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Table of Contents

Introduction

Revenue

Considerations in Developing a Financial Policy

Patient Direct Pay Practices

Discounts

Barter

Collecting Payments

Overdue Accounts

Overpayments

Credit Card Disputes and Chargebacks

Patient Financing Options

• Internal Financing

• External Financing

Dental Benefit Plans

Indemnity Plans

Managed Care Plans

• Preferred Provider Organization Plans

• Capitation/DHMO Plans

• Medicaid

• Medicare

• Medicare Advantage

Risk Management and Fraud Prevention

Risk Management

• The Dental Record

• The HIPAA Minimum Necessary Rule

• Billing and Coding

• Active vs. Inactive Patients

• Health Information Portability and Accountability Act (HIPAA) Rules

Fraud Prevention

• Internal Audits

• Responsibility for Billing, Records and Accounting

Embezzlement

Measuring Success

Expenses

Fixed Costs

Rent and Mortgage

Payroll

Taxes

Marketing

Equipment, Maintenance and Tech Support

Dental Supplies-Inventory Control

Laboratory Services

Vendor Contracts

Utilities

Professional Dues

Variable Costs

Managing Finances: Guidelines for Practice Success

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