Category: Affordable Care Act

In the World of Compliance Keeping Up with the Jones’s is a Bad Idea!

Check out Duane Tinker’s blog on The Dentists’ Network!    Here are some related Articles for your viewing pleasure: [su_posts id=”2371,2381,2317,2260,2230,2210,2087,1871,1868,1863″]   You need to understand your compliance strengths and weaknesses. You need to address your weaknesses. I invite you to complete a free self-audit at www.DentalCompliance.com. A former Law Enforcement Officer/ Dental Board investigator [..]

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Are your Clinical Records Good, Bad or Ugly?

I audit lots and lots of dental records. I like the challenges of auditing detailed records, as I have to pay close attention to identify potential documentation and billing issues. Unfortunately (and all too often) the records I have to audit are not detailed and result in a lot of red ink on my audit [..]

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Hydrocodone Combinations Reclassified as Schedule II

Due to widespread abuse of Hydrocodone Combination Products (HCPs) such as Lorcet, Lortab, Norco and Vicoprofen the DEA has been on a mission to reclassify all dosage concentrations as schedule II controlled substances. Currently (and prior to this change) straight hydrocodone and dose concentrations greater than 15 mg we already assigned to schedule II, which [..]

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A Tour of e-Prescribe Programs for Dentists

In recent years the federal government has pushed providers to go electronic with their patient records. Heck, they even developed the EHR incentive program to encourage (bribe) qualified providers to go electronic. The day is coming when this will be required for all healthcare providers. Fortunately, this date keeps being pushed back. I frequently hear [..]

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Now Is The Time For You to Have an Independent Dental Chart Audit

Sometimes we don’t want to do the things that are good for us. Dentist delay, thinking “I just don’t have the time,” or “it’s too expensive” or “I haven’t had a problem so far, why bother?” Why wait until a crisis occurs and you scramble to find the right attorney and resources to help you [..]

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No Background Checks? Dentists Could Be Check-mated!

Previously we discussed the implications of providing care under ANY government-subsized Dental program (especially, but not exclusively as a part of the ACA), and how the onus now falls on YOU, the provider, to ensure your on-going eligibility for those funds. In outlining the increasingly stringent oversight attached to this money, you could find yourself [..]

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If Birds Of A Feather Flock Together, Your “Flock” Could Cost You!

There are many uncertainties about the Affordable Care Act. Despite the uncertainties, there are some parts of Obamacare that are crystal clear…especially when it comes to MONEY. Let’s look at a one of them. Many states are expanding their Medicaid programs, which will extend eligibility to millions. Medicaid programs provide Dental care for children. This, [..]

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Dentists Get Stretched On The RAC

In an experiment several years ago the Federal government piloted a program to efficiently identify underpayments, overpayments and identify fraudulent activity related the Medicare program. The Recover Audit Contractor (RAC) program was born. Under RAC private auditors review claims data and identify underpayment, overpayments, and indicators of fraud. The contractors propose a particular issue of [..]

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