Insurance: Page 42

Extra dental care charge for boy with autism angers parent
By Melissa Busch
A family in Illinois was shocked when it was hit with a $75 behavior management fee for the dental care of its 10-year-old son who has autism. The fee, which is not covered by the family's insurance, has left the boy's dad irate and refusing to pay it, according to news reports.
March 15, 2020
2019 06 12 18 52 1138 Insurance Check 400
ADA, AAPD asks Medicare, Medicaid to cover more procedures
By Melissa Busch
The ADA and the American Academy of Pediatric Dentistry (AAPD) want the Centers for Medicare and Medicaid Services to expand procedures included in value-based insurance plans and continue automatic reenrollment.
March 5, 2020
2019 11 18 21 44 1279 Insurance Computer 400
Patients got hepatitis, HIV from lax infection control, suit claims
By Melissa Busch
Three patients who claim they were infected with hepatitis C and HIV from dirty dental instruments are suing the public health clinics in Texas where they underwent procedures, according to a news report.
March 2, 2020
2020 03 03 00 02 3000 Dentist Hygienist Tools 400
Blue Cross Blue Shield debuts value-based plan in Mass.
By DrBicuspid.com staff writers
Blue Cross Blue Shield of Massachusetts has partnered with 42 North Dental to expand its value-based payment model to dentistry.
February 26, 2020
2019 11 18 21 44 1279 Insurance Computer 400
Dentist agrees to pay $135K to settle patient rewards scheme
By Melissa Busch
A dentist and his practice in Massachusetts have agreed to pay $135,000 to resolve allegations that they operated an illegal kickback scheme in which patients won prizes, like Apple TVs and gift cards, for more appointments and referrals and led to improper reimbursements from the state's Medicaid program.
February 25, 2020
2018 08 30 18 07 7208 Settlement 400
Dentist pleads guilty to $700K in Medicaid fraud
By Melissa Busch
A St. Louis-area dentist has pleaded guilty to defrauding Illinois Medicaid out of about $700,000, according to news reports. He will lose his license to practice dentistry in the state and pay restitution as part of the consent decree.
February 24, 2020
2020 02 24 22 31 4493 Money Bills 400
Proper clinical notes are necessary for dental claims payment
By Dr. James V. Anderson
Clinical notes have always been a standard for creating narratives that get claims paid because they support the necessity for the services rendered. "If it isn't written, it didn't happen" still rules the courts when it comes to proper documentation of care, writes Dr. James Anderson.
February 19, 2020
2019 09 24 21 39 2685 Anderson James 400
8 reasons to try email encryption, electronic claim solutions
By Christine Alfano
You likely have a solid understanding of why it's beneficial to migrate away from manual, paper-based processes in your practice, but have you considered a safe way to implement your day-to-day communications? Christine Alfano of Vyne shares eight reasons why you should adopt encrypted email and electronic claims attachment services.
February 18, 2020
2020 02 11 21 50 7646 Alfano Christine 20200211211229
Quebec dentists withdraw from public dental plan
By DrBicuspid.com staff writers
The Association of Dental Surgeons of Québec in Canada said it's withdrawing from the public dental plan as of February 18 over an impasse in negotiations with the Ministry of Health and Social Services.
February 17, 2020
2019 10 25 16 40 3305 Canada Flag 400
Dentist gets prison for illegal prescriptions, Medicare fraud
By Melissa Busch
A dentist in Missouri was sentenced to 18 months in prison for making false statements to Medicare and illegally issuing prescriptions for narcotic opioid drugs without a legitimate medical purpose. The dentist provided about 14,000 units of antianxiety and opioid drugs to a woman he had a personal relationship with for more than 10 years.
February 6, 2020
2019 11 18 21 56 1545 Handcuffs Gavel 400
Former Mo. dental clinic owner-husband gets prison term
By Wayne Forrest
A former Missouri dental clinic owner was sentenced to prison for his role in a fraud scheme with his co-owner wife involving their clinics. She has already been sentenced to prison for multiple fraud schemes totaling more than $1 million in Medicaid payments, failing to pay payroll taxes, and collecting ineligible unemployment benefits.
February 5, 2020
2017 07 13 13 58 52 771 Money Handcuffs 400
Understanding the 3 most important terms in dental claims filing
By Dr. James V. Anderson
No one wants to receive a returned claim in which the services provided were "disallowed" by the insurance company. It is vitally important to understand the claim language to understand the steps to follow to appeal the payment decision, notes Dr. James Anderson. He explains what you need to know to correctly file an insurance claim.
February 3, 2020
2019 09 24 21 39 2685 Anderson James 400
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