Lloyd & Whyte’s Post

It’s not just about submitting claims—it’s about submitting them RIGHT. 💡 At White Horse Dental Billing, we know the codes, the processes, and the pitfalls of insurance billing better than anyone. That's why practices like Dr. Jenna's have seen their denial rates drop and their cash flow grow. 🔍 How do we do it? Meticulous claims tracking ✅ Aggressive follow-ups on denials ✅ Team training to spot errors before they happen ✅ Your bottom line doesn’t have to suffer. Let’s talk about how we can make insurance work for you, not against you. #DentalPractice #InsuranceClaims #DentalBillingSuccess #RCMSolutions #RevenueBoost #WhiteHorseDentalBilling

In Aviva Insurance Co. of Canada v. Lawrence Freedman Dentistry, the Ontario Superior Court clarified the role of appraisal panels in distinguishing between loss assessment and coverage assessment. Read Herman Khangura's commentary on the recent decision that reinforces the decision-making powers of appraisal panels. Full details at https://lnkd.in/dwwTR9gK #InsuranceLaw #LegalUpdate #LossAssessment #CoverageAssessment

🍁 Fall is here, and it’s the perfect time to secure the best dental coverage for your practice! 🍂 From comprehensive protection for your dental practice to tailored policies for small and large group practices, we’ve got you covered. Our malpractice insurance offers peace of mind and provides equipment and liability coverage to keep your practice running smoothly. Get covered before the leaves fall! 🍃 📞 Contact me today for a quick quote and learn how Pharmacists Mutual can protect your dental practice this season. #DentalInsurance #MalpracticeCoverage #TailoredPolicies

🍁 Fall is here, and it’s the perfect time to secure the best dental coverage for your practice! 🍂 From comprehensive protection for your dental practice to tailored policies for small and large group practices, we’ve got you covered. Our malpractice insurance offers peace of mind and provides equipment and liability coverage to keep your practice running smoothly. Get covered before the leaves fall! 🍃 📞 Contact me today for a quick quote and learn how Pharmacists Mutual can protect your dental practice this season. #DentalInsurance #MalpracticeCoverage #TailoredPolicies

🍁 Fall is here, and it’s the perfect time to secure the best dental coverage for your practice! 🍂 From comprehensive protection for your dental practice to tailored policies for small and large group practices, we’ve got you covered. Our malpractice insurance offers peace of mind and provides equipment and liability coverage to keep your practice running smoothly. Get covered before the leaves fall! 🍃 📞 Contact me today for a quick quote and learn how Pharmacists Mutual can protect your dental practice this season. #DentalInsurance #MalpracticeCoverage #TailoredPolicies

NEW BLOG POST: "The Latest on Applying Medical Loss Ratio to Dental Insurance: What We Can Learn from NCOIL, CHBRP, and the Trend Across States," by Michael Adelberg, NADP Executive Director. On April 14, the National Conference of Insurance Legislators (NCOIL) formally ratified a model law that allows states and dental plans to ease into a medical loss ratio based on appropriate, pre-existing dental insurance practices in that state. Consecutive-year outlier plans would be subject to corrective actions. With only a couple of tweaks, this model law is based on a 2023 Colorado law, which was based on a 2022 Maine law. Read more: https://ow.ly/i7CH50Rik9y #DentalInsurance #MedicalLossRatio #NCOIL #CHBRP #InsuranceLegislation #HealthcarePolicy #DentalPlans #HealthcareTrends #InsuranceRegulation

🦷 Tired of Chasing Down Insurance Payments? 🦷 Say goodbye to claim headaches! 💥 Submitting clean claims means faster payments, fewer errors, and a healthier cash flow for your dental practice. 🎉 Check out our latest blog to learn how you can streamline your insurance claim process and get paid on time, every time. 💸 📲 Read more: https://lnkd.in/dudHx8v8 #DentalPractice #CleanClaims #RevenueBoost #BillingSimplified #DentalInsurance #Resolvdental #ClaimProcessing

A new law in Florida that became effective on May 10, 2024 requires most Brazilian butt lift clinics in Florida that transfer more than 1,000 cubic centimeters of fat to secure liability insurance coverage of at least $250,000 per claim and an annual aggregate of at least $750,000 (“An office in which a physician performs a gluteal fat grafting procedure must also establish financial responsibility by demonstrating that it has met and continues to maintain, at a minimum, the same requirements applicable to physicians in ss. 458.320(2)(b) or (c) and 459.0085(2)(b) or (c), as applicable. Each physician practicing at an office registered under this section or s. 459.0138 must meet the financial responsibility requirements under s. 458.320 or s. 459.0085, as applicable.”). [READ MORE] https://lnkd.in/e7hApmrp

Associate Aaron D. Swayne, Grand Rapids, has authored a Property Owners & Insurers Newsline article, “Put Up or Shut Up.” Read Mr. Swayne’s article here > https://bit.ly/3LUEEla “[O]nce discovery is closed the summary disposition hearing becomes the ‘put up or shut up’ stage of the proceeding, and if there is no factual support for a claim, it will not continue.” In other words, if there are no facts to support the required elements of a plaintiff’s claim (i.e., a defective/dangerous condition, causation and notice), then the conversation does not even get to a Kandil-Elsayed open and obvious analysis of whether there was a breach of duty by the premises possessor. In a premises liability case, the plaintiff must prove their injury arose from an allegedly dangerous condition on the land, even if the premises possessor allegedly created the condition giving rise to the plaintiff’s injury. Plaintiff must also prove that the condition caused plaintiff’s injury, and that defendant had sufficient notice of the condition before the injury. Speculation and conjecture will not survive summary disposition. Rather, a litigant must be able to provide evidence sufficient to show that a genuine issue of material fact exists. In other words, a party must “put up or shut up.” While Kandil-Elsayed v F & E Oil, Inc., 512 Mich 95 (2023) may have shifted the “open and obvious” doctrine from a duty analysis to a breach analysis, litigants must still show that a genuine issue of material fact exists. Litigants must also be able to distinguish between a premises liability action and a general negligence action. Estate of Peabody v Positive Family Dental, PLLC, No. 366895, 2024 WL 3079495 (Mich App June 20, 2024) is an unpublished Court of Appeals opinion highlighting these concepts.

A new law in Florida that became effective on May 10, 2024 requires most Brazilian butt lift clinics in Florida that transfer more than 1,000 cubic centimeters of fat to secure liability insurance coverage of at least $250,000 per claim and an annual aggregate of at least $750,000 (“An office in which a physician performs a gluteal fat grafting procedure must also establish financial responsibility by demonstrating that it has met and continues to maintain, at a minimum, the same requirements applicable to physicians in ss. 458.320(2)(b) or (c) and 459.0085(2)(b) or (c), as applicable. Each physician practicing at an office registered under this section or s. 459.0138 must meet the financial responsibility requirements under s. 458.320 or s. 459.0085, as applicable.”). [READ MORE] https://lnkd.in/em72N2st