Increase the Efficiency of Insurance Administration

  • Saturday 1/29/2022
  • Time: 1:00 - 4:00 pm
  • Course Code: 636SL
  • Cost: $99
  • Room Location: BCEC Room 104 C
  • Credits: 3 CE Hours
Benjamin Tuinei, is the president and chief executive officer at Optimum Dental Solutions in Salt Lake City, UT.

It is no secret that insurance companies have invested a lot of time and effort in employing questionable claims processing guidelines in an effort to reduce what they pay out to dental practices. The insurance industry has mastered a number of concepts found in the book "The Art of War" to help them master deceptive business tactics against dental offices. This course will bring light to these Art of War concepts in a way that will allow attendees to better defend themselves from the apparent and perceived "abuse" they receive from insurance companies. At the end of this course attendees will have a better understanding on how to apply Art of War Concepts to counteract abusive, illegal, or otherwise unethical acts on the part of insurance companies. An example of this is how do you really get an insurance company to stay out of clinical care? Do insurance companies have a right to deny a case of scaling and root planing because they (the insurance plan) don’t agree with your diagnosis? Are insurance companies allowed to alter or change current dental terminology? How do I reduce the rate of denials on covered treatment that patients need? This course will provide key answers to these questions and more. 

After this course attendees will be able to:
  • Understand "Art of War" concepts that improve business efficiency  
  • Apply Art of War concepts with dental insurance administration to eliminate and reduce abuse by the insurance industry  
  • Determine the right way to appeal a denied claim  
  • Utilize State insurance commissioners to advocate on behalf of patients 
  • Identify how to police illegal or unethical acts by an insurance plan  
  • Effectively manage non-covered services  
Recommended Audience: Dentist, Office