MODPractice

MODPractice MODPractice is a dental revenue cycle management company built by three revenue cycle managers .

We're different because our systems were created by billers with years of experience. We know what works and what doesn't but most importantly, we truly CARE.

๐—˜๐˜ƒ๐—ฒ๐—ฟ๐˜† ๐˜†๐—ฒ๐—ฎ๐—ฟ ๐˜๐—ต๐—ฒ๐—ฟ๐—ฒ'๐˜€ ๐—ฎ ๐—ป๐—ฒ๐˜„ ๐˜๐—ผ๐—ผ๐—น ๐—ฝ๐—ฟ๐—ผ๐—บ๐—ถ๐˜€๐—ถ๐—ป๐—ด ๐˜๐—ผ ๐—ณ๐—ถ๐—ป๐—ฎ๐—น๐—น๐˜† ๐˜€๐—ผ๐—น๐˜ƒ๐—ฒ ๐—ฑ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ถ๐—ป๐˜€๐˜‚๐—ฟ๐—ฎ๐—ป๐—ฐ๐—ฒ ๐—ฒ๐—น๐—ถ๐—ด๐—ถ๐—ฏ๐—ถ๐—น๐—ถ๐˜๐˜† ๐˜ƒ๐—ฒ๐—ฟ๐—ถ๐—ณ๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป, ๐—ฎ๐—ป๐—ฑ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ๐˜† ๐˜†๐—ฒ๐—ฎ๐—ฟ, ๐—ถ๐—ป ๐—บ...
09/17/2026

๐—˜๐˜ƒ๐—ฒ๐—ฟ๐˜† ๐˜†๐—ฒ๐—ฎ๐—ฟ ๐˜๐—ต๐—ฒ๐—ฟ๐—ฒ'๐˜€ ๐—ฎ ๐—ป๐—ฒ๐˜„ ๐˜๐—ผ๐—ผ๐—น ๐—ฝ๐—ฟ๐—ผ๐—บ๐—ถ๐˜€๐—ถ๐—ป๐—ด ๐˜๐—ผ ๐—ณ๐—ถ๐—ป๐—ฎ๐—น๐—น๐˜† ๐˜€๐—ผ๐—น๐˜ƒ๐—ฒ ๐—ฑ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ถ๐—ป๐˜€๐˜‚๐—ฟ๐—ฎ๐—ป๐—ฐ๐—ฒ ๐—ฒ๐—น๐—ถ๐—ด๐—ถ๐—ฏ๐—ถ๐—น๐—ถ๐˜๐˜† ๐˜ƒ๐—ฒ๐—ฟ๐—ถ๐—ณ๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป, ๐—ฎ๐—ป๐—ฑ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ๐˜† ๐˜†๐—ฒ๐—ฎ๐—ฟ, ๐—ถ๐—ป ๐—บ๐˜† ๐—ฒ๐˜…๐—ฝ๐—ฒ๐—ฟ๐—ถ๐—ฒ๐—ป๐—ฐ๐—ฒ, ๐—ถ๐˜'๐˜€ ๐˜€๐˜๐—ถ๐—น๐—น ๐˜๐—ต๐—ฒ ๐˜€๐—ถ๐—ป๐—ด๐—น๐—ฒ ๐—ฏ๐—ถ๐—ด๐—ด๐—ฒ๐˜€๐˜ ๐—ฑ๐—ฎ๐—ถ๐—น๐˜† ๐—ต๐—ฒ๐—ฎ๐—ฑ๐—ฎ๐—ฐ๐—ต๐—ฒ ๐—ถ๐—ป ๐˜๐—ต๐—ฒ ๐—ฒ๐—ป๐˜๐—ถ๐—ฟ๐—ฒ ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜‚๐—ฒ ๐—ฐ๐˜†๐—ฐ๐—น๐—ฒ.

Not claims submission, not denials, not payment posting, benefits verification, the thing that has to happen before the patient even sits in the chair.

I actually find that a little validating, because eligibility verification gets treated like a solved problem in a lot of sales pitches, when the reality on the ground is that plans change constantly, payer portals time out, benefit information is incomplete, and a five minute check can turn into a twenty minute phone call to the payer more often than anyone wants to admit.

The practices and DSOs that struggle least with this aren't the ones with the fanciest verification software bolted onto their practice management system, they're the ones who built a process that doesn't depend on any single tool working perfectly every single time, because something in that chain is going to fail eventually and the process needs a human backstop that catches it before the patient is sitting in the chair confused about their coverage.

