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  • Dentists potentially impacted by recent Medicare action

    by Christopher Moore, MA - ODA Director of Dental Services
    8/7/2014
    ODA Today

    Recent actions by the federal government will again impact dentists treating patients who have health care benefits through Medicare. This time it involves prescriptions for medication for Medicare Part D drug plan covered patients.

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  • Coordinating benefits with private insurance, PPOs, DHMOs and Medicaid

    by By Christopher Moore, MA - ODA Director of Dental Services
    7/2/2014
    ODA Today

    Patients fortunate enough to be covered by multiple plans typically benefit by having a lesser out-of-pocket expense. Their multiple coverages, however, present administrative issues for the dental office.

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  • ODA Dental Insurance Working Group and addressing dental insurance disputes

    by Christopher Moore, MA - ODA Director of Dental Services
    6/11/2014
    ODA Today

    Most dental offices will appeal an inappropriately denied claim on the patient's behalf and/or follow-up with the insurance company on delayed or slow pay claims. If these actions do not prove successful, then the dentist may want to consider additional action steps.

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  • Overpayment recovery

    by Christopher Moore, MA - ODA Director of Dental Services
    5/1/2014
    ODA Today

    Can an insurance company withhold payment for one patient because it made an overpayment for a different patient? Or, can an insurer withhold payment for one dentist's patient because it made an overpayment to a different dentist? And, if they can do these things, how far back can they go, six months, nine months, a year, longer?

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  • HIPAA updates highlight potential online security issues

    by Christopher Moore, MA - ODA Director of Dental Services
    4/4/2014
    ODA Today

    Last year, HIPAA was updated to include several regulatory compliance obligations, and the 2013 rules also highlighted some existing practice management implications that dentists need to consider.

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  • PPO re-credentialing letter generates many questions

    by Christopher A. Moore, MA - ODA Director of Dental Services
    2/28/2014
    ODA Today

    A recent re-credentialing letter that was mailed to Ohio dentists has sparked a flurry of calls to the Ohio Dental Association.

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  • Ohio's electronic claims submission and payment law

    by Christopher A. Moore, MA - ODA Director of Dental Services
    1/31/2014
    ODA Today

    The Ohio Dental Association is again receiving calls from dental offices concerning the Ohio law that governs the submission and payment of electronic claims.

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  • Third-party payers are watching

    by By Christopher A. Moore, MA - ODA Director of Dental Services
    1/3/2014
    ODA Today

    Third-party payers are using auto-adjudication to process more claims than ever.

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  • In-office dental plans

    by By Christopher A. Moore, MA - ODA Director of Dental Services
    12/3/2013
    ODA Today

    The Ohio Dental Association has recently fielded questions related to dentists offering their own in-office dental plans.

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  • Old issues still raising concerns and possibly costing dentists money

    by Christopher A. Moore, MA - ODA Director of Dental Services
    11/4/2013
    ODA Today

    The Ohio Dental Association is again receiving calls from member dentists on issues that have arisen within the past five years and continue to generate concern and confusion. They include the payment method of a small number of third party administrators (TPAs) and the use of electronic health records.

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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.