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  • Be careful to monitor language that accompanies reimbursement checks

    by Christopher Moore, MA - ODA Director of Dental Services
    11/13/2017
    ODA Today

    Late this summer the Ohio Dental Association began receiving second-hand reports of isolated cases of dentists being "required" to accept as payment in full the allowed reimbursement amount from Blue Cross Blue Shield of Michigan even though the dentists had no contractual relationship with BCBSM.

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  • Some out of state Delta Dental plans issue incorrect payments

    by Christopher Moore, MA - ODA Director of Dental Services
    10/10/2017
    ODA Today

    Earlier this year a small number of Ohio Dental Association members reported receiving what they believed were incorrect payments from a handful of out-of-state Delta Dental plans.

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  • Ethical considerations for avoiding patient abandonment

    by David J. Owsiany, JD - ODA Executive Director
    9/1/2017
    ODA Today

    The ODA regularly gets calls from our member dentists seeking guidance on how to handle specific scenarios in an ethical manner. One of the most common questions we get is how to terminate the dentist-patient relationship in a proper way. Terminating the dentist-patient relationship requires the dentist to exercise care to minimize the risk of patient abandonment.

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  • Medicare options and opt out update

    by Christopher Moore, MA - ODA Director of Dental Services
    9/1/2017
    ODA Today

    To say the Center for Medicare and Medicaid Services (CMS) prescription drug rule has caused a lot of confusion and angst within Ohio dental practices is an understatement

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  • Scaling and root planing and third-party payer scrutiny

    by Christopher Moore, MA - ODA Director of Dental Services
    8/1/2017
    ODA Today

    Over the past year the Ohio Dental Association has received an increased number of calls from dentists who are the subject of some form of elevated third-party payer scrutiny relative to their use of the periodontal scaling and root planing procedure codes

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  • Core buildups and third-party payer scrutiny

    by Christopher Moore, MA - ODA Director of Dental Services
    7/6/2017
    ODA Today

    The Ohio Dental Association continues to receive calls from Ohio dentists who are the subject of some form of elevated third-party payer scrutiny.

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  • How to handle insurance claims when the treating dentist is not the billing entity

    by Christopher Moore, MA - ODA Director of Dental Services
    6/8/2017
    ODA Today

    "How should a claim be billed when the treating dentist is not the entity that's supposed to receive payment for the service?" The Ohio Dental Association receives that question with some degree of regularity throughout the year.

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  • MetLife EFT payment saga continues

    by Christopher Moore, MA - ODA Director of Dental Services
    5/3/2017
    ODA Today

    MetLife is continuing to cause angst and frustration for dentists across the state by persisting in sending notices.

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  • CDA-Delta Dental of California lawsuit impact in Ohio

    by Christopher Moore, MA - ODA Director of Dental Services
    4/11/2017
    ODA Today

    After three and a half years of litigation, the California Dental Association has come to a successful resolution of its legal action against Delta Dental of California.

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  • Change in PPO practices illustrates need to utilize Contract Analysis Service

    by ODA Staff
    3/7/2017
    ODA Today

    Over two and a half years ago a major Ohio dental insurer changed its reimbursement rate and participation obligations for newly contracted dentists.

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The views expressed in the monthly columns of the “ODA Today” are solely those of the author(s) and do not necessarily represent the view of the Ohio Dental Association (ODA). The columns are intended to offer opinions, information and general guidance and should not be construed as legal advice or as an endorsement by the ODA. Dentists should always seek the advice of their own legal counsel regarding specific circumstances.