Software helps enormously here, I use real time eligibility tools every day, but software that occasionally needs a human to catch what it missed is a very different thing than software that replaces the need for anyone to check at all.

This is still the very first thing we rebuild when we take on a new practice or DSO's revenue cycle, because if eligibility verification is broken, everything downstream of it, from claims to payment posting to patient collections, inherits that problem, and precision here is what makes everything else reliable.

If you're not sure your process would hold up on a bad day, that's a conversation worth having before it becomes a bad month. Talk to MODPractice.

๐—ช๐—ต๐—ฎ๐˜ ๐—ฑ๐—ผ๐—ฒ๐˜€ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฒ๐—น๐—ถ๐—ด๐—ถ๐—ฏ๐—ถ๐—น๐—ถ๐˜๐˜† ๐˜ƒ๐—ฒ๐—ฟ๐—ถ๐—ณ๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ฝ๐—ฟ๐—ผ๐—ฐ๐—ฒ๐˜€๐˜€ ๐—ฎ๐—ฐ๐˜๐˜‚๐—ฎ๐—น๐—น๐˜† ๐—น๐—ผ๐—ผ๐—ธ ๐—น๐—ถ๐—ธ๐—ฒ ๐˜„๐—ต๐—ฒ๐—ป ๐˜๐—ต๐—ฒ ๐˜€๐—ผ๐—ณ๐˜๐˜„๐—ฎ๐—ฟ๐—ฒ ๐—ต๐—ถ๐—ฐ๐—ฐ๐˜‚๐—ฝ๐˜€, ๐—ฑ๐—ผ ๐˜†๐—ผ๐˜‚ ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐—ฎ ๐—ฟ๐—ฒ๐—ฎ๐—น ๐—ฏ๐—ฎ๐—ฐ๐—ธ๐˜‚๐—ฝ ๐—ผ๐—ฟ ๐—ฑ๐—ผ๐—ฒ๐˜€ ๐˜๐—ต๐—ฒ ๐˜„๐—ต๐—ผ๐—น๐—ฒ ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ท๐˜‚๐˜€๐˜ ๐˜€๐˜๐—ฎ๐—น๐—น?

If you ask me what's actually going to affect a dental practice or DSO's bottom line most this year, my honest answer is...
09/15/2026

If you ask me what's actually going to affect a dental practice or DSO's bottom line most this year, my honest answer isn't insurance denials or staffing, ๐—ถ๐˜'๐˜€ ๐—ฟ๐—ถ๐˜€๐—ถ๐—ป๐—ด ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜ ๐—ณ๐—ถ๐—ป๐—ฎ๐—ป๐—ฐ๐—ถ๐—ฎ๐—น ๐—ฟ๐—ฒ๐˜€๐—ฝ๐—ผ๐—ป๐˜€๐—ถ๐—ฏ๐—ถ๐—น๐—ถ๐˜๐˜†.

Deductibles are higher, plan coverage is thinner than it used to be, and patients are being asked to cover a bigger share of total production than they were even a couple years ago.

Most revenue cycle teams were built around the assumption that insurance reimbursement was where the real money lived and patient AR was a smaller afterthought handled with a statement mailed once a month.

That assumption is aging badly, because patient responsibility is quickly becoming a real revenue stream in its own right, not a rounding error on the aging report, and treating it like an afterthought means treating a growing percentage of your production like it doesn't matter as much as it actually does.

The practices and DSOs handling this well are the ones giving patients a real cost estimate and treatment plan breakdown before treatment instead of after, and making it genuinely easy to pay that balance the same day instead of hoping a mailed statement eventually gets attention.

We've had to rebuild parts of how we approach patient collections this year because of exactly this shift, treating the patient side of the ledger with the same disciplined, proactive follow-up we've always applied to the insurance side of the revenue cycle.

If your patient billing still runs on hope and a mailed statement, that's worth fixing before it costs you more of this year's production. See what we handle.

