A payer audit can create problems that extend far beyond reimbursement disputes. In some situations, findings from a dental insurance audit may be reported to a state dental board, leading to investigations that put a dentist's professional license at risk.
If a payer alleges billing irregularities, improper coding, recordkeeping...
Dental service organizations continue to expand, and a successful transaction can create long-term revenue opportunities. Still, acquisitions often involve legal complications that might not be obvious until after closing.
Many problems begin during the due diligence and structuring stages. A rushed review, incomplete agreements, or misunderstandings about ownership...
An audit can feel like a simple billing problem or a routine records request, but for a dental practice owner, it may carry much higher stakes. Insurance reviews, documentation audits, and compliance inquiries can expose issues that lead to licensing complaints – not to mention potentially put your practice itself at risk. How...
Buying a dental practice can feel like a major step forward—you might already be thinking about new patients and long-term growth. Before you sign a purchase agreement or letter of intent, though, it’s important to look closely at the legal and financial terms tied to the transaction.
Purchase...
Finding out you’re under investigation by your dental board is an alarming situation – and it’s not something you want to postpone dealing with. Even at an early stage, an investigation can raise concerns about your professional license, your practice, and your future in the profession of dentistry. To help you understand why...
When you’ve considered what you will do when you decide to leave dental practice, you may decide that you do not want to sell your business to a third-party buyer. Fortunately, practice owners have succession-planning options beyond selling the business to a third party.
Why You Shouldn’t Always...Dental practices rely on vendors for everything from equipment and software to marketing and billing support. When a vendor fails to meet their obligations by missing deliveries, providing faulty equipment, or failing to deliver services as promised, it can lead to a costly and stressful disruption of your practice’s regular operations.
Dental partnership deadlock can happen when co-owners of a dental practice can’t reach a middle ground on major business decisions, and their practice gets stuck as a result. This can occur when there’s an equal split in ownership and no built-in way to break a tie.
Deadlocks don’t always...
Making an associate into a partial or full owner of your dental practice can feel like a natural step. However, associate buy-outs carry legal risks that can compromise your long-term plans and finances. Understanding the key areas where disputes come up—timing, valuation, and contractual protections—can protect your interests and keep the transition...
Deciding whether to rent a building or purchase your own real estate for your dental clinic can have significant legal implications for you and your practice. It’s essential to consider various factors, including your control over the space, financial and legal liability, build-out viability, long-term stability, and contract terms.
