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Sarah Beth Herman reflects on a dentist frustrated by unscheduled diagnosed treatment and argues the issue is often misnamed as “treatment acceptance” when it is really a decision-making problem rooted in uncertainty and perceived risk. Drawing on neuroscience and experience, she explains that patients can understand a diagnosis yet still hesitate because the brain treats uncertainty like danger, amplifying fears about cost, discomfort, surgery, or past trauma. She distinguishes explaining from reassuring, emphasizes that money is frequently not the primary barrier, and notes that unspoken concerns—trust, fear, overwhelm, or prior experiences—often drive delays that sound like “I’ll think about it.” High-performing practices focus less on closing and more on listening, curiosity, and emotional intelligence to uncover the real issue, build trust over time, and create conditions where better decisions happen naturally.

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DISCLAIMER:
The content provided in this podcast, including by Sarah Beth Herman and any affiliated guests, is for informational purposes only and does not constitute professional advice, including but not limited to medical, legal, or business consulting services. Listeners engage with the content at their own risk and are responsible for any actions taken based on the information presented. No guarantees are made regarding the accuracy or completeness of the content. For any questions, clarifications, or crediting of sources, please contact us directly, and we will make necessary adjustments.

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Host Sara Beth Herman argues that going out of network isn’t a strategy if a dental team doesn’t understand the revenue cycle and can’t consistently verify and explain benefits, collect patient portions, document limitations, track and appeal claims, and communicate clearly. She reframes insurance verification as revenue protection, patient communication, treatment acceptance, and trust, warning that “active” coverage isn’t the same as “covered” or “payable.” Herman cautions that software and AI tools can help but don’t replace human judgment, and that overwhelmed, under-trained, burnt-out front offices create costly patterns—missed waiting periods, frequency limits, annual max usage, downgrades, attachment errors, and incorrect posting—that add up to write-offs, delays, and upset patients. She urges practices to audit upstream processes, improve training or support (including outsourcing), manage tone and clarity with patients, and make data-driven decisions amid increased denials, payer scrutiny, and 2026 CDT code changes.

Support the show

SOCIALS:
No Silver Spoons®: Instagram
Dentistry Support: Instagram | Facebook | Linkedin
The Dental Collaborative: Facebook
Sarah Beth Herman: LinkedIn | Personal Bio | Links
Free Training for Dental Offices

DISCLAIMER:
The content provided in this podcast, including by Sarah Beth Herman and any affiliated guests, is for informational purposes only and does not constitute professional advice, including but not limited to medical, legal, or business consulting services. Listeners engage with the content at their own risk and are responsible for any actions taken based on the information presented. No guarantees are made regarding the accuracy or completeness of the content. For any questions, clarifications, or crediting of sources, please contact us directly, and we will make necessary adjustments.

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Sarah Beth Herman hosts a podcast swap episode featuring her interview with Dr. Howard Farran focused on dental insurance, billing, and practice operations. Farran raises concerns about young dentists facing debt, DSOs, stagnant insurance fees, and staffing shortages; Herman argues dentistry has been overcomplicated and urges removing “noise” with simple standards: work every outstanding claim every 10 days, use portals and EFTs, and collect what you produce in the same month. They discuss credentialing, being in- vs out-of-network, assignment of benefits, and payment slowdowns near quarter/year ends, plus a VA example where approvals and payments can be 3–10 days despite office misconceptions. Herman explains Dentistry Support’s virtual front office model, daily/monthly reporting, and recommends hiring non-dental sales talent for the front desk, incentivizing 98–101% collections through pre-collecting and payment options like Klarna and Affirm.

Support the show

SOCIALS:
No Silver Spoons®: Instagram
Dentistry Support: Instagram | Facebook | Linkedin
The Dental Collaborative: Facebook
Sarah Beth Herman: LinkedIn | Personal Bio | Links
Free Training for Dental Offices

DISCLAIMER:
The content provided in this podcast, including by Sarah Beth Herman and any affiliated guests, is for informational purposes only and does not constitute professional advice, including but not limited to medical, legal, or business consulting services. Listeners engage with the content at their own risk and are responsible for any actions taken based on the information presented. No guarantees are made regarding the accuracy or completeness of the content. For any questions, clarifications, or crediting of sources, please contact us directly, and we will make necessary adjustments.