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Crest toothpaste games and  enjoy going they're not I wouldn't clarify them as my CV at all was always my team and I'm still holding out that hope Crest toothpaste they get a team back up there I know people are working hard in the northwest to try to get a team up there but I love the game I love lovetending game you know what I've I  love Mark Cuban because thousand dollars usually so.

You know you need a practice that has a lot of promise that you buy low would ultimately sell high in inches by that practice now you already got patience and you have some other things in place that can be really a sweet spot an ideal  situation obviously depending on the geography de novo is great as well obviously the biggest issue is building goodwill in the community to get patients in there and so it's really important to understand where you're doing enforceable and they it just depends on whether they meet the parameters of  what the law says in the state that they're in uh.

I give this question a lot where they say I really want to get a job and I got three hundred fifty thousand dollars in student loans they they're upset with their parents from them not being rich and paying for the dental school and so now they got student loans they can't sue their  parents for being to change homosapien doesn't want to share a cave with you they don't like anybody controlling.

Them they don't like to be under anyone's thumb that's just never going to go away when they go into college they want their own dorm room even if they move their ears why we get here's another reason against partnerships now  I seen a gazillion em sell but member in college could be like two guys are like best friends in the gym or on the basketball court say hey let's room the groom together.

What what is the fastest way to destroy a friendship in college don't room with your best right so all for my boys if you go to college just do me if they were pleased own room with  your best friend my best friend because you've never lived in them you don't know what he does with his towels and his clothes and you know I mean he could be you know the biggest

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Crest Teeth Whitening Strips Review left our  and so lookacquire additional location  that may buy other practices to add to what they have so really a diverse array Crest Teeth Whitening Strips Review  of doctors now when you say add to what they have you mean a merger to acquisition where  the old man across the street is going to retire and instead of selling and instead of letting some you know  year old high-energy kid come in,.

And buy it and crush it for thirty years you just buy the practice roll the charts into  your office a typical merger and acquisition are you talking about dentists who say well I'm on the south side of town I'll have better skills  economy if I had one on the north east and west and then having the kind of a layer of management which does a little bit of both you know some doctors decide.

Hey I'm just going to buy the records from across the street bring them over to my office I just finished a transaction today doing exactly that other doctors decide that  they want to expand what they're doing and they want to bring in partners and have other practice locations but you know identify other location across town or in other places in the state where  they may have another location to have more protection and bringing associates to own those practices we monitor DSO.

Model for the own the doctors can have for themselves when you are doing these deals where they're  buying the charts and rolling them into an existing I mean because M&A; activity is huge on Wall Street and I always thought our little cottage industry needs to follow Wall Street and I just and every time I meet a dentist I mean  every time if they're into at the to million mark what they've done is when every old guy within miles of their practice has retired over the last years they bought.

The practice world and in charge but I want to put that in perspective when these guys buy those  charts and roll and what is the average price of their paying per chart because they could look at their own marketing and say well with Google ads and Facebook ads and Direct Mail and yellow pages of billboards they might be paying dollars a new patient you know for  an acquisition cost it.

Tough for me to say the average price that a turn is being bought for because it can be yo can vary and in fact I just had a transaction a where it was pretty rare where there actually wasn't a price for chart it was actually a flat fixed purchase price I typically recommend  paying for charts because that's really what you're by and you're buying that the fact that patients are going to come over to your office and if they don't then it's really not worth anything to you .

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Crest 3d White Toothpaste Ingredients were any subsequent changes have that changed to a different day or a different procedure was attached or  unattached you can track those changes a little circle on the upper right corner of the appointment is just her confirmation status Crest 3d White Toothpaste Ingredients you can see on the right-hand side to the left of the make  appointment button there's all these different confirmation statuses these can be customized for your practice as well and each status can have a particular color assigned to it so at a glance you can

See what the  status is for that patient if a patient's a as an appointment maybe she was supposed to come early for that limited examine PA you can right-click and choose the option to break the appointment or the little symbol to the left of the  confirmation statuses with a blue box and the expert will also break the appointment I'm just choosing break appointment if your office has a no-show policy you can assign a fee for that broken appointment you can add a note about it and then it remains on the  schedule like that just with an X through it if they're not coming back you can.