๐—œ๐˜€ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜ ๐—ฐ๐—ผ๐—น๐—น๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐—ฝ๐—ฟ๐—ผ๐—ฐ๐—ฒ๐˜€๐˜€ ๐—ฏ๐˜‚๐—ถ๐—น๐˜ ๐—ณ๐—ผ๐—ฟ ๐˜๐—ต๐—ฒ ๐˜€๐—ถ๐˜‡๐—ฒ ๐—ผ๐—ณ ๐—ฏ๐—ฎ๐—น๐—ฎ๐—ป๐—ฐ๐—ฒ ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜๐˜€ ๐—ฎ๐—ฟ๐—ฒ ๐—ฎ๐—ฐ๐˜๐˜‚๐—ฎ๐—น๐—น๐˜† ๐—ฐ๐—ฎ๐—ฟ๐—ฟ๐˜†๐—ถ๐—ป๐—ด ๐—ป๐—ผ๐˜„, ๐—ผ๐—ฟ ๐—ถ๐˜€ ๐—ถ๐˜ ๐˜€๐˜๐—ถ๐—น๐—น ๐—ฏ๐˜‚๐—ถ๐—น๐˜ ๐—ณ๐—ผ๐—ฟ ๐˜„๐—ต๐—ฎ๐˜ ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜ ๐—”๐—ฅ ๐˜‚๐˜€๐—ฒ๐—ฑ ๐˜๐—ผ ๐—น๐—ผ๐—ผ๐—ธ ๐—น๐—ถ๐—ธ๐—ฒ ๐—ฎ ๐—ณ๐—ฒ๐˜„ ๐˜†๐—ฒ๐—ฎ๐—ฟ๐˜€ ๐—ฎ๐—ด๐—ผ?

๐— ๐—ผ๐—ฟ๐—ฒ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐——๐—ฆ๐—ข๐˜€ ๐—ฎ๐—ฟ๐—ฒ ๐˜„๐—ฎ๐—น๐—ธ๐—ถ๐—ป๐—ด ๐—ฎ๐˜„๐—ฎ๐˜† ๐—ณ๐—ฟ๐—ผ๐—บ ๐—ถ๐—ป๐˜€๐˜‚๐—ฟ๐—ฎ๐—ป๐—ฐ๐—ฒ ๐—ป๐—ฒ๐˜๐˜„๐—ผ๐—ฟ๐—ธ๐˜€ ๐˜๐—ต๐—ถ๐˜€ ๐˜†๐—ฒ๐—ฎ๐—ฟ ๐˜๐—ต๐—ฎ๐—ป ๐—œ'๐˜ƒ๐—ฒ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐˜€๐—ฒ๐—ฒ๐—ป ๐—ฏ๐—ฒ๐—ณ๐—ผ๐—ฟ๐—ฒ, ๐—ฎ๐—ป๐—ฑ ๐—ถ๐˜'๐˜€ ๐—ป๐—ผ๐˜ ๐—ฐ๐—น๐—ผ๐˜€...
09/10/2026

๐— ๐—ผ๐—ฟ๐—ฒ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐——๐—ฆ๐—ข๐˜€ ๐—ฎ๐—ฟ๐—ฒ ๐˜„๐—ฎ๐—น๐—ธ๐—ถ๐—ป๐—ด ๐—ฎ๐˜„๐—ฎ๐˜† ๐—ณ๐—ฟ๐—ผ๐—บ ๐—ถ๐—ป๐˜€๐˜‚๐—ฟ๐—ฎ๐—ป๐—ฐ๐—ฒ ๐—ป๐—ฒ๐˜๐˜„๐—ผ๐—ฟ๐—ธ๐˜€ ๐˜๐—ต๐—ถ๐˜€ ๐˜†๐—ฒ๐—ฎ๐—ฟ ๐˜๐—ต๐—ฎ๐—ป ๐—œ'๐˜ƒ๐—ฒ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐˜€๐—ฒ๐—ฒ๐—ป ๐—ฏ๐—ฒ๐—ณ๐—ผ๐—ฟ๐—ฒ, ๐—ฎ๐—ป๐—ฑ ๐—ถ๐˜'๐˜€ ๐—ป๐—ผ๐˜ ๐—ฐ๐—น๐—ผ๐˜€๐—ฒ.

I hear the same reasoning almost every time I talk to a practice owner or DSO operations leader about it, in network reimbursement rates and fee schedules haven't kept pace with what it actually costs to run a practice, and the administrative weight of staying in network has stopped feeling worth it for a shrinking margin.

Here's what doesn't get talked about enough though: ๐—ฑ๐—ฟ๐—ผ๐—ฝ๐—ฝ๐—ถ๐—ป๐—ด ๐—ฎ ๐—ป๐—ฒ๐˜๐˜„๐—ผ๐—ฟ๐—ธ ๐—ถ๐˜€๐—ป'๐˜ ๐—ฎ ๐—ฏ๐—ถ๐—น๐—น๐—ถ๐—ป๐—ด ๐—ฑ๐—ฒ๐—ฐ๐—ถ๐˜€๐—ถ๐—ผ๐—ป, ๐—ถ๐˜'๐˜€ ๐—ฎ๐—ป ๐—ฒ๐—ป๐˜๐—ถ๐—ฟ๐—ฒ ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜‚๐—ฒ ๐—ฐ๐˜†๐—ฐ๐—น๐—ฒ ๐˜€๐—ต๐—ถ๐—ณ๐˜, because your team suddenly needs to verify out of network benefits instead of in network ones, explain estimated reimbursement to patients who are used to a flat copay, and collect a much larger portion directly from the patient instead of waiting on an insurance remittance.

