangements
4. On statements • Have a plan for any uncollected balances!
5. Verbally

19. Script
• Mrs. Smith, at the end of the day, Dr. Smith
and I go over the reports and he will ask me
If Patient Does Not Pay At why I haven’t collected your balance as it is
our policy.
Appointment
• I need to let him know what plan I have made
Explain The Following with you…Pause for patient’s response.
• Document plan and give yourself a reminder
ie: Tuesday May 25th Call patient for Visa
Or if they do not have a credit
card
"Mrs Jones, do me a favour - I'll give you
Consistently Work on Your
this self addressed envelope and when
you get home just put a cheque in it and Accounts Receivable
drop it in the mail. Here I'll even put a
Set a goal
stamp on it. Thank you, I really
appreciate that!" 2 – 4 hours weekly?
Document and follow up!
Print an Aged Accounts
Aged A/R Percentages
Receivable Report Every Month
• Be sure the insurance and patient
balances are listed separately • 0 – 30 days - 70%
• If you have more than one doctor print a • 30 – 60 days - 25%
separate report for each one
• 90 days and over - 5%
• Check the balances owing and the aged
percentages

20. Accounts Receivable Process
Insurance
• Working from your A/R report focus on any
accounts overdue 60 - 90 days first
• Automatically call the insurance company – find Insurance unpaid portions
out why it has not been paid
• Resubmit if necessary – use re-sub form or
(short falls)
secondary signed form *
• If there is a legitimate reason why the insurance
Follow Policy:
company has not been paid the claim – transfer Contact patient & collect via
the amount to the patient credit card
DOCUMENT, DOCUMENT, DOCUMENT
Statements To Patients
With Insurance Unpaid Portions
• Transfer balance to patient ledger
Don’t be afraid to tell the documenting why!
patient this is not a good plan! • Print up statement
Or
• Photo copy insurance remittance
Mr Patient, you need to speak
to your employer about this • Provide brief description of denial
situation!
• Provide insurance company contact information*
Patient Collection Process
Insurance AR
• If you have put through a payment and notice
the previous visit had not been paid: “do • When your initial plan of receiving payment
not automatically resubmit” failed
• When contacting the patient – home number,
– Contact the insurance company, verify coverage, work or cell
address get name of person to send attention to • Do not leave a detailed account message
– Re-submit & make notes regarding the reason for your call
– If employer’s signature is needed, send attention • Use -“Mrs Smith, this is Paddy from Dr Brown’s
with addressed envelope office, would you please call me as soon as you
– Follow-up on specified time can at …….

21. Overdue Account
• Explain to the patient that their balance Verbal Skills for Overdue
owing is overdue
Accounts
• Suggest they give you their credit card
Be Nice! Patient who promised to pay
• "Mrs Smith, in looking over your account I
noticed that we have not received your
payment. Is there any way we may be of • “Ms Black – We haven’t received your
help, or is there a problem with this payment – is there a problem regarding
account?" If the patient says “No, I will the payment?”
send you a cheque right away!”
• REMEMBER FOLLOW UP - Give a SPECIFIC
date that you'll expect the payment into the
office.
Patient who promised to pay by
Follow up call
cheque
• Mrs Black, our records show we have • "Mrs Smith, when I spoke to you last
not received your cheque. May I ask Monday you indicated you would send
that you call your bank and put a stop us a cheque immediately. Today is
payment on the cheque and issue us a Tuesday (of the next week) and I still
new cheque today. This will insure that haven't received your payment. I'm
only one cheque is cashed. Today is here until 6:00 pm today, when would
Monday. I'll make a note on your be a good time for you to drop by with
account that we should receive the the cheque?"
replacement cheque by Friday."

