Category: Record Keeping

Government Fines Increasing (and Why You Should Take Note)

In less than 7 minutes I will convince you to get rid of Medicaid, Get a Compliance Program or Surrender your Dental License. Will you accept my challenge? OSHA’s Fine Increase OSHA recently announced they are raising their maximum fines amounts. Effective August 1, 2016 maximum fines for serious violations will jump from $7,000 per [..]

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Outliers and Auditors

Few people enjoy having someone look over their shoulders and mind their business. Now, more than ever, ‘outsiders’ will be minding your business. Insurance carriers, like