For a single practice that's a hard enough transition, and for a DSO doing it across a dozen locations at different points in their own network and credentialing decisions, it becomes a genuinely complicated puzzle of mixed billing workflows running side by side across multiple fee schedules.

We've built exactly this kind of dual in network and out of network workflow for a few multi location clients this year, operating the way an extension of your own team would rather than a vendor handing back a spreadsheet, and it's not something you want to be improvising in real time once the decision's already made.

I'm not telling anyone whether to drop a network, that's a business decision every practice or DSO has to make with its own numbers, but I am saying the RCM side of that decision deserves just as much planning as the contract negotiation itself, because getting your revenue cycle under control before the transition beats scrambling to fix claims and eligibility after.

๐—œ๐˜€ ๐˜†๐—ผ๐˜‚๐—ฟ ๐˜๐—ฒ๐—ฎ๐—บ ๐—ฟ๐—ฒ๐—ฎ๐—ฑ๐˜† ๐˜๐—ผ ๐—ฟ๐˜‚๐—ป ๐—ถ๐—ป ๐—ป๐—ฒ๐˜๐˜„๐—ผ๐—ฟ๐—ธ ๐—ฎ๐—ป๐—ฑ ๐—ผ๐˜‚๐˜ ๐—ผ๐—ณ ๐—ป๐—ฒ๐˜๐˜„๐—ผ๐—ฟ๐—ธ ๐—ฏ๐—ถ๐—น๐—น๐—ถ๐—ป๐—ด ๐˜€๐—ถ๐—ฑ๐—ฒ ๐—ฏ๐˜† ๐˜€๐—ถ๐—ฑ๐—ฒ ๐—ฎ๐—ฐ๐—ฟ๐—ผ๐˜€๐˜€ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—น๐—ผ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€, ๐—ผ๐—ฟ ๐˜„๐—ผ๐˜‚๐—น๐—ฑ ๐˜๐—ต๐—ฎ๐˜ ๐—ฑ๐—ฒ๐—ฐ๐—ถ๐˜€๐—ถ๐—ผ๐—ป ๐—ฐ๐—ฎ๐˜๐—ฐ๐—ต ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜‚๐—ฒ ๐—ฐ๐˜†๐—ฐ๐—น๐—ฒ ๐—ผ๐—ณ๐—ณ ๐—ด๐˜‚๐—ฎ๐—ฟ๐—ฑ ๐—ฟ๐—ถ๐—ด๐—ต๐˜ ๐—ป๐—ผ๐˜„?

We didn't ask this Bug to match our brand colors. It just knew.Spotted on a walk this weekend โ€” a vintage VW in the exac...
09/09/2026

We didn't ask this Bug to match our brand colors. It just knew.

Spotted on a walk this weekend โ€” a vintage VW in the exact shade of MOD Aqua, parked like it pays us rent. No filter, no design team, just a 50-year-old Beetle out here doing better brand consistency than half the industry.

If only claims moved as smoothly as this thing's paint job.

๐—ง๐—ต๐—ฒ๐—ฟ๐—ฒ'๐˜€ ๐˜€๐—ผ๐—บ๐—ฒ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ต๐—ฎ๐—ฝ๐—ฝ๐—ฒ๐—ป๐—ถ๐—ป๐—ด ๐—ถ๐—ป๐˜€๐—ถ๐—ฑ๐—ฒ ๐—ฑ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ฅ๐—–๐—  ๐—ฟ๐—ฒ๐—ถ๐—บ๐—ฏ๐˜‚๐—ฟ๐˜€๐—ฒ๐—บ๐—ฒ๐—ป๐˜ ๐˜๐—ต๐—ฎ๐˜ ๐—บ๐—ผ๐˜€๐˜ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐——๐—ฆ๐—ข๐˜€ ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐—ป๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐˜€๐˜๐—ผ๐—ฝ๐—ฝ๐—ฒ๐—ฑ ๐˜๐—ผ ๐˜๐—ต๐—ถ๐—ป๐—ธ ๐—ฎ๐—ฏ๐—ผ...
09/08/2026