Simply right click and delete that appointment or on the lower right those symbols next to the confirmation status is the red X will also delete an appointment or you can choose that  option to send to unscheduled list if the patient mentioned they would like to reschedule but they'll call you later and you want to make sure that they don't slip through the cracks so you can choose that option sent on scheduled or again the symbol on the far right little  box with the red letter you will also send them to the unscheduled list so there's more than one way to do it and now we've opened up

Some time on our schedule if we have someone that wants to come in sooner they can sell that time we can find those unscheduled and those patients that want to come sooner  a little icon above the calendar on the upper right it kind of looks like a little notepad with the lower right corner fold it up when I hover my mouse over it it says appointment list I'm just clicking there this is where you're going to find your patients that are due for recall but not scheduled a list of  patients with upcoming appointments if you wanted to send reminders plan track or I'll show you in just a little bit are unscheduled and our ASAP lists radiology a lot of our medical offices use the radiology to create radiology orders that's not something I dental office would need to worry about and the insurance .

Verify you can create a list  of upcoming appointments and just see when was the last time you actually verified that they had active coverage clicking on the unscheduled list you can see what it looks like and it looks just the same ASAP list if dad someone on that list could double click their name open it up give them a call see if they want to take that open time if they do on the lower right there's a  button that says pinboard I'm just clicking that pinboard button we can close out of this list.

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I did want to talk about for a  moment there is a new code associated  with the full sized implant and the new  code is it's brand new and that is second stage Fun Timers surgery so I'll give an  example

I put my implant in and and it's and it's submerged it's Boccaccio integrating we then uncover the implant  uncovering the implant and putting alien caps in or uncovering the.

the implant and then putting abutments in that second stage surgery code is   and it's brand new now the code what the insurance industry is done some of them have cut back to see on the implant

And then allow the separate fee for code    and that C is around dollars for that second stage surgery so the listeners need to be aware of this code they need to look at our resources read all about that

Because  that is a recent implant code yeah and I've actually found some of those out to be true this year I think the the second stage surgery I had a some implants come to me and I was going  to

Uncover them and so we had we had to find that find that and charge appropriately and then we also found out kind of the hard way that that six one one one the implant over denture I think  that

Changed January of so we we charged one out January and had an awful fight on her hands until we realized the code had changed so that's when we really really kept diving deeper into you know

Trying to get an  understanding of all that because implants are changing rapidly the codes are changing rapidly and the insurance coverage on on implants are changing so there's there's a lot of

Moving parts with that as you stated there  well the coding too is kind of complex and one reason is that we've got certain codes in Perez namely the guided tissue regeneration the barrier membranes

Four to six six is reasonable four to six seven is non reasonable so the membranes  if you would use them should be separately billed out and over denture codes for implants and those are dead and

Now we've six one one one which is the removable over denture and then we've got a new set of codes that start at code six one  one four two six one one seven those four codes are for over data

Along fours all on sixes sure like a typewritten correct yes sir you're a fixed one and those codes start at six one one four so these new implant over denture is either removable or fixed start off at

That six  one one zero and then they go down to six one one seven is the sequencing down through there.

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The finger toothbrush for baby country in the  states where they've  had this as they see for the first three  to six to nine months after having the mission of mercy in that area the ER  visits for emergency dental care to go down dramatically hi and welcome to this  edition of mid-south viewpoint i'm byron tyler glad.

That you took finger toothbrush for baby time to stop and join us on this program as we  welcome dr. mitchell godet to our broadcast and we want to talk about something coming up called the mid-south mission of mercy  Mitchell good to see you good to see you Byron thank you so much for having us on today well we have a mutual friend kim carbo.

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who is the president director of  women of Hope international absolutely doing a phenomenal work with women with disabilities and she sent me an email she knows I'm always looking for people to be guest on our program here and she  said hey Byron you need to meet doctor go dad so .

