Many dental insurance companies do audits in dental practices in order to detect fraud (“Understanding dental plan audit authority” 2017). Dental practices under insurance companies must comply with their audits (“Understanding dental plan audit authority” 2017). Clinics should never engage in illegal activities, but organized...
Some dentists would commit fraud by charging patients and Medicaid for unperformed treatments in order to get “unauthorized benefits” (Lewis Jr. and Farragher 2013). Patients may not be aware about being overbilled since “[many of them] are sedated when the work is performed. Even if...
Many dental practices set the prices of their treatments and services differently. Patients need dental care, “but they avoid treatment due to cost or fear of cost” (Monahan 2017). While patients consider the prices of the dental practices, they also consider the quality of dental...
It may be one of the top three questions I get when a new office contracts for medical billing services. Should I participate in Medicare? Just like with any other insurance there is no easy answer for this - a majority of it depends on...
I will say the two words I most dreaded hearing as an office manager were the terms "medically necessary". It can be such an ambiguous term and it's true criteria can elude even the most seasoned doctor and OM. Then the term takes on a...
People can pay for products and services on their cell phones or tablets (Brian 2016). Keith Drayer, “vice president of Henry Schein Financial Services (HSFS),” and Chris Lee, “president of Moneris’ US division,” cited an eMarketer estimate, in which there would be “a 210% growth...
Many people pay for their dental treatments with their debit and credit cards (Drayer and Lee 2016). Stuart J, Oberman, Esq., who “handles a wide range of legal issues for the dental profession, including cyber security breaches,” states, “In fact, many hackers specifically target small...
Dental clinics must always be transparent about the patients’ responsibility for the costs of their treatments and services (Hayden 2016). Patients must pay for them, but sometimes they cannot pay their bills right away or on time for reasons, such as not having enough money,...
Some people may not be able to afford dental care because, for example, they may not have insurance or a discount plan. Dental treatments are crucial in bettering patients’ oral health. Clinics could offer discounts and courtesies to help and attract patients who could not...
Dental insurance contains conditions that would frustrate some patients. Without insurance, some patients may not go to the dentists. In the dentists’ case, these patients are lost revenue. Dental discount and saving plans could help dentists offer alternative discounts to patients, but they contain their...