๐—ง๐—ต๐—ฒ๐—ฟ๐—ฒ'๐˜€ ๐˜€๐—ผ๐—บ๐—ฒ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ต๐—ฎ๐—ฝ๐—ฝ๐—ฒ๐—ป๐—ถ๐—ป๐—ด ๐—ถ๐—ป๐˜€๐—ถ๐—ฑ๐—ฒ ๐—ฑ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ฅ๐—–๐—  ๐—ฟ๐—ฒ๐—ถ๐—บ๐—ฏ๐˜‚๐—ฟ๐˜€๐—ฒ๐—บ๐—ฒ๐—ป๐˜ ๐˜๐—ต๐—ฎ๐˜ ๐—บ๐—ผ๐˜€๐˜ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐——๐—ฆ๐—ข๐˜€ ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐—ป๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐˜€๐˜๐—ผ๐—ฝ๐—ฝ๐—ฒ๐—ฑ ๐˜๐—ผ ๐˜๐—ต๐—ถ๐—ป๐—ธ ๐—ฎ๐—ฏ๐—ผ๐˜‚๐˜, ๐—ฎ๐—ป๐—ฑ ๐—ถ๐˜'๐˜€ ๐—ฐ๐—ผ๐˜€๐˜๐—ถ๐—ป๐—ด ๐—ฟ๐—ฒ๐—ฎ๐—น ๐—บ๐—ผ๐—ป๐—ฒ๐˜†.

A lot of insurance companies pay dental claims through what's called a virtual credit card, which sounds harmless until you realize accepting that remittance method often comes with a processing fee that gets deducted before the money ever reaches the practice's bank account.

Practices think they got paid in full because the claim shows as paid on the EOB, when in reality a percentage just got quietly skimmed off the top by a payment method they may not have even chosen or noticed they were enrolled in during payment posting.

This has actually gotten enough attention that states have started passing laws requiring insurers to get a dentist's real consent before using this remittance method, disclose the fees upfront, and offer a no fee alternative like ACH or EFT, which tells you how widespread the problem had gotten before anyone stepped in.

If your reimbursements are coming in through virtual credit cards right now, I'd go check whether you ever opted into that or whether it just became the default at some point without anyone flagging it during reconciliation.

This is one of those revenue cycle leaks that's almost invisible because the claim technically did get paid, it's just that paid and paid in full stopped meaning the same thing somewhere along the way.

We audit exactly this during onboarding now as part of every new client's revenue cycle assessment, because it's a fast way to find money that's been quietly walking out the door every single month, and real visibility into your RCM means knowing exactly how every dollar actually reaches you, not just that it eventually did.

If you've never actually checked this, it's worth five minutes. Talk to MODPractice if you want a second set of eyes on your reimbursement process.

๐——๐—ผ ๐˜†๐—ผ๐˜‚ ๐—ฎ๐—ฐ๐˜๐˜‚๐—ฎ๐—น๐—น๐˜† ๐—ธ๐—ป๐—ผ๐˜„ ๐—ต๐—ผ๐˜„ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ ๐—ผ๐—ฟ ๐——๐—ฆ๐—ข ๐—ฟ๐—ฒ๐—ฐ๐—ฒ๐—ถ๐˜ƒ๐—ฒ๐˜€ ๐—ถ๐—ป๐˜€๐˜‚๐—ฟ๐—ฎ๐—ป๐—ฐ๐—ฒ ๐—ฝ๐—ฎ๐˜†๐—บ๐—ฒ๐—ป๐˜๐˜€, ๐—ผ๐—ฟ ๐—ต๐—ฎ๐˜€ ๐—ป๐—ผ๐—ฏ๐—ผ๐—ฑ๐˜† ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐—ฎ๐˜€๐—ธ๐—ฒ๐—ฑ ๐˜๐—ต๐—ฎ๐˜ ๐—พ๐˜‚๐—ฒ๐˜€๐˜๐—ถ๐—ผ๐—ป ๐—ผ๐˜‚๐˜ ๐—น๐—ผ๐˜‚๐—ฑ?

09/04/2026

Some people wait for the tide to bring it in. We don't.

At MODPractice, we don't sit back and hope claims resolve on their own. We go get your money โ€” every claim, every follow-up, every dollar you're owed.

YOU PRODUCE. WE COLLECT.

Ready to stop waiting on your A/R? Contact us today.

Did you know...The majority of denied dental claims can often be prevented before they're ever submitted.Small improveme...
09/03/2026

Did you know...

The majority of denied dental claims can often be prevented before they're ever submitted.

Small improvements in verification, documentation, and claim scrubbing create massive financial impact over time.

