PPO Solutions
PPO Improvements
Analysis, fee negotiation and PPO optimization to increase profitability.
What We'll Do
Key Strategies We Use To Improve PPO Profitability Include:
At Profitable PPOs, what we do is offer a nationwide PPO negotiation and optimization program for dentists and dental specialists who accept PPOs. This means that we work with them on key strategies which have been proven to reduce PPO write-offs.
PPO fee negotiation to improve profit
In-depth assessment of PPO plans to allow data-driven decision making
Utilizing network sharing contracts
Improving profit by utilizing state laws pertaining to PPO reimbursement
Adding high fee PPO plans to help attract more profitable patients
Ending participation with low fee PPO agreements
Eliminating common, and costly, PPO errors
Configuring optimal reimbursement in multi-doctor practices
- The Importance Of PPO Participation
Why is PPO participation such a critical issue for dental practices today?
In today’s dental marketplace, being in-network with PPOs can be a major factor in patient decision-making. More patients than ever prioritize in-network status when choosing or staying with a provider — which makes PPO participation hard to ignore.
But with the rise of PPO plans has come a surge in complexity. Plans are now deeply interconnected, and shared-network arrangements often pull practices into multiple affiliated PPOs without their full knowledge — leading to confusion, compliance risk, and unexpected write-offs.
Profitable PPOs helps you navigate this complexity, so your participation is intentional, strategic, and aligned with your practice’s financial goals.
- The Tragic Result
What happens if we don’t consistently monitor and improve our PPO participation?
Without a dedicated strategy for managing PPOs, most practices end up accepting unprofitable fee schedules by default. Busy front desk teams rarely have the time — or the leverage — to negotiate improvements, leaving practices stuck working harder for less.
That’s where Profitable PPOs steps in. We will:Audit your current PPO arrangements to identify hidden opportunities
Negotiate directly with PPOs on your behalf using proven strategies
Implement long-term optimization tactics that improve profitability across the board
FAQs
What Would Improving PPO Profitability Mean for Your Practice — and Your Life?
Many dentists feel stuck — working long hours, writing off thousands each month, and watching profits disappear due to low PPO fees. Profitable PPOs helps change that. Through our nationwide PPO negotiation and optimization program, we implement proven strategies to reduce write-offs and improve reimbursement so you canincrease profits, reduce stress, enjoy your practice again, boost long-term practice value, and gain peace of mind about the future.
What's the typical time that PPO fee negotiation takes?
In most cases, 90 to 120 days is devoted to PPO fee negotiation time. Remember, fee negotiation is a long process because the insurance companies are not in a rush to improve or offer higher reimbursement and there are numerous obstacles to work through. Additionally, it is important to assess each offer as it comes in to determine the financial impact, but also to determine if staying with the PPO plan makes sense.
What is the typical time that PPO optimization takes?
The process of PPO optimization is almost always longer than just PPO negotiation because, while important, PPO fee negotiation is just one of many strategies that are typically pursued to improve PPO profits. We always remind dentists – the objective is to have the BEST result, and NOT the fastest!
What types of practices does Profitable PPOs work with?
Profitable PPOs offers services for dental specialists, multiple provider practices, multiple location practices, as well as solo practitioners. We also offer services for multi-specialty practices.
What if a practice does not know what PPO plans they are contracted with?
This is one of the biggest challenges for many dental practices looking for an integrative dental solution: they are in so many PPO plans that they do not even realize who, or how, they are in the various PPO networks! As part of the first stage we often review EOBs of PPO patients to accurately determine if the doctor is in a particular network, and if so, what fee schedule is being used. It is crucial however to have the fee schedules of the plans that the doctor has a direct lead contracted relationship with.
Will all insurance companies negotiate PPO fees?
Unfortunately, no. Not every company will negotiate fees. However, the good news is that many other options exist aside from PPO fee renegotiation, and thus the importance of a comprehensive approach to PPO Optimization, not just PPO renegotiation be considered.
Can our doctor or office manager make all of these PPO improvements internally?
In most practices, there simply isn’t enough time. Doctors are focused on patient care and clinical responsibilities, and office managers are overwhelmed with daily tasks like scheduling, billing, and benefit checks. PPO strategy and negotiation require time, expertise, and focus — which most in-house teams don’t have the capacity to take on effectively.
What Is The Difference Between PPO Negotiation And PPO Optimization?
PPO negotiation focuses solely on trying to raise your fee schedule — it’s one tool, and while helpful, it’s limited.
PPO optimization takes a broader approach, using multiple strategies to improve profitability. Think of it like clinical dentistry: you wouldn’t rely on just one type of filling. The more tools and techniques you use, the better the outcome, and the same goes for managing PPOs.
Ready For Assistance In Improving PPO Profitability?
If you are interested in adding PPOs to your dental practice, and would like more information on how to do so in the most profitable manner - and avoid costly mistakes, please reach out for a no-cost, no obligation consultation with our team.
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Ready to Take Control of Your PPO Strategy?
Whether you’re running an established practice, launching a startup, or buying a practice, your PPO decisions directly impact your bottom line. The good news? There are smart, proven ways to participate more profitably—and we can show you how.