I heard about this work called mid-south mission of mercy and there's really a specific thing that you guys are up to and it's a free dental care clinic and it's pretty a great  opportunity to serve residents right here in our community absolutely mine there's obviously a need for dental care in in the mid-south specifically in Memphis and we as dentists when it come together and help make.

that a reality and certainly I know  many dental offices are already doing free dental care in their office individually they may be going and helping at the church health center or doing the mobile dental clinic at Bellevue you're probably familiar with that as well too.

this is a way we can  reach many patients at one time and hopefully make a big dent in dental care in the mid-south I mean you're looking at reaching about , patients in one day actually be over two days today so sorry so that's okay so patient care will be on Friday

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There before  a.m. that's that is  a great question Bayern we are going to  have to limit some of the treatment that we gum tongue cleaner can do so for example if you were to  have a crown or to have a root canal sometimes that would involve multiple visits to have those procedures done so .

we're looking for gum tongue cleaner dentistry that we can do on one day and take care of that patient and take care of their most immediate need one of the big things  that I really desire to do for patients after this this event one.

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we'd like to continue to have this event hopefully at least every other year and and possibly  every year we're working toward toward that goal but the other really important thing is to help make sure patients have act or know about access to care that's available here in the mid-south so for  example.

there is a church health center where patients can go and have dental care and they're getting ready to move to the Sears Tower which I'm sure you're familiar and they're gonna be expanding from I believe it's ten dental chairs eight or ten dental chairs - I think it's or dental chairs so.

they will be I believe hiring some more dentist and so forth so this at our event we want to make sure patients are aware that that's  a place they can go have dental care another place would be Christ Community Health Service which is here in town .

they do happen to have a dental division and they can help patients out there as well then there's the mobile dental clinic  through Bellevue church and that travels around to different inner city churches and helps helps patients out and then finally.

there is the dental school we are partnering partnering with the dental school one will actually have some dental students under faculty  treating some of the patients will have also some dental hygienic hygiene students there as well - and we'll have some pharmacy students we are partnering we you know with

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I see  partnerships fail because the  personalities conflict and so best activated charcoal toothpaste I often  recommend personality testing going into  a partnership to begin with and also having very good legal documents to  outline the relationship between.

The parties moving forward best activated charcoal toothpaste because you've  got to get into the deal you have to operate through the deal and you have to  get out of the deal there's three key phases and if you don't thoroughly govern all three of those phases in the  contracts there could be issues now.

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Granted the best partnerships ever are those where people don't even pick up the contract ever again they sign it  never pick it up because the the relationship is so solid there's no need to that people understand each other but if you have to go back to that contract  god forbid then it's important to have everything thoroughly outlined.

How you're going to split the money how you're going to split the cost management decision-making and then how  you get out of the deal like death disability disagreement retirement default it's really important to have a good agreement in place but it can be successful if the relationships are  right but some people are just not wired or read for partnerships and that's okay.

I think it works for some and not for others you said there were three parts of that contract three parts three  stages of a partnership which is getting into the deal which often consists of either unperson buying into the other person's practice it can be a merger.

where doctors decide they're going to merge their practices and it can just be  a start up of doctors together now startups have a little bit more of a failure rating in my personal experience because often times those partners haven't worked together before maybe they don't undergo two personality testing etc but those are the three main  ways to get in most often I see getting in being

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I wish dentists oral b electric toothbrush kids  would watch shark thing because I get  dentistry I totally get it I mean extracting wisdom tooth doing  doing dentistry is so fun and they just don't want to do the business that's not they didn't go to business school they didn't go to law school they went to dental school.

They oral b electric toothbrush kids  want to be a surgeon  they want to work with their hands on people but you know like like um Cuban on Shark Tank first question you ask is uh what is your new customer acquisition  cost what's it cost you to find a new customer I mean almost every question they ask in Shark Tank at Dennis is just look at you like a deer in a headlight and it's like.

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I just wish dentists in  fact someone needs the right article of the most common questions asked on Shark Tank that every dentist should answer and one of one of the things Cubans I say what do you do with the money and these kids are saying well Howard if I  buy if I buy it should I do a de novo practice or should.