The best collections strategy starts long before collections.










๐—ฆ๐—ผ๐—บ๐—ฒ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ฐ๐—ต๐—ฎ๐—ป๐—ด๐—ฒ๐—ฑ ๐—ถ๐—ป ๐—ฑ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ฐ๐—น๐—ฎ๐—ถ๐—บ ๐—ฑ๐—ฒ๐—ป๐—ถ๐—ฎ๐—น๐˜€ ๐—ผ๐˜ƒ๐—ฒ๐—ฟ ๐˜๐—ต๐—ฒ ๐—น๐—ฎ๐˜€๐˜ ๐—ฐ๐—ผ๐˜‚๐—ฝ๐—น๐—ฒ ๐—ผ๐—ณ ๐˜†๐—ฒ๐—ฎ๐—ฟ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐—œ ๐—ฑ๐—ผ๐—ป'๐˜ ๐˜๐—ต๐—ถ๐—ป๐—ธ ๐—บ๐—ผ๐˜€๐˜ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ๐˜€ ๐—ผ๐—ฟ ๐——๐—ฆ๐—ข๐˜€ ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐—ฐ๐—ฎ...
09/03/2026

๐—ฆ๐—ผ๐—บ๐—ฒ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ฐ๐—ต๐—ฎ๐—ป๐—ด๐—ฒ๐—ฑ ๐—ถ๐—ป ๐—ฑ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—ฐ๐—น๐—ฎ๐—ถ๐—บ ๐—ฑ๐—ฒ๐—ป๐—ถ๐—ฎ๐—น๐˜€ ๐—ผ๐˜ƒ๐—ฒ๐—ฟ ๐˜๐—ต๐—ฒ ๐—น๐—ฎ๐˜€๐˜ ๐—ฐ๐—ผ๐˜‚๐—ฝ๐—น๐—ฒ ๐—ผ๐—ณ ๐˜†๐—ฒ๐—ฎ๐—ฟ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐—œ ๐—ฑ๐—ผ๐—ป'๐˜ ๐˜๐—ต๐—ถ๐—ป๐—ธ ๐—บ๐—ผ๐˜€๐˜ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ๐˜€ ๐—ผ๐—ฟ ๐——๐—ฆ๐—ข๐˜€ ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐—ฐ๐—ฎ๐˜‚๐—ด๐—ต๐˜ ๐˜‚๐—ฝ ๐˜๐—ผ ๐—ถ๐˜ ๐˜†๐—ฒ๐˜.

I'm seeing more claims come back denied across almost every practice and every payer mix I work with, and when I dig into the denial codes, the reason isn't sloppy claims or missing attachments the way it almost always used to be.

๐—œ๐˜'๐˜€ ๐—ฝ๐—ฎ๐˜†๐—ฒ๐—ฟ๐˜€ ๐—ฟ๐—ฒ๐—ถ๐—ป๐˜๐—ฒ๐—ฟ๐—ฝ๐—ฟ๐—ฒ๐˜๐—ถ๐—ป๐—ด ๐—บ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐—ฎ๐—น ๐—ป๐—ฒ๐—ฐ๐—ฒ๐˜€๐˜€๐—ถ๐˜๐˜† ๐—ฎ๐—ป๐—ฑ ๐—ณ๐—ฟ๐—ฒ๐—พ๐˜‚๐—ฒ๐—ป๐—ฐ๐˜† ๐—น๐—ถ๐—บ๐—ถ๐˜๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐—ถ๐—ป ๐˜„๐—ฎ๐˜†๐˜€ ๐˜๐—ต๐—ฎ๐˜ ๐—ฎ๐—ฟ๐—ฒ ๐—ด๐—ฒ๐—ป๐˜‚๐—ถ๐—ป๐—ฒ๐—น๐˜† ๐—ต๐—ฎ๐—ฟ๐—ฑ๐—ฒ๐—ฟ ๐˜๐—ผ ๐—ฝ๐—ฟ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐˜ ๐—ฑ๐˜‚๐—ฟ๐—ถ๐—ป๐—ด ๐—ฐ๐—น๐—ฎ๐—ถ๐—บ๐˜€ ๐˜€๐—ฐ๐—ฟ๐˜‚๐—ฏ๐—ฏ๐—ถ๐—ป๐—ด ๐—ฎ๐—ป๐—ฑ ๐—ต๐—ฎ๐—ฟ๐—ฑ๐—ฒ๐—ฟ ๐˜๐—ผ ๐—ฝ๐—ฟ๐—ฒ๐—ฝ๐—ฎ๐—ฟ๐—ฒ ๐—ณ๐—ผ๐—ฟ ๐—ฎ๐˜ ๐˜๐—ต๐—ฒ ๐—ฝ๐—ผ๐—ถ๐—ป๐˜ ๐—ผ๐—ณ ๐˜€๐˜‚๐—ฏ๐—บ๐—ถ๐˜€๐˜€๐—ถ๐—ผ๐—ป, ๐˜„๐—ต๐—ถ๐—ฐ๐—ต ๐—ถ๐˜€ ๐—ฎ ๐—ฟ๐—ฒ๐—ฎ๐—น ๐˜€๐—ต๐—ถ๐—ณ๐˜ ๐—ณ๐—ฟ๐—ผ๐—บ ๐˜๐—ต๐—ฒ ๐—ธ๐—ถ๐—ป๐—ฑ ๐—ผ๐—ณ ๐—ฑ๐—ฒ๐—ป๐—ถ๐—ฎ๐—น๐˜€ ๐˜๐—ต๐—ถ๐˜€ ๐—ถ๐—ป๐—ฑ๐˜‚๐˜€๐˜๐—ฟ๐˜† ๐—ต๐—ฎ๐˜€ ๐˜€๐—ฝ๐—ฒ๐—ป๐˜ ๐˜†๐—ฒ๐—ฎ๐—ฟ๐˜€ ๐—ฏ๐˜‚๐—ถ๐—น๐—ฑ๐—ถ๐—ป๐—ด ๐—ถ๐˜๐˜€ ๐—ฅ๐—–๐—  ๐—ฝ๐—น๐—ฎ๐˜†๐—ฏ๐—ผ๐—ผ๐—ธ๐˜€ ๐—ฎ๐—ฟ๐—ผ๐˜‚๐—ป๐—ฑ.

