Live Events

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PPOs: The Ins and Outs

  • Navigating PPOs can be challenging, to say the least. We will discuss key points of PPOs and how to administer PPO claims. A few of those key points are fee capping of non-covered services, optional services, when to submit claims (prep or seat), and much more! Q&A session at the end of the presentation.

Learning Objectives:

  • Distinguish PPO contract basics 

  • Understanding Processing Policy Manuals and its common provisions

  • Gain a clear understanding of how to determine when you can charge your full fee for a non-covered service

Audience: Dentists, Business team members, Office Managers

Upcoming Events

January 12, 2021 -- CDT 2021 Coding Update

CDT 2021 update

  • CDT procedure codes are reviewed and updated on an annual basis. CDT 2021 is effective for all dates of service beginning January 1, 2021. It is important for the entire dental team to review all CDT changes to ensure compliance and prevent claims processing delays. The deletion or addition of one word in a code nomenclature or descriptor can affect how the code is utilized. Don’t wait until denials are received because a deleted code was submitted, educate your team now. A Q&A session will follow the presentation. 

Learning Objectives:

  • In depth review of CDT 2021 new, revised and deleted codes

  • Learn who maintains CDT and how code changes are determined

  • Learn coding guidelines when selecting the proper code 

Audience: Dentists, Dental Assistants, Hygienists, Business Team Members, Office Managers

February 9, 2021 -- Discounts and Copay Forgiveness

Discounts and Co-Pay Forgiveness 

  • All dentists discount fees on occasion. How often is too often? What is copay forgiveness and is it appropriate? In this webinar we will discuss when and how to apply a discount and about the legality of copay forgiveness. If you are giving patients discounts then this course is a must! A Q&A session will follow at the end of the presentation. 

Learning Objectives:

  • Properly apply a discount when insurance is involved

  • Learn the legality of copay forgiveness

  • Understand how discounting and copay forgiveness relates to overbilling and misrepresentation of fees

Audience: Dentists, Dental Assistants, Hygienists, Business Team Members, Office Managers

March 16, 2021 -- Back To Dental Insurance Basics

Dental Insurance – Back to the Basics

  • Even the most seasoned dental team member should go back to the basics on occasion. This course will be beneficial for all dental team members including those new to dental insurance. The treating doctor is ultimately responsible for all information submitted to an insurance payer. To ensure proper submission of claims, the team should keep up with the ever changing world of dealing with insurance. A Q&A session will be included following the presentation. 

Learning Objectives:

  • Review the current 2019 ADA Dental Claim Form and learn how to submit a clean claim

  • Know the structure of a CDT code and coding guidelines such as submitting multiple surface restorations, proper submission of crowns as it applies to different materials and much more!

  • Gain an understanding of self-funded and fully-insured plans, summary plan description vs a plan document and how this understanding can assist with appeals, etc. 

Audience: Dentists, Dental Assistants, Hygienists, Business Team Members, Office Managers

Past Events

October 27th, 2020 -- Coordination of Benefits

Navigating the maze of dual insurance.  Dilaine Gloege and your host Josh Smith address several issues offices face when dealing with coordination of benefits.

Coordination of Benefits -- Navigating the Maze of Dual Insurance.

 

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