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Insurance: Page 88
Insurance marketplaces: Comparing pediatric dental plans, costs
By
Donna Domino
Health insurance marketplaces offer a variety of dental benefits, but figuring out which ones are best for pediatric coverage is complicated, according to a new ADA research brief. In part two of
DrBicuspid.com
's coverage of the study, we look at provider networks and deductibles, and compare costs for standalone dental plans and medical plans with embedded dental benefits.
April 9, 2014
Will Fla. bill help kids' dental or serve middlemen?
By
Rob Goszkowski
The Florida House of Representatives has passed what could be yet another change to its pediatric dental Medicaid program. If passed, the bill would carve dental benefits out from the rest of Medicaid. But would it help patients or the companies that pay providers?
April 8, 2014
Praise for prosecutors: Ind. attorney general sets high standard
By
Dr. Michael W. Davis
In this Second Opinion, Dr. Michael W. Davis analyzes the impact of the recent charges filed by the Indiana attorney general against principles and employees of a dental practice. Dr. Davis hopes this criminal case sets a template for future investigations and prosecutions of dental Medicaid fraud nationally.
April 8, 2014
Small Smiles owner to sell company
By
DrBicuspid.com staff writers
CSHM, which owns 54 Small Smiles dental clinics, has agreed to sell the chain after the company was recently excluded from participating in the Medicaid and Medicare programs by the U.S. Department of Health and Human Services.
April 6, 2014
Insurance marketplaces offer many options, limited information
By
Donna Domino
The ADA has released a new research brief on the dental benefit options in the new health insurance marketplaces. In this first part of
DrBicuspid.com
's coverage of the study, we look at federally facilitated and state-based marketplaces, standalone and embedded dental plans, and services covered.
April 6, 2014
3 dentists among 9 charged with Medicaid fraud at Ind. office
By
Donna Domino
The Indiana attorney general has filed Medicaid fraud and other criminal charges against three dentists and six others at a dental office in Anderson. The charges include forging documents and charging for deep sedation while lacking the necessary equipment.
April 3, 2014
Study: ER visits for dental problems cost nearly $1B a year
By
Donna Domino
Emergency room (ER) visits for dental problems cost nearly $1 billion per year, according to a new study in the
Journal of the American Dental Association
. The majority of those seeking dental ER care are poor and uninsured, the study found.
April 1, 2014
Report: NY paid $13.2M for questionable Medicaid services
By
Donna Domino
Some 29 New York state dentists and orthodontists received $13.2 million in Medicaid payments in 2012 for services that appeared unnecessary or may not have been performed at all, according to a new report by federal health investigators.
March 27, 2014
NH's planned Medicaid expansion omits adult dental care
By
DrBicuspid.com staff writers
The New Hampshire Senate recently passed a bill to expand the state's Medicaid program but left out adult dental care.
March 19, 2014
Promoting ethical code on agenda of DGPA
By
Tony Edwards
During a period of time when dental group practices are under increased pressure because of the high-profile actions of particular organizations, the Dental Group Practice Association (DGPA) is implementing a new ethical code that works to ensure practitioners put their patient's healthcare first.
March 19, 2014
Congressional committee has continuing concerns about DMSOs
By
Donna Domino
A congressional oversight committee expressed impatience that little has been done to rein in scofflaw dental management service companies (DMSOs), according to a recent letter to the Office of Inspector General (OIG). The OIG subsequently excluded the owners of the Small Smiles dental chain from federal healthcare programs for multiple breaches to a compliance agreement.
March 17, 2014
ADA: Exempt dentists from Medicare enrollment for drug claims
By
DrBicuspid.com staff writers
The ADA is urging federal health officials to exclude dentists from proposed regulations that would deny claims for Medicare Part D drugs unless the prescriber is enrolled in Medicare or has a valid opt-out affidavit on file.
March 12, 2014
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