Category: Federal Regulations

Acquisition of Controlled Substances

by: Duane Tinker Controlled substances may be acquired only by an individually registered practitioner. They cannot be combined with those acquired under another registration. When multiple practitioners at one location wish to centralize controlled substances, they are allowed to do so under the concept of a “principal practitioner.” Federal regulations in 21 CFR 1301.22(b) allow [..]

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Dentist Faces 35 Years in Prison for Billing Errors You Have Probably Made this Week!

On August 11, 2015 the Hartford Currant published a news article that should terrify every dentist who participates with Medicaid. Whether you are a Medicaid provider or not sit down and read this! Dr. Thomas DeRienzo, owner of Plantsville Family Dentistry in Plantsville, Connecticut, “was charged with first-degree larceny by defrauding a public community, second-degree [..]

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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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