The old denial prevention approach was built for a world where a denial mostly meant a coding error or a missing narrative, and the fix was training, claim scrubbing software, and double checking eligibility before submission.

This new wave isn't really about claim errors anymore, it's about a payer's adjudication team deciding after the fact that a procedure your provider judged clinically necessary doesn't meet their current interpretation of necessary, and no amount of pre-submission scrubbing prevents a decision made on the payer's side after your claim already looked clean.

That means the appeals workflow and the clinical documentation behind it matter more than they ever have, because the argument isn't just this claim was submitted correctly anymore, it's this treatment was clinically justified and here's the file that proves it.

This is one of the bigger shifts we've rebuilt our own appeals workflow around this year, because a clean claim rate used to be enough on its own and now it's just the starting point, and clean claims and clear results have to hold all the way through adjudication, not just at submission.

If your appeals process hasn't caught up to how payers are actually adjudicating claims right now, that's worth a real look. See what we handle.

๐—›๐—ฎ๐˜€ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฑ๐—ฒ๐—ป๐—ถ๐—ฎ๐—น ๐—ฟ๐—ฎ๐˜๐—ฒ ๐—ฐ๐—ต๐—ฎ๐—ป๐—ด๐—ฒ๐—ฑ ๐—ถ๐—ป ๐˜๐—ต๐—ฒ ๐—น๐—ฎ๐˜€๐˜ ๐˜†๐—ฒ๐—ฎ๐—ฟ, ๐—ฎ๐—ป๐—ฑ ๐—ถ๐—ณ ๐—ถ๐˜ ๐—ต๐—ฎ๐˜€, ๐—ฑ๐—ผ ๐˜†๐—ผ๐˜‚ ๐—ฎ๐—ฐ๐˜๐˜‚๐—ฎ๐—น๐—น๐˜† ๐—ธ๐—ป๐—ผ๐˜„ ๐˜„๐—ต๐—ถ๐—ฐ๐—ต ๐—ฑ๐—ฒ๐—ป๐—ถ๐—ฎ๐—น ๐—ฐ๐—ผ๐—ฑ๐—ฒ๐˜€ ๐—ฎ๐—ฟ๐—ฒ ๐—ฑ๐—ฟ๐—ถ๐˜ƒ๐—ถ๐—ป๐—ด ๐—ถ๐˜?

09/02/2026

We found this outside one of our home office this week.

One egg hatched. One's still waiting and mama bird isn't going anywhere until it does.

That's basically our approach to your A/R. Some claims resolve fast. Others just need patience, attention, and someone who won't walk away until it's done.

We don't just work the report. We work the problem.

YOU PRODUCE. WE COLLECT.

