Ep 11: New Doctor, Who Dis? Credentialing, Contracting, Confused - Let's Fix It episode artwork

EPISODE · Oct 28, 2025 · 33 MIN

Ep 11: New Doctor, Who Dis? Credentialing, Contracting, Confused - Let's Fix It

from The Truth Decay Podcast: Talking Dollars and Sense with Sara Baker and LaRae McMullen

“Nah, it's cool. Just submit it under the owner’s name for now.”Famous last words. 💀If you’ve ever heard that advice—or worse, given it—this episode is for you.In this episode, Sara Baker and LaRae McMullen break down a rampant—and risky—practice happening in dental offices across the country: submitting claims under the wrong provider to “keep things moving.”Whether you’re onboarding a new associate, purchasing a practice, or navigating out-of-network transitions, this conversation is for you.We cover:The difference between credentialing and contracting (and why both matter)Why billing under another provider's information is considered fraud, even when “everyone does it”Real-life situations where claims were delayed, payments misrouted, and provider trust destroyedWhat goes wrong when legal teams and brokers skip over billing strategy during a saleHow submitting under the wrong name can trigger audits, refunds, or even in-network removalYou’ll also learn:✔️ When and how to start the credentialing process✔️ Why providers must be credentialed—even to be out-of-network✔️ What to put on your provider onboarding checklist✔️ How to protect cash flow during ownership transitions without compromising complianceIf you’re thinking:“But it’s just temporary…”“We didn’t know they needed to be credentialed yet…”“The broker said it was fine…”…this episode will change the way you approach provider setup forever.🎧 Listen on all major platforms📺 Watch full episodes on YouTube → https://www.youtube.com/watch?v=hEYxjX5ZVdo📩 Contact us at [email protected]🌐 More resources at sddentalsolutions.com📥 Download our Provider Onboarding + Credentialing Checklist at thetruthdecaypodcast.com

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Ep 11: New Doctor, Who Dis? Credentialing, Contracting, Confused - Let's Fix It

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This episode was published on October 28, 2025.

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