Thinking of dropping Delta Dental? Cigna? Met Life?

Thinking of cutting back on dental PPO participation?

Tired of writing off tens of thousands every month to dental PPOs?

Want to Lose the Discounts and Keep the Patients?

Bill Rossi

Bill Rossi is the country’s leading expert on PPO deci­sions and transitions. PPO decisions must be made in the context of the practice’s realities. Bill has over 35 years’ experience in advising dental practices. For the past 20 years he has helped many dentists strategically and safely cut back on their PPO participation. This has added substantially to their bottom lines and their practice independence.

Call 952-921-3360 or text 952-228-9486 for your 30-minute consultation. No pressure, no bull; just a chance to find out more. Or schedule your 30-minute consult with Bill by clicking here.

Robyn Theisen

PPO transition specialist

Robyn Theisen Is the country’s leading coach in helping doctors and their teams drop Delta and other PPOs. Doctors from Philadelphia to Albuquerque have enjoyed her down to earth, positive approach and deep management experience.

Call 952-921-3360 or text 952-228-9486 for your 30-minute consultation. No pressure, no bull; just a chance to find out more. Or schedule your 30-minute consult with Robyn clicking here.

Contact Bill Today

The right “plays” with PPOs can have a substantial impact on your bottom line. No one has more experience with PPO plays than Bill Rossi and his team at Advanced Practice Management. If you are considering joining, dropping, or negotiating with a PPO, call us.

No contracts, no hype, just straightforward advice. We have helped scores of clients increase their collections by tens of thousands per month. Find out the right dental PPO play for you!







How do you know when you're ready to drop a PPO?

You work hard so be smart about it.

PPOs, the long view.

Should you drop Delta Dental?

"Getting to the Root"
Newsletter Webinar

“Performing a PPO Exorcism”: Bill Rossi – Advanced Practice Management

Zoomcast: Boost your DentistryIQ: Should you drop PPOs?

Zoomcast: Boost your DentistryIQ: You’ve dropped PPOs. Now what?


Long in the Tooth: Insights for Age 55+ Dentists

Can a transition from PPO insurance to fee-for-service be successful?

How a Dentist Can Manage and Exit Being In-Network with a PPO with Bill Rossi – The Art of Dental Finance and Management Podcast

March 11, 2020 – Bill Rossi

The Practice X-Factor

Shelly Ryan

30 years of dental experience in clinical, front desk, office management, training and consulting.

Shelly often works as a player coach, side-by-side with administrative and clinical staff as an experienced colleague. Staffs respond well when Shelly works with them on verbal skills, communication, conflict resolution and accountability.

what people are saying:

"Regarding Dropping Delta Dental, our transition is going well. The numbers Bill showed me made me feel comfortable with the decisions. Having the on-site training, made my team feel comfortable with the transition. The attitude of my team changed after the training with Robyn. It was worth every penny."
Dr Colton Slyvester
Bloominton Illinois
“With Bill’s help we’ve had a successful PPO transition and remain very busy.”
Dr. Ryan Ulibarri
Fort Collins, CO
"I wanted to drop Cigna and Bill's analysis helped confirm that and brought things into clearer focus, This helped us prepare for the drop."
Dr. Patrick Sovacool
Northfield Ohio
“You laid out the plan and we have been working through it and it’s worked out well, plus we really haven’t seen that much of a loss of patients. We are still quite busy, maybe too busy.”
Drs. Brent & Christie McDonald
McDonald Family Dentistry, McCordsville, IN
“I was pretty sure that I wanted to go ahead with the Delta transitions, but Bill Rossi’s analysis and perspective gave give me the confidence in doing so.”
Dr. Stephanie Busch-Abbate
Gentle Dentistry, Kalamazoo, MI
“Bill Rossi provided valuable insight in the complicated issues of third party reimbursement. He makes his recommendations based on individualized statistical analysis of our practice.”
Drs. Michael and Brian Gallagher
West Park Dental, Cleveland, OH
“It became a time in my career where I was sick of being abused by dental insurance. My accountant gets paid fairly, my electrician gets paid fairly, my computer guys get paid fairly. I balance my fees so they are fair, so why was I having to give 20% or more of my fees up because my patients have discount insurance plans? I didn’t pick their plans.I came across Bill Rossi’s website and contacted him. What was impressive was that we made a decision to drop out of network with the largest dental insurance provider in my area. I didn’t do it emotionally, we did it mathematically. Bill breaks down exactly how my office was doing compared to the average office. He breaks down how many patients are on insurance plans. He gives you a realistic view on potential loss of patients AND potential increase in revenue with changing network status. So here I am 2 years later after becoming 100% fee for service. The dream of every dentist. I just want to do great work for my patients and get paid fairly. Turns out that patients come to me because they like the care they get. Yes, some patient left after changing status, BUT way more stayed and now my dental insurance chains are off. I can’t thank Bill enough. Dentists are smart professionals, we just need to do some basic second grade math and take emotion out of insurance choices.”
Dr. Stephen Saunders
Waupaca Dental Excellence
“I enlisted Bill Rossi’s help in October of 2018 after listening to his podcast with Dentaltown’s Howard Farran. His thorough analysis and strategic game plan allowed us to drop 6 PPO insurance plans and be in a great position to handle the pandemic. I am so grateful for Bill. He’s a great guy who is always available and willing to help. I highly recommend him to any dentist who is thinking about dropping PPOs.”
Aileen Helton D.D.S
Carmel, IN
“Bill’s advice helped us through two PPO transitions. Like most Dentists would be, I was a little nervous about doing this but it has worked out well. Collections are up by thousands per month.”
Dr. David Parks
Clinton, MS
“I have started to create a women’s dental group and added an association for dentists in my area. I have been so happy as your client and tell everyone about you. After working with another consulting group in 2017, I can tell you APM has exceeded my expectations.”
Dr. Abby Krienke
Lincoln, NE
“Bill helped us with the process of leaving the PPO and working together we adapted the approach that suited our practice best. Very helpful advice.”
Lois Y., Office Manager
Centre Family Dentistry, Fort Collins, CO
“I was dealing with a PPO that said they wouldn’t negotiate and wouldn’t pay me more. With the information and advise Bill gave me I was able to successful push them and received a significant increase in reimbursement allowances.”
Roy Krengel DDS
Bloomington, MN
“After an analysis by Bill we decided to go ahead and drop Delta Dental. It is quite a leap but with Bill’s coaching and advise we are actually up 20% in production plus, of course, seeing a big increase in collections.”
Dr. W. Kiesel
Quakertown, PA
“Bill helped us significantly increase our insurance allowances. His advice at a key juncture of practice transition has been very helpful.”
Dr. Jim Tomhave
Cloquet, MN
“Bill analyzed my specific situation and showed me how to negotiate for my practice from a position of strength. He provided me with the knowledge and advice that I needed to manage my insurance relationships in a strategic manner for the long term success of my practice. Bill is a passionate advocate for the solo practitioner and has the knowledge to help you manage your practice in today’s complex environment.”
Dr Lee Fletcher
Greenville, SC
“I first met Bill Rossi when I read an amazing article he wrote for the McGill Hill newsletter. Even tho I am not in his part of the country I was impressed and Bill agreed to talk with me. We ended up working with Bill on several things, one being transitioning out of a PPO which is always a very scary thing to do. He held our hands and walked us through the process. The results have been impressive! Whenever I have a question or need a solution to a problem Bill and his team are always very responsive and have excellent suggestions for me and help with how to implement. I depend on and trust his expertise.”
Lis Bradley
Lisbeth S Bradley DDS
(Regarding our Delta Dental drop) “I think we are definitely in a more sustainable place from a patient volume and scheduling perspective… all in all, you prepped us very well!”
