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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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  • 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.

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  • 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.

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  • 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.

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  • 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.

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  • 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.

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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.