22. Send a Letter
• Our accountant has instructed me to send
If you have been unable to him / her all accounts that are overdue 90
speak to the patient after days.
• I hesitate to do this until I have spoken to
numerous attempts you directly as it usually means the
account will go to collections and this
could affect your credit rating
• Please call me as soon as possible
Double Registered
Be Willing to Work With Your Do not send uncollected
Patients balances to a collection agency
Without contacting patient to inquire
• Listen to the patients concerns & be why – send written documentation –
empathetic double registered!
• If it is a long overdue account and they are
willing to pay organize a monthly payment
plan
• If possible you do not want to lose a
patient over a bad debt
Collections
• Careful regarding the Privacy Act
• If you use a collection agency, don’t Keys To Collections
allow the patient to pay you directly
Follow up
Persistence
Comfortable with collecting money
Document, document, document

23. Assignment
Monitor Your Accounts
Versus
Receivable Non Assignment
Your collections should be no
lower than 98% of your Thinking about this?
production
Big decision
Impact on the practice
First
Need a well thought out plan
All staff must be onboard
Excellent communication skills Consider influencing factors
Demonstrate empathy
Current Economic Climate In BC
• BC economy currently is uncertain
• Downsizing
• Rise in self employment
Pros/Cons of Accepting
Increased consulting & contract work
Part time work
• Contributes to a changing attitude Assignment
toward the work place and affects &
reducesdental benefits

24. Pros/Cons of Accepting
Assignment
Pros –
A Big Consideration: • Patients generally will accept treatment if it is
Your Practice’s Patient covered by insurance
Demographics
Cons –
• Challenge & time dealing with insurance
companies – access to information
• Increased accounts receivable
• Time spent regarding collections
Levels of Non Assignment
Facilitation
The Decision to go Non 1. Patient pays upfront, (patient knows to
regularly provide policy information to the
Assignment should also office) The office submits the claim on the
include patients behalf to the insurance company –
patient is reimbursed by their insurance
Input from the dentist & staff
regarding the degree of
2. Patient pays upfront, office provides
facilitation patient with claim forms, no other
facilitation
Laying out a plan to go non Understanding the
assignment should include: Impact/Expectations
• Resistance and negativity
• Understanding the impact/expectations • Staff relationships may be affected
• Timing
• Financial loss
• Communication
• Financing solutions / options • Loss of patients
• Exceptions • Increased credit card fees
• Evaluating the change
• Added stress (temporary)

25. Timing Communication
• Forecasting – look to the future • Inform before you perform: You may choose to:
• Inform before you perform (minimum one – Personally hand out letters to every patient well in advance &
notification in chart & computer
year) – Explain terms - how, why and when
– Notices posted in the office - op’s, reception area
– Mail out letters to patients
We don’t recommend proceeding if the – Terms on brochures
practice is facing other challenges: – Terms on website
– Terms on statements
• New Associate
• The entire team is onboard and communicates the changes
• A new increase in fees – Talk it up!
– Personality profiling
• Change in location
• New dental practice management software
system
Financing Solutions & Options
• Interact Visa, MC, Amex Exceptions if & when
• Preauthorized debit payments
• Increased line of credit
• Dental Financing
• Interoffice financial plan ( only for those you and
know well) Max 2-3 payments for no more than 2-3
months
• Dental practices are not banks!
Possible Exceptions If & When
Summary
• MSSH • Know where you are before considering a change
• Understand the possible impact on the practice
• NIHB • Have a plan & be organized
• Everyone is onboard & supportive
• Large cases
• Be flexible, but be committed, anticipate challenges
• Large families • Regular staff meetings to discuss progress and challenges
• Monitor & evaluate the outcome
• Elderly or diminished capability

26. In our experience with practices
going non assignment
• With a well thought out plan Incorporated Business’
• Involving all team members Can Direct
• Strong Communication
• Bumps along the way $10,000.00 per calendar year for
them, employees & family as a
• The offices that have successfully worked direct business expense
through it, say they would never go back! See your accountant for details
Self Directed Benefit Plan
We are there if you need help
Paddy Briggs
(604)454-4000
paddyb@shaw.ca
Debbie Preissl
preissl@shaw.ca
(778)891-6050