I start one up and then if I do a de novo since I'm going to practice in the same place from age to forty years wouldn't I be a fool to pay rent so suit so if I'm going to do a de novo should I  do land building start a practice so I know that's like five questions at once when I'm sure your lawyer so you can remember them all and so de novo or by and even if even if it over are buying do I want to buy the real estate .

I mean some people say I don't want the real  estate what would your thoughts on all those questions why didn't your so horrible I asked like Ted one of them was good enough that you'll bite on it no worries.

I'm happy to answer them the ones that I can remember and if I did you taught me so there is a dilemma with doctors as to  whether it started the Novo or flower bias practice and I've seen some really successful situations where doctors will buy a practice in save a to three hundred thousand dollar range .

where it is essentially as de novo there are issues with the practice so to speak or maybe there isn't a whole lot of good  will but they're able to still have some equipment which may be good or is or they're able to have some good ones impatient slow that's already there where they can't they can't do a start-up for less than three hundred

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These corporate ads brokers Commission like gone oral b glide threader floss  because it is a seller's market  there's a lot of demand and the seller takes the best offer and run and in real estate right now .

I don't know the Dallas  market oral b glide threader floss  but um you know um you know a three-bedroom two house is the middle market and you list those in Phoenix are gone in a day whereas once you get over  a million dollars you kind of got an liquid asset and every home in Phoenix that's over a million dollars.

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I guess a lot of them can sit there for years what  is that what is the -bedroom bath house in a dental practice in the sweet spot and what is so big it's kind of an illiquid asset uh yeah that's a great question um .

I think that question  oftentimes depends on the threshold of what banks are willing to loan I find that doctor it's not impossible but I'm finding that doctors are have a more of a difficult time getting loans for  practices.

That are you know in access . million or you even even over there million dollar range so it doesn't mean it's impossible it's just Bank in their risk management often are you know it's more difficult for them to get.

The  lump so if it's more difficult to get the money over those monetary threshold then obviously it's going to be difficult more difficult for a seller to sell and actually well one one thing that I'm seeing is doctors that will have a practice and  they'll bring in a partner to add a location 

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There is some glide dental floss picks  pretty bad medical fraud out here and  we've got some doctors that are just frankly thieves and greedy and so we're  seeing a little bit of fraud and not a little bit but a lot and I'll tell you just a couple fraudulent areas and in  talking with the Medicare fraud people in talking with some of the medical carriers we're getting ready to see some .

Some glide dental floss picks people hung hung and just as  examples because there's there's there's a lot of free wheeling out here and I just want to mention just a couple quick things on that one is can't tell my patients sleep apnea  appliance here's.

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When we go to build your medical we turn in five thousand and if the medical company is crazy enough to pay the five we keep the five we give the back to the  patient that we got upfront and so you can't just arbitrarily ability to an insurance company if it's not your standard fee now if I'm charging everybody five thousand for sleep apnea appliance no problem but if I'm really  charging.

I get audited my truth is but I'm turning in five grand that's a that's that's a problem the medical coding there's some ethical folks out here there's some unethical one thing the doctor needs to be aware of is when  the company says doctor you're too stupid to do this we've got the secret sauce we're going to be the billing entity now what that means is their company builds.

It it's their tax ID number but it's the doctor's name an NPI number that goes on that medical claim  but the medical check comes to the billing company not to the doctor under that circumstance and then to prove the honesty the billing company sends the doctor a check of the medical check and then their check for ninety percent you know - say a fee there's nothing .

I  think there's nothing wrong with the thing of a am ten percent or something there I'm not having a problem with the fee but the problem is is where the billing company will not show the doctor what they actually turned in they say that's our secret sauce it's our coating  we're not going to show you what we did but the problem is the doctors name

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Simple Best fluoride free toothpaste shutdown guide of where to  put you know the implant and so that's  code - I wanted to mention that yeah and I think that's what we use in  our office for the radiographic surgical guide stents that we make for you know  scanning and and then also for creation of surgical guides .

