Vaccine Facts and Communications

Encourage vaccination with resources for flu and covid-19 vaccines and pregnancy.

Step 5: Billing & Reimbursement

CDA provides the following billing information and FAQs to help dentists better understand their rights under AB 526.

California Department of Managed Healthcare - Information on Provider Complaints

After filing a provider dispute/complaint/appeal with a dental plan, learn how to file a 2nd level provider complaint with the California Department of Managed Healthcare.

Air Tank and Compressor Inspection and Permit

An overview of the Cal/OSHA requirements for a dental practice to have an air compressor/tank permit.

Meal and Rest Break Printable Sign

If you want to reduce your risk of labor litigation, it’s important you understand California’s meal and rest break requirements.

Certification of Health Care Provider - Employees or Family Members Serious Health Condition

Use this CRD form to request certification from a health care provider for CFRA leaves due to the employee’s own serious health condition or that of a family member.

This for may be used for CFRA and non-CFRA medical leaves of absence or other requested accommodations due to a qualifying disability or serious heath condition.

Benefit Breakdown Form

The quickest and easiest way to verify dental benefits for your patients is through the dental plans’ convenient online portal access where you can view, download, and print a patient’s benefit breakdown. This form may be used when verifying patients' dental benefits via telephone or to supplement the information provided on the dental plan’s online portal.

Understanding Breaks, Leaves, and Pay Transparency Laws to Prevent Costly Penalties

Employee meal and rest breaks, leaves of absence, and other employment matters are the focus during the first quarter of 2023. CDA members are invited to take the Q1 Practice Health Check consisting of just three questions.

Sample Job Advertisement Text

Sample advertisement text for common positions found in a dental practice.

Health History Form: Confidential (English & Spanish)

This form should be completed by each new patient or a new patient’s legal guardian. Additionally, this form should be reviewed at each patient appointment with changes noted and signed for. Used with permissions from TDIC.

June 23, 2022: Dentists Initiating and Administering Vaccines

Dentists are authorized to administer flu and COVID-19 vaccines. The Dental Board has adopted related regulations on training, continuing education, notification and reporting.

Uptick in Quality Assessment audits by Delta Dental of California

CDA has received an influx of member inquiries regarding the recent wave of Delta Dental of California’s Quality Assessment audits. On-site reviews are part of Delta Dental’s Quality Assessment program for contracted dentists in California, mandated by the California Department of Managed Health Care. These reviews evaluate many components of a practice compared to the expectations of dental professionals, regulatory agencies and Delta Dental.

Declination of Employer Recommended or Required Influenza (flu) Vaccination

Form to document employee refusal of recommended or required flu vaccination.

Patient Request to Restrict Disclosure of Patient Health Information to a Dental Benefit or Health Care Plan

Includes information on this patient right to restrict disclosure of patient health information to a dental benefit or health care plan and a sample form to use for a patient who requests such a restriction.

Caregiver’s Authorization Affidavit

A minor patient who does not have a parent in their life may be under the care of a family member who is not a legal guardian. Use the affidavit when the family member seeks dental treatment for the minor.

 

Patient Notifications and Disclosures Checklist

This is a checklist of required patient and public notifications and disclosures.

Final Pay Explained

California law requires employees receive their final paychecks within a certain time based on the reason they separated. 

Required Bereavement Leave Sample Policy

Effective, January 1, 2023, the California Family Rights Act (CFRA) requires employers of 5 or more employees to provide eligible employees with 5 days of bereavement leave. 

30-60-90 Day Performance Evaluation

Studies show employee retention increases when employers invest in the initial first months of employment. Doing reviews at the first 30, 60, and 90 days of an employee's tenure with a practice is a great way to provide them with feedback on their performance, and it offers them the opportunity to tell you what is going well and where they need help. Use this form to conduct and document 30-60-90-day reviews with your new employee.  

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.

Certification of Health Care Provider for Employee Return to Work

A form for use by California employers to comply with the California Family Rights Act (CFRA).

CFRA Designation Notice

Designation of a CFRA leave is a two-step process: employee notice of the need for a CFRA leave and employer designation of the leave as CFRA leave.

Sample California Family Rights Act (CFRA) Policy

Employers of five (5) or more employees must provide information about their CFRA policy and post this information in a conspicuous place where employees tend to gather.

Small Employer Guide to California Family Rights Act (CFRA)

A comprehensive resource to help employers navigate the complexities of CFRA compliance as of January 1, 2021, including determining employee eligibility, meeting time-sensitive obligations and managing leave.

How to Assess Practice Fees, Dental Benefit Plan Participation and Billing Accuracy 

Dentists are encouraged to review and analyze their procedure fees annually to ensure their usual, customary and reasonable fees will keep pace with several factors, including the state of the economy. The material, laboratory, technology and labor costs for the provision of some dental procedures can change over time and should be factored into consideration.

Oct. 6, 2022: Information Blocking Rule

Enforcement of this rule, which is to improve patient access to their electronic health information, is expected to commence on this date. For more information see “Information Blocking Rule Q&A.”

 

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