๐—ฆ๐—ผ๐—บ๐—ฒ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—œ ๐—ธ๐—ฒ๐—ฒ๐—ฝ ๐—ฟ๐˜‚๐—ป๐—ป๐—ถ๐—ป๐—ด ๐—ถ๐—ป๐˜๐—ผ ๐—น๐—ฎ๐˜๐—ฒ๐—น๐˜† ๐—ฑ๐—ผ๐—ฒ๐˜€๐—ป'๐˜ ๐˜€๐—ต๐—ผ๐˜„ ๐˜‚๐—ฝ ๐—ผ๐—ป ๐—ฎ๐—ป ๐—ฅ๐—–๐—  ๐—ฟ๐—ฒ๐—ฝ๐—ผ๐—ฟ๐˜, ๐—ฎ๐—ป๐—ฑ ๐˜๐—ต๐—ฎ๐˜'๐˜€ ๐—ฒ๐˜…๐—ฎ๐—ฐ๐˜๐—น๐˜† ๐˜๐—ต๐—ฒ ๐—ฝ๐—ฟ๐—ผ๐—ฏ๐—น๐—ฒ๐—บ.Plenty of dental p...
09/01/2026

๐—ฆ๐—ผ๐—บ๐—ฒ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—œ ๐—ธ๐—ฒ๐—ฒ๐—ฝ ๐—ฟ๐˜‚๐—ป๐—ป๐—ถ๐—ป๐—ด ๐—ถ๐—ป๐˜๐—ผ ๐—น๐—ฎ๐˜๐—ฒ๐—น๐˜† ๐—ฑ๐—ผ๐—ฒ๐˜€๐—ป'๐˜ ๐˜€๐—ต๐—ผ๐˜„ ๐˜‚๐—ฝ ๐—ผ๐—ป ๐—ฎ๐—ป ๐—ฅ๐—–๐—  ๐—ฟ๐—ฒ๐—ฝ๐—ผ๐—ฟ๐˜, ๐—ฎ๐—ป๐—ฑ ๐˜๐—ต๐—ฎ๐˜'๐˜€ ๐—ฒ๐˜…๐—ฎ๐—ฐ๐˜๐—น๐˜† ๐˜๐—ต๐—ฒ ๐—ฝ๐—ฟ๐—ผ๐—ฏ๐—น๐—ฒ๐—บ.

Plenty of dental practices are hitting good collection rates right now, 90% collections or better, and looking at that number alone on a monthly report, you'd think the revenue cycle behind it was running exactly the way it should.

But when I actually get into how that collection rate is being held up, it's rarely a clean, repeatable process doing the work, ๐—ถ๐˜'๐˜€ ๐—ฝ๐—ฒ๐—ผ๐—ฝ๐—น๐—ฒ.

Longer hours, more manual claims scrubbing, someone quietly catching eligibility issues and coding errors by hand that a real revenue cycle system should never have required a human to catch in the first place.

๐—” ๐˜€๐˜๐—ฟ๐—ผ๐—ป๐—ด ๐—ป๐—ฒ๐˜ ๐—ฐ๐—ผ๐—น๐—น๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—ฟ๐—ฎ๐˜๐—ฒ ๐—ฎ๐—ป๐—ฑ ๐—ฎ ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต๐˜† ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜‚๐—ฒ ๐—ฐ๐˜†๐—ฐ๐—น๐—ฒ ๐—ฎ๐—ฟ๐—ฒ ๐—ป๐—ผ๐˜ ๐˜๐—ต๐—ฒ ๐˜€๐—ฎ๐—บ๐—ฒ ๐˜๐—ต๐—ถ๐—ป๐—ด.

One is a result and the other is an operational system, and you can absolutely have a great result sitting on top of a billing process that's one resignation letter away from falling apart.

The practices and DSOs that look the healthiest on paper are sometimes the ones closest to a real revenue cycle problem, because nobody looks twice at a collection rate that's already good, and the effort holding that number up rarely gets noticed until the biller or RCM specialist (or someone who has stepped in to handle RCM) doing it burns out or leaves.

If your billing team is hitting production and collection targets but everyone's exhausted and nobody can take a real day off without claims submission or payment posting wobbling, that's not a success story, that's a warning wearing a success story's clothes.

This is genuinely the first thing I look for in a practice or DSO's numbers now, because a good collection rate achieved through an unsustainable manual process worries me more than a mediocre one achieved through a clean, disciplined revenue cycle.

If that sounds like where your team's RCM operation is at, that's worth a real conversation instead of another dashboard. Let's talk RCM.

Is your team's good collection rate coming from an RCM system that actually works, or from people quietly working themselves into the ground to make it look that way?

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