Audits
Resources and information on dental plan audits; understanding the audit authority of third party payers and requirements; and best practices for patient records.
Clinical Chart Documentation Guidelines
This guide demonstrates patient record best practices. Thorough and accurate patient records are one of your most important tools for telling the story of what happens during treatment.
Patient Records - Requirements and Best Practices
Format and content, patient access to records and requests to amend, disclosure of information, data breach notification, retention and disposal, transferring records in a sale.
Payment Dispute Resolution Forms and Processes
There are two levels for appealing payment disputes: first with the plan itself, then with the appropriate regulatory agency. This resource provides a detailed list of contacts and appropriate processes to follow.
The Associate Dentist’s Role in Audits, Complaints and Dental Board or Dental Plan Grievances
When it comes to dental care, patient satisfaction is key, However, despite our best intentions, things may not always go…
Understanding Dental Benefit Plan Audits
Understanding dental plan authority in quality assurance assessment audits, requirements for the dental practice and best practices for patient records.
Understanding the Claim Appeal Process
California law requires every dental plan to have a formal procedure that providers can use to dispute/challenge actions/decisions made by the plan. Overview of plan legal requirements, steps to appealing claims, filing a payment disputes.