…word letter to a dental benefits company’s faceless dental consultant trying to explain why you treated a patient’s tooth a certain way when that consultant denied coverage for the procedure because the need for your treatment wasn’t obvious on the X-ray which you sent with the claim… There is no doubt that our treatment decisions… Continue Reading A picture is worth a thousand…
Like many of you, I’ve met with legislators to explain how the current Medicaid reimbursement rates don’t allow dentists to break even financially when treating MA patients. Far too often, our elected officials are quick to say that dentists won’t take MA patients even if the rates are increased which we know is simply not… Continue Reading Imperative Medicaid pilot update
Certain notices must be distributed around open enrollment. A company’s open enrollment period can be a hectic time for management, human resources and employees alike. However, during the enrollment process, employers should remember their disclosure obligations. Below are five key notices that must be distributed to employees around the open enrollment period: Summary Plan Description… Continue Reading Top 5 open enrollment notices
Have you experienced any denied claims with confusing explanation of benefits language? Have you seen plans use disparaging language on their EOBs to patients? Has this created turmoil in your doctor patient relationship regarding not only completed treatments but future treatment plans yet to be fulfilled? The American Dental Association has created a position statement… Continue Reading American Dental Association position on disparaging explanation of benefits statements
Professional Insurance Programs is proud to announce a new and exciting member benefit. The new WDA Association Health Plan, underwritten by WPS Health Insurance, is here! The new WDA Association Health Plan allows practices to be underwritten outside of “community rating.” This means there will be health underwriting and your group will be rated accordingly,… Continue Reading You asked, we listened!
Medical Protective and Professional Insurance Programs are pleased to announce that registration is now open for our annual Dental Risk Management Seminar. The topic this year is, “Ten Things I’m Concerned About in the Practice of Dentistry (And, you should be, too!)”. The seminar will be held on Sept. 15, 2017 from 8 a.m. –… Continue Reading Register now for 2017 Dental Risk Management Seminar
Many people feel secure in the fact that they have their homes and cars insured, in case something happens. But, what many fail to consider is properly insuring what pays for those things – their paycheck. Your paycheck is your most valuable asset; and, just as you insure your other valuables, you need to insure… Continue Reading Is your paycheck protected?
The WDA has received many calls from members asking if they must sign up for MetLife’s new policy that will require them to accept their reimbursements by electronic transfer. Any dentist who has received payments in the past received this letter. The ADA Practice Institute staff contacted MetLife about the concerns that not only does… Continue Reading MetLife pushing for electronic funds transfer
Did you know that 50 percent of U.S. households believe they need more life insurance?1 Life insurance is important during every stage of life, whether you’re single, married with or without kids or a mature couple making plans. Everyone has something or someone to protect. Think about life insurance for yourself or offer it to… Continue Reading September is Life Insurance Awareness Month
The 2017 Code on Dental Procedures and Nomenclature or CDT is now available with the most accurate and up-to-date dental procedure codes that offices and insurance companies use. The ADA now offers a CDT 2017 Coding Companion to go along with the CDT to help dental teams choose the correct code and reduce rejected claims.… Continue Reading Order CDT 2017 by Sept. 14 and save 15 percent