ODA header image

News & Events

Go
Showing "ODA Today | Dental Insurance Corner" Resources
  • Dentists victimized by dental insurance fraud

    by Christopher Moore, MA - ODA Director of Dental Services
    8/11/2015
    ODA Today

    Whenever the talk goes to insurance fraud people invariably think of the dentist as the perpetrator of the offense. Dentists themselves often think the same way and many times fail to recognize that fraudulent activity does not have to be limited to the practitioner and many times involves dental office staff and/or patients.

    Read More
  • ODA works to reverse Medicare Advantage Plan's fee withhold

    by Christopher Moore, MA - ODA Director of Dental Services
    7/8/2015
    ODA Today

    The Ohio Dental Association has received numerous complaints from ODA member dentists in northeastern Ohio regarding a Canton-based Medicare Advantage Plan's (MA Plan) 2 percent withhold or payment reduction.

    Read More
  • Inlays and onlays

    by Christopher Moore, MA - ODA Director of Dental Services
    6/2/2015
    ODA Today

    Is there a difference between an inlay and an onlay? Yes, there is and the difference is both in terms of clinical practice and benefits determinations.

    Read More
  • Ohio prompt pay law and addressing slow pay situations

    by Christopher Moore, MA - ODA Director of Dental Services
    5/1/2015
    ODA Today

    As more dentists submit dental benefits claims electronically to third-party payers, the Ohio Dental Association has seen a marked decrease in the number of calls involving slow pay situations.

    Read More
  • Leased PPO networks and silent PPOs

    by Christopher Moore, MA - ODA Director of Dental Services
    4/13/2015
    ODA Today

    The Ohio Dental Association is again receiving calls from dentists upset about the discounts they're being asked to give certain patients.

    Read More
  • Third-party payer audits

    by Christopher Moore, MA - ODA Director of Dental Services
    3/6/2015
    ODA Today

    There has been an increasing amount of talk around the country concerning dentists being audited by third-party payers.

    Read More
  • Dentists do not need to spend money to either opt out of or opt in to Medicare

    by Christopher Moore, MA - ODA Director of Dental Services
    2/2/2015
    ODA Today

    Dentists are becoming increasingly aware that they must take some type of action with respect to Medicare if they treat Medicare covered patients.

    Read More
  • Treatment decisions versus benefits decisions

    by Christopher Moore, MA - ODA Director of Dental Services
    1/6/2015
    ODA Today

    How can an insurance company or even its dental consultant make treatment decisions about the care a dentist provides without ever seeing the patient? How can they make treatment decisions based on X-rays alone? The Ohio Dental Association receives many calls throughout the year from member dentists expressing these or similar concerns.

    Read More
  • National PPO puts brakes on its cost effectiveness star rating system

    by Christopher Moore, MA - ODA Director of Dental Services
    12/9/2014
    ODA Today

    A national PPO has stopped its efforts to institute a dentist star rating system.

    Read More
  • New procedure codes to take effect in January; codes continue to evolve with dentists' input

    by Christopher Moore, MA - ODA Director of Dental Services
    11/5/2014
    ODA Today

    The newest version of the American Dental Association's "CDT 2015: Dental Procedure Codes" book takes effect Jan. 1, 2015, and is available to be ordered now.

    Read More

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.