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  • Featured Article

    CMS delays enforcement of prescription drug rule again

    by Christopher Moore, MA - ODA Director of Dental Services
    5/9/2016
    ODA Today

    The Centers for Medicare and Medicaid Services (CMS) has again delayed enforcement of its new prescription drug rule to Feb. 1, 2017.

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  • Considerations for coding preventive and perio procedures

    by Christopher Moore, MA - ODA Director of Dental Services
    4/15/2016
    ODA Today

    The Ohio Dental Association has received a number calls recently from dental practices asking about the appropriate use of the adult prophylaxis (D1110), child prophylaxis (D1120) and periodontal maintenance (D4910) codes.

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  • New CMS rule governing reporting and returning of overpayments

    by Christopher Moore, MA - ODA Director of Dental Services
    3/17/2016
    ODA Today

    In early February the Centers for Medicare and Medicaid Services (CMS) published its final rule addressing the reporting and returning of overpayments by Medicare providers and suppliers.

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  • Fax verification raises questions from Ohio dentists

    by Christopher Moore, MA - ODA Director of Dental Services
    2/2/2016
    ODA Today

    The Ohio Dental Association has recently received a number of calls from ODA member dentists who received a fax from a nationwide information management company requesting information specific to their practice.

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  • Dentists encouraged to report improper silent PPO actions

    by Christopher Moore, MA - ODA Director of Dental Services
    1/13/2016
    ODA Today

    The Ohio Dental Association Council on Dental Care Programs and Dental Practice monitors and addresses third-party payer issues on the profession's behalf. One issue of particular note that the council has been monitoring involves silent preferred provider organizations (PPOs).

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  • New Medicaid rules effective Jan. 1, 2016

    by Christopher A. Moore, MA - ODA Director of Dental Services
    12/11/2015
    ODA Today

    The state's largest dental benefits program, Ohio Medicaid, is implementing new rules effective Jan. 1, 2016. The wide-ranging rules impact coverage and payment policies for dental services and related oral health services.

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  • End of the year dental insurance to do list

    by Christopher A. Moore, MA - ODA Director of Dental Services
    11/10/2015
    ODA Today

    With the end of the year fast approaching, dentists should ensure their practice has acted on two third-party payer related issues before the New Year rings in.

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  • Medicaid HMO dental subcontractor agreement asks dentists to join agreement with important part missing

    by Christopher A. Moore, MA - ODA Director of Dental Services
    10/12/2015
    ODA Today

    More than 2.6 million Ohioans are covered by Medicaid, the state and federally funded health insurance program that covers low-income adults, children, pregnant women, senior citizens and individuals with disabilities.

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  • Another third-party payer moves to pay dentists in an objectionable manner

    by Christopher A. Moore, MA - ODA Director of Dental Services
    9/3/2015
    ODA Today

    Another third-party payer has been identified as paying dentists with a modality that many dentists find objectionable.

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  • 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.

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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.