Category: Dental Insurance & Medicaid

Christopher A. Moore, MA - ODA Director of Dental Services The Ohio Dental Association has received a number of calls over the past year from ODA member dentists with questions concerning participating provider contracts they have entered into. The questions typically involve whether the contracting insurance company is allowed to administer the ... [continue reading]

Speakers at the April Ohio Dental Association Leadership Institute addressed a number of topics related to leadership and dentistry in general. One thought provoking segment of the conference was produced during a session on employment issues and dentistry that was presented by ODA Director of Legal and Legislative Services Keith Kerns. Among the ... [continue reading]

Christopher A. Moore, MA - ODA Director of Dental Services The Ohio Dental Association routinely receives calls from ODA member dentists’ offices regarding the form they are asked to complete in order to either be credentialed by a third-party payer they want to contract with or re-credentialed by a payer they already contract with. The ... [continue reading]

Christopher A. Moore, MA - ODA Director of Dental Services The American Dental Association has filed a number of class action lawsuits aimed at defending the dentist-patient relationship and halting what the ADA has seen as unlawful insurance industry practices since the turn of the century. These legal actions had national significance to ... [continue reading]

Christopher A. Moore, MA - ODA Director of Dental Services Dealing with dental insurance can present dentists with a number of situations that have legal and/or ethical ramifications. Some of the issues involved are rather obvious and well established while others are new and in some cases not quite as clear cut. Misrepresentation, AKA insurance ... [continue reading]

Christopher A. Moore, MA - ODA Director of Dental Services Laws affecting dental insurance and dental benefit plans can significantly impact the typical dental practice. Ohio dentists should be aware of three pieces of legislation considered by the just completed session of the state legislature that will likely be re-introduced in some form to ... [continue reading]

Christopher A. Moore, MA - ODA Director of Dental Services      Please note the following information is generally applicable in situations where the dentist is not contracting with the third-party payer. In contracting situations, the dentist needs to adhere to the terms of his or her contract with the third-party ... [continue reading]

Christopher A. Moore, MA - ODA Director of Dental Services Should dentists receive third party payer reimbursement for providing dental services to family members? The American Dental Association says yes, but some insurance plans say no. The Ohio Dental Association has recently received a number of calls from member dentists who have received ... [continue reading]

Christopher A. Moore, MA - ODA Director of Dental Services      The Ohio Dental Association House of Delegates (HOD) addressed three dental insurance issues during its just completed annual meeting in Columbus. The House’s actions established official policy on silent preferred provider organizations (PPOs), craniofacial ... [continue reading]

Christopher A. Moore, MA - ODA Director of Dental Services       Over the past year the Ohio Dental Association has received a very small but increasing number of reports from ODA member dentists concerning letters they have received from insurance companies relative to utilization review related issues. Both contracting ... [continue reading]