Delta Dental delays fee structure changes
Delta Dental of California has announced a delay in implementing fee structure changes for endodontists, periodontists and oral surgeons. Due to uncertainty caused by COVID-19, Delta said it plans to delay the implementation date of Jan. 1, 2021, to July 1, 2021.
November 04, 2020
Dental Benefit Plans News
Claim denials: Know your rights when filing an appeal
It is important that dentists and their teams know and understand their rights when appealing a claim denial and how the law can protect you and your patient. To minimize the frustration of dealing with a claim denial, it is important to understand how a lot of claims are processed today.
October 29, 2020
Practice Support
Is it really scaling and root planing?
CDA Practice Support is receiving calls from dentists and their staff concerning claim denials for scaling and root planing services by dental benefit plans. In this article, I review the criteria utilized by dental plans when reviewing claims for scaling and root planing and why some of the plan denials are correct based on the American Dental Association’s definition of scaling and root planing.
August 26, 2020
Billing
Offering a discount dental plan in the practice ― the basics
Patients with some form of dental coverage or benefit to offset their out-of-pocket cost are more likely to accept a treatment plan. Offering an in-house discount plan can assist with attracting new patients and help retain existing patients, particularly those patients without any form of dental coverage.
July 29, 2020
Billing
Fee reduction for 2,200 endodontists, periodontists and oral surgeons across California
CDA was notified by Delta Dental of California that it will reduce fees for periodontists, endodontists and oral surgeons in its Premier provider network. Delta Dental sent letters to Premier providers to explain changes to its fee structure, which will affect approximately 2,200 specialists statewide. Originally, the fee reduction was to take place July 1, 2020, but on April 4 Delta Dental announced it will postpone the effective date to Jan. 1, 2021.
March 02, 2020
Fees/Discounts/Refunds
Medicare Advantage might just give your practice an advantage
With baby boomers exiting the workforce and losing their employer-sponsored dental coverage, consumers are enrolling in Medicare, the federally administered health care program for all seniors age 65 and older. Practice Support has seen an uptick in member calls related to Medicare Advantage dental plans due, in part, to the aging patient population in their practices and increased Medicare enrollment.
February 17, 2020
Contracts