I think it is easy to understand that some patients will require 20 minutes and others will require 2 hours to accomplish the same procedure. Some people and cases are much harder than others, hence the fee must reflect that.
Sandy White
Sander White DDS
2193 West Chester Pike
Broomall, PA 19008
610-353-6161
"Who is wise? He who learns from everyone.
Who is rich? He who is happy with what he has.
Who is strong? He who is able to control his emotions.
Who is honored? He who honors others."
Ben Zoma, Pirke Avot
From: Howard Hoffman [mailto:smilestylers@gmail.com]
Sent: Tuesday, January 29, 2013 3:10 PM
To: drjackpweiss@gmail.com
Cc: Sander White; hameldds@gmail.com; bigdrtim@hotmail.com; tonganoxiedental@aol.com; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] "Insurance Only"
The insurance carrier is not all you have to be concerned about.
I have a friend (retired now, not me) who was once confronted by an angry husband. He wanted to know what his wife did in order to get such a discount from the dentist. Try and explain that one away.
Another point, which patients get, they may not be happy with the answer- is "if I am doing something dishonest with the insurance carrier, how would you ever be able to feel confident in trusting me"?
Howard
On Tue, Jan 29, 2013 at 3:02 PM, Jack Weiss <drjackpweiss@gmail.com> wrote:
Sander, its not illegal to charge different amounts. However, you can't give the discount/lower fee AFTER charging the insurance co. If you are going to accept $150 total for what you usually charge $200, then you have to charge the ins co $150, because THAT'S YOUR FEE for that particular service. As Guy said, if you forgive the co-payment occasionally, then that's all right. Its when dentists, like the one who I last bought a practice from, routinely never charges the pt the co=payment, then that's fraud. The REAL fee is what the dentist accepts as final payment.
Jack
From: Sander White <wiz148@comcast.net>
Date: Tuesday, January 29, 2013 1:01 PM
To: <hameldds@gmail.com>, Jack Weiss <drjackpweiss@gmail.com>
Subject: RE: [ACEsthetics] "Insurance Only"
Is it illegal to charge different fees to different people? Based on time care skill and judgment. I just wanna know since I do not participate….
Sandy White
Sander White DDS
2193 West Chester Pike
Broomall, PA 19008
"Who is wise? He who learns from everyone.
Who is rich? He who is happy with what he has.
Who is strong? He who is able to control his emotions.
Who is honored? He who honors others."
Ben Zoma, Pirke Avot
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of David Hamel
Sent: Tuesday, January 29, 2013 10:19 AM
To: drjackpweiss@gmail.com
Cc: bigdrtim@hotmail.com; tonganoxiedental@aol.com; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] "Insurance Only"
Jack,
I pointed out the dilemma of that reasoning once to a dental benefits committee person. You charge your full fee but it you only intend to collect part of that fee then you have overcharged and committed fraud, is that what your comment meant about making sense?
So what happens when you send in your full fee but then accept only what the insurance company allows, knowing ahead of time that is what you will do. Only this time you know it because you have signed a contract to do that?
In both scenarios a higher fee than the intended collection is being sent in. ; )
Dave
David Hamel DDS
1200 Broadway
Marysville, KS 66508
KDA Past President 2010
On Jan 29, 2013, at 9:06 AM, Jack Weiss wrote:
I've heard the same as Lance. If you routinely don't charge the co-payment, then its fraud, because the higher fee is NOT your regular fee (actually, that makes sense). You can do it occasionally without being illegal. At least, that's how I understand it. If its once in a blue moon, the ins co wouldn't waste their time and expense going after you.
Jack
From: Lance Timmerman <bigdrtim@hotmail.com>
Reply-To: <bigdrtim@hotmail.com>
Date: Tuesday, January 29, 2013 9:03 AM
To: <tonganoxiedental@aol.com>, <acesthetics@googlegroups.com>
Subject: Re: [ACEsthetics] "Insurance Only"
I BELIEVE that if it is not routine, it is not a big deal. if it is SOP, then yes, you are at risk of trouble....
From: TonganoxieDental@aol.com
Sent: Tuesday, January 29, 2013 6:55 AM
Subject: [ACEsthetics] "Insurance Only"
There are times when I do a procedure, but don't want to charge a full fee (like some bonding I did a year ago chips), is it ok to charge the insurance and then write off the balance? I know that it is illegal to accept insurance as full payment as a general rule, but is there any reason that on rare occasions that can be done?
Thanks!
Grant
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics?hl=en.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics?hl=en.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics?hl=en.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics?hl=en.
For more options, visit https://groups.google.com/groups/opt_out.
--
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics?hl=en.
For more options, visit https://groups.google.com/groups/opt_out.
--
Howard J. Hoffman, DDS, PA
21110 Biscayne Blvd, Ste 402
Aventura, FL 33180
ph: 305-933-3070 (o)
ph: 305-467-6343 (m)
fax: 305-933-2230
0 comments:
Post a Comment