So that Best fluoride free toothpaste has worked well for us yes that's that is  the code and so that code is is available in some of our listeners you know might not know about that okay I'll talk a bit about medical and I'll do it  a little bit globally first first of all the dental claim actually has four blocks for medical coding.

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The dental claim that you file every day it has an ABCD block but  it is for icd- diagnostic codes now the diagnostic codes tell why you did it the procedure code tells what you did so the diagnostic codes can be put on the dental claim and you might say well wait  a minute who is requiring .

That well about states Medicaid programs now required and we think every Medicaid program throughout the United States will ultimately be probably over the next year or so will be requiring these  medical icd- codes also some of the Affordable Care Act plans with embedded pediatric benefits requiring and we actually wrote a book about how to code the diagnostic codes on.

The dental claim there are thousand roughly diagnostic  codes of which about applied to dentistry there's codes for getting bit by turtle getting having a knitting accident having a spacestation accident it's ridiculous all of the icd- codes that are out there and so that's the dental claim and.

If you're a p office if your  Medicaid office I would urge you to get from our bookstore the diagnostic code book for that now we just released a couple weeks ago a medical dental Cross coding manual and it's a monster at pages and that covers all dental codes with it's appropriate diagnostic code

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It has the oral b frozen electric toothbrush body will build a  cell wall around the abscess infected  area to try to contain it so the let's say that the patient has elected to  remove the tooth so what is the first thing that you do doctor after.

The force oral b frozen electric toothbrush up is placed on the tooth and the tooth is removed from the mouth yes you take a curette and you go down into  the socket and you do what you enucleate the cyst or remove any remnants of it so in fact what treatment was necessary to  relieve this patients complaint was.

It removal of the tooth no the patient needed to have the cyst removed and how are you going to get the cyst out of the  jaw doctor well there's only two ways that I can think of you either lay a flap and you come in from the side cutting a huge hole in the cortical plate and come in from the side and get  it out that way or after the tooth is removed go in from that position with a curettage from above

Through the extraction site and remove it that way and the patient already made the decision he's given up on the tooth so  my question is digit was there a fee attached to removing the cyst no.

We give that away because all we can focus on is the tooth and medical billing requires you to go beyond the tooth well there were services provided

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All of those teeth water flosser waterpik need to go and that  the patient's going to require surgery just smooth their regular alveolar  process and do some grafting and probably some lifting of the sinuses with a placement of let's say four  fixtures into the surgical site and then a prosthetic will be made to replace.

The water flosser waterpik dentition well would you send that to  medical insurance yes absolutely it's probably very helpful if you'll forget that this patient has any teeth and then let's just say that they walked in and  and magically these teeth were no longer in their mouth .

What issues in the bone would you be treating those are the things that are payable by medical insurance that's what  is the medical necessity for the claim that would be filed it has nothing to do with the removal of the teeth or the replacement of the teeth because those are dental conditions but they will pay  you for procedures in the maxilla so at this point it's my hope that you understand .

The mindset and perspective that you need to approach medical billing in your practice and if you're trying to improve the overall health of  your patients you have already been doing numerous things in your practice.

That you have had no way to be compensated for and medical billing helps you offer more of these options to your patients and still run a successful practice through the next courses

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This is  not a course on how do we get money out  of insurance companies this is a course for health centered dental practices Philips best electric toothbrush that view services they render in the context of treating the.

Whole patient Philips best electric toothbrush and how can they be appropriately.Compensated for their services especially the ones already being provided on a daily basis in this series.

I will be presenting foundation  information on medical billing concepts so that you can make the determination is this appropriate for your practice because.

I will be presenting information  in broad strokes please be aware that the medical insurance industry changes with time and you'll need to investigate current rules and protocols as you evaluate medical billing practices and  procedures in this first course we will cover.

The dental versus medical mindset and the perspective that is critical and success with medical billing we'll cover medical insurance how does it differ  from dental benefit plans I'll introduce .

the important concept of medical necessity and we'll go through some examples of medically billable services that are appropriate for a dental office to bill but let  start at the very beginning our dentist allowed to bill medical insurance absolutely the American Dental Association defines the scope of our practice as the evaluation diagnosis