Medicare Advantage
What is Medicare Advantage?
Plans offered by private companies which include additional benefits not included in standard Medicare. (like Hearing, Vision and DENTAL)
What Percentage does Medicare Advantage cover on PAs? (D0220 & D0230)
0%, at this time. We need to make sure to charge out all x-rays before walking patients up so we can properly collect at the front and avoid billing later.
Patient: I changed plans this year and now have Medicare Advantage? Can I still see Dr Haq?
Let's take care of that for you. Can I get the new insurance information and have the Business Team verify your coverage? Even if the office is not in network, we do have other options for your visit.
What is our New RMOs Name
Kimberly Walton
Who did something exciting for the Holidays? Let's hear 3 stories, at least!
Story 1
Story 2
Story 3
-Maybe More-
How can this help DCOD grow in 2024?
In 2023 58% of SOG came from MA and 65+ patients.
What Percentage does Medicare Advantage cover on Crowns? (D2740)
Typically 100%. This means the office gets over 1k for a crown with no patient co-pay.
Patient: Is your office in network with my Medicare Advantage Plan?
We are with some. Not all, but let's get the information and the great Business Assistant team can verify the coverage for you.
In what state did Andrew grow up?
The Sunflower State: Kansas
Let's Recognize our New Hygiene Team Members
Vanessa and Yolie! Welcome to the DCOD Team!
Does our office take Medicare Advantage plans?
If we participate with PPO plans (like Humana and UHC) then we can see Medicare Advantage patients through the existing PPO rates.
What Percentage does Medicare Advantage cover on Dentures? (D5110 & D5120)
Typically 100%. This is another example of over 1k for the office with no patient co-pay.
Patient: I think I am out-of-network, can I still use my benefits and see Dr Carrasco?
Let's get this information to the Business Team. They can verify, and I do know that many of these plans have out of Network Plans.
When did DCOD Open?
September 28th, 2015
Who wants an extra $150 for the Month of January?
$100 - 100% to Production Goal by 1/25/2024
$50- >7.0 Engagement on Overjet
Where can the team look to see if we are in network, if they want to do more research?
The Credentialling Portal is a great resource you can use to dig deeper, if you would like.
What are the Top 2 Payors of Medicare Advantage?
Humana CompBenefits PPO and United Healthcare PPO, but those are not the only payors.
Patient: Do you take my Medicare Advantage Plan? It's an HMO.
Let's get that information into the hands of our amazing Business Assistants. They can verify it for us. If we are not in network, we still offer a New Patient Visit special that you can take advantage of.
Note: Med may be HMO, but Dental is PPO!
2 Part Question: Get them both, get the points!
A) Which of our Drs has Dual Citizenship?
B) Which Dr has 4 siblings?
A) Our Amazing Dr Carrasco!
B) Our Excellent Dr Haq!
Let's Give A Hand for the Team Members that Helped Clean the Office Last Week. Thanks for Coming In!
-Ashley
-Brittany
-Jose
-Kamila
-Lauren
Is our office in network with Medicaid Plans?
What Percentage of Medicare Advantage Patients do not fully understand their coverage?
56%, that is why we want to ask probing questions, be helpful, explain things in detail and make sure that they do not have additional questions when working with these patients.
Patient: Do you take my Insurance? It's through AARP.
That's an excellent question. Can you give me more information? What insurance company does it use and what is the plan name?
What is our new RDO's name?
Jenny Sola
Who Can Name All 6 of Our Core Values?
- Achieve - Honor - Execute - Balance - Collaborate-
and - CELEBRATE -