Dr. Catherine Nelson
Oshtemo Family Dentistry - Kalamazoo, MI
“The analysis really helped me get a handle on the numbers and make the decision about transitioning PPO. So far it has worked out well.”
Dr. Nathan Brooks
Anderson Dental Care - Cincinnati, Ohio
“Bill’s wide experience and helpful advice and staff coaching gave us the confidence to go ahead and successfully transition out of two PPOs.”
Dr. Randall
Tennessee River Dental, PLLC
"Bill helped us with dropping Delta and it worked out great. Our practice is as strong as ever and we’ve recently expanded the facility."
Dr. William Poole
Leola, PA
“You and your team are a pleasure to work with. It’s easy to get ahold of you. You are super helpful & knowledgeable in what you do. You have helped our office receive more in collections than we could have imagined! I’d recommend you to anyone!!”
Amanda G., Office Manager
Dr. Chen & Associates, Baltimore, MA
“Bill’s matter of fact, straightforward, and experienced advice was very helpful. Our office has benefited nicely.”
Stephanie, Office Manager
Just Smiles Dentistry, Hilliard, OH
“We wish we would have found Advanced Practice Management earlier than we did! Their expertise and knowledge about the tangled web of insurances changed our mindset and our practice. Bill’s enthusiasm for helping dental offices find success and independence was encouraging and very helpful. He gave us the confidence we needed to move forward with cleaning up the insurance plans we accepted in our office. If you are thinking about making changes we highly recommend Bill and his team!”
Dr. Buxton
Fort Collins, CO
“Bill Rossi was referred to me by a colleague that is a huge proponent of FFS dentistry where it is about quality of care not the quantity of care. That referral was the first step in getting my practice, and me, to achieve some goals I had set a long time ago. Bill systematically went through a ton of information and determined that we were in fact ready for the next step and that moving in a FFS direction wouldn’t be practice suicide. Then he laid out the steps I needed to take on a timeline. Finally, he came in and coached my entire team on how to go through with our transition, deal with patient concerns effectively. We were well prepared and then he stood in the background and coached us from afar when various little questions/issues arose. Overall, thanks to Bill and his team, we are almost 100% FFS!!! (We choose to stay in-network with 2 insurers for personal reasons.) We have managed to effectively navigate the muddy waters and come out on the other side practicing dentistry the way we WANT to practice dentistry. Thank you, Bill!!!”
Dr. Tina Theroux
North Grafton, MA
“By careful analysis, Bill took the emotion out of the decision and showed us angles we had not thought of. We were able to significantly reduce write offs on a couple of the plans we participated with which certainly helps the bottom line.”
Dr. Smaltz
Newnan, Georgia
“With Bill’s preparations, we had the confidence to see the PPO transition through. It all went pretty seamlessly and has certainly helped revenues.”
Dr. Jeffrey Garner
Maryville, MO
“By careful analysis, Bill took the emotion out of the decision and showed us angles we had not thought of. We were able to significantly reduce write offs on a couple of the plans we participated with which certainly helps the bottom line.”
Christine Cavanaugh
Portsmouth Family Dentistry, Providence, RI
“Bill’s advice was very helpful.”
Ruth Lackey, Office Manager
Radford, VA
“Bill analyzed our situation and helped us through a major PPO transition. It has added thousands of dollars per month to our collections and our patient flow is as good as ever.”
Dr. Jordan Humbert
Fort Collins, CO
“Shelly and Bill have given us coaching and advice that has helped us have a strong growing practice. Their guidance was also very helpful in our decision to cut back on PPO participation last year and increase our collections by over $10,000 per month.”
Dr. Kirby Johnson
Spicer MN
“We worked with Bill Rossi to leave a PPO and it reduced our discounts significantly. We did not have any serious loss of patients and continued to grow through the transition.”
Dr. Bob Boyat
“Bill, will be faxing (an unnamed here ppo) new fee proposal to you today. I got firm with them on Monday and they came up quite a bit. Thanks for the advice!”
Dr William Poole
Leola, PA
“Bill Rossi’s advice on insurance-related topics has worked very well. Our work with him has added many 1000s of dollars to our bottom line.”
Dr. Joseph Gendler
Hopkins, MN
“Bill’s advice really helped me organize my approach to negotiating with and making decisions about PPO’s.”
Dr. Jeffrey Chandler, DDS Dentist
Oral/Maxillofacial Surgery, Elmhurst, IL
“Shelly provided a detailed analysis of our insurance participation and found “hidden” ways we were losing money. I would not have had the time nor the staff to dig through this complicated process. Because of her efforts, our collections increased by 3%-4%. I am able to work less and collect the same.”
Matthew Colaizy, DDS
“Shelly helped our office go out of network with a major PPO and become a fee for service practice. There were difficult aspects involved in making this decision and she provided guidance that was well thought out. It feels good to come to work every day and get paid for what we do and our patients feel the same way! We wish we would have done this years ago.”
Drs. Potach and Mitchell
I am so happy with my decision to go OON with Delta and working with you and Robyn
Matthew S. Free , D.M.D.
Cheboygan, MI
"The Delta PPO transition was a slam dunk. It has worked out really well."
Cliff McQuigg, Office Manager
Elevation Family and Cosmetic Dentistry, Colorado Springs
“Bill helped us keep a positive tone in context with patients, which has worked very well through our PPO transition.”
Leslie Polson, Office Manager
Meadows Family Dentistry, Castlerock, CO
“When we were considering dropping Delta it was nerve wracking, but it was worth it.”
Dr. Angela Offord and Dr. Tracy Toft
Stewartville Family Dentistry, Stewartville MN
“We are doing well. It’s been a year since our Delta Drop so that’s pretty much not much of a thing now and patients are aware and things are going smoothly. I have not looked back! I appreciated your help through the process.”
Jessica Pickard
Auburn IN
“Bill helped us navigate the PPO insurance picture. This saved us money in the form of reduced write offs and helped us get a better handle on things generally.”
Dr. Shauna Gammage
Decatur, GA
“With Bill’s help we haven’t had any significant problems with the PPO transition. It is going well”
Dr. Anthony Skiadas
“We are very pleased with Advanced Practice Management. Bill Rossi and his team helped us work through the insurance network process. After a year of working together we have decreased the number of insurance plans we are in network with and increased our the fee schedules for some of the insurances we are in network with. Thank you Bill and your team for all your help.”
Dr. Paul Keelan
Bulter, PA
“I think most dentists have a lot of trepidation when it comes to freeing themselves of the restraints of dental insurance. It’s difficult to remove the emotion from the decision-making process, but Bill Rossi was able to do that for me. He will objectively analyze your situation and shoot straight with you on the best way to proceed, based on his many years of experience.”
Dr. Chris Leiszler
Baldwin City, KS
“I was working five full days a week and feeling overwhelmed. Bill helped me with some key, strategic moves over the course of the uncertainty last year. Those moves resulted in me only working four days a week at a much more relaxed pace now. The net profit of the practice has even gone UP compared to before. I don’t even do most of the good things Bill’s recommended, but if I liked dentistry enough to want to work more, I bet we’d be able to really turn it on.”
Dr. Alan May
“I feel like we have great confidence dropping insurance in the future as a result of all your guidance.”
Dr. Nate Henderson
“After a careful analysis, Bill determined we could transition out of a major PPO in my practice. After some thought (and another year of aggravating write offs) I decided to go ahead. We sent the drop notice. The next thing we know, the PPO offered a significant increase in our fee allowances. So we decided to take it. We will collect thousands more as a result. Bill says that the best negotiation tool a Doctor can have is to send a drop notice. If they hadn’t come up nicely, we were ready to act because we knew we would be well prepared.”
Dr. Stephen McCuin
Radford, VA
“Bill helped tremendously when I was struggling to find the right path for my practice. I am about 6 months in since our first conversations and we have made several big changes in the practice for the better. The experience Bill brings to the table helped me be confident in making these decisions. We have reduced our PPO participation considerably and will be adding an associate soon. Thanks Bill and APM!”
Andrew Olsson DDS
Hood River, OR
“Have you ever seen the look on a small child’s face when you try to gently take away their security blanket? Eyes widen in horror and their grip tightens even more. I believe most dentists [and office managers – that’s me] feel the same way when first considering going out of network with an insurance company. The blanket is frayed and doesn’t smell so good [write-offs are so big you lose money on every patient], but the loss is too scary to think about…. Or is it? After being in network with one particular insurance company for 12 years and experiencing exactly ONE increase in what they paid us [not on all codes, just some fillings for about $.25 per filling – yep, that’s 25 CENTS] we were looking for a way out. I hated watching my highly trained and excellent practitioner husband working harder and harder for less and less. The smartest move we made in our bid for independence was to contact Bill Rossi of Advanced Practice Management. We sent reports, details about our practice, investigated which employers used which insurances, and then more reports. The FBI could take lessons from Bill! But because of his thoroughness in finding out about our practice, he could tell us that he believed we would not only survive but do very well out of network with that company. Then he visited our office and walked our team through what to do, say, expect. Had we attempted it on our own, we would have made some serious mistakes in our approach to patients. Seven months later I can honestly say we are doing at least fine. The vast majority of our patients have stayed with the practice and it turns out for most plans the insurance company pays really close to our fees. We are so glad we made this choice. Letting go of the in-network security blanket isn’t easy, but Bill will get you through it just fine.”
Deborah Parr, Office Manager
Dr Olan Parr, Culpepper, VA
“Bill and his team have been a great resource for me in the advancement of my dental practice. He has consistently given me great advice on topics ranging from questions about staffing issues, integration of a new associate as well as the acquisition and integration of an outside dental practice into my own. Bill also helped me through a major PPO transition. I would recommend him without hesitation.”
Dr Ross Hock
Canton, MI

Call Bill Rossi at 952-921-3360 today to schedule your free, no obligation 20-minute consultation to find out more!