Steps to Comply with the No Surprises Act Information regarding the requirements to comply with the No Surprises Act which became effective January 1st, 2022. The No Surprises Act is an effort to protect individuals and provide transparency related to health care costs. Instructions as well as samples of the required notification and the Good Faith Estimate are included. View resource Steps to Comply with the No Surprises Act
Teledentistry Consent and Notice This form serves both as a notice that complies with the Dental Board’s requirement and to obtain informed consent for teledentistry. View resource Teledentistry Consent and Notice
Teledentistry FAQs Telehealth/teledentistry coding options, consent, and resources. View resource Teledentistry FAQs
Teledentistry billing codes Remember you must accurately code for the treatment rendered. The following codes could be viable options for teledentistry coding during this crisis: View resource Teledentistry billing codes
Is it a covered benefit? Understanding the noncovered services law Understand the CA law that regulates what dentists can charge patients for procedures that the policy does not cover AB 2275. View resource Is it a covered benefit? Understanding the noncovered services law
Billing dentists: Learn how to properly bill when another dentist performs treatment Understand the risks involved in billing improperly during practice transitions. View resource Billing dentists: Learn how to properly bill when another dentist performs treatment
Considerations When Billing for an Associate Overview of the payment arrangements to consider once an Associate begins providing treatment in a dental practice. View resource Considerations When Billing for an Associate
Dental Benefit Plan Handbook – Chapter 09: Managing Payment Problems Learn about your rights and actions you must take when dealing with refund demands made by dental benefit plans. View resource Dental Benefit Plan Handbook – Chapter 09: Managing Payment Problems
Dental Benefit Plan Handbook – Chapter 08: Explanation of Benefits Understand the elements of the Explanation of Benefits and what to look for. View resource Dental Benefit Plan Handbook – Chapter 08: Explanation of Benefits
Dental Benefit Plan Handbook – Chapter 07: Billing Medical Plans Learn cross-coding: billing medical insurance in a dental office; how to select the correct CPT code and ICD-10 codes when billing medical plans. View resource Dental Benefit Plan Handbook – Chapter 07: Billing Medical Plans
Dental Benefit Plan Handbook – Chapter 06: Completing and Filing the Claim Form Common reasons for claim delays and denials; correct use of procedure codes, Tax Identification (TIN) and National Provider Identification (NPI); practice’s fee schedule and radiographic image attachments; electronic claim (E-Claim) filing. View resource Dental Benefit Plan Handbook – Chapter 06: Completing and Filing the Claim Form
Dental Benefit Plan Handbook – Chapter 03: Verification and Explanation of Dental Benefit Coverage Tips for verifying coverage with a patient's plan and providing explanation to help patients interpret benefits, limitations, exclusions, financial responsibility and how to maximize coverage. View resource Dental Benefit Plan Handbook – Chapter 03: Verification and Explanation of Dental Benefit Coverage
Dental Benefit Plan Handbook – Chapter 01: Understanding Dental Benefit Plan Coverage Overview of the types of dental coverage and the differences between dental and medical coverage, in order to aid dentists in explaining dental coverage to patients. View resource Dental Benefit Plan Handbook – Chapter 01: Understanding Dental Benefit Plan Coverage
Current CDT code books Dentistry is an ever-evolving field, and CDT codes are critical to the everyday workings of dental practices. View resource Current CDT code books
Sample Letter to Third Party Payer for Temporary Dentists This letter may be used to notify Third Party Payers when a temporary dentist will be filling in for dentist out on leave. View resource Sample Letter to Third Party Payer for Temporary Dentists
Prevent Billing Problems and Stress During Leaves of Absence Understand how a dentist's absence in the practice could result in dental claim processing issues and how to develop a plan of action to reduce complications. View resource Prevent Billing Problems and Stress During Leaves of Absence
Benefit Breakdown Form Form to aid dentists in verifying their patients' dental benefits in order to provide the best possible treatment estimate. View resource Benefit Breakdown Form
Dental Plan Questions are Attempt to Ascertain Primary Payer Clarifying dual insurance and coordination of benefits "rules" when it pertains to the children of divorced parents. What questions to ask and the "rules" surrounding who is primary and secondary. View resource Dental Plan Questions are Attempt to Ascertain Primary Payer
Financial Agreement and Consent Form Tool to utilize during the patient financial discussion to document financial options presented, patient obligation and financial consent. View resource Financial Agreement and Consent Form
Professional Courtesy for Dental Treatment: An Employee Benefit Outlines sample policy language and considerations for billing when employees have dental benefit plan coverage. View resource Professional Courtesy for Dental Treatment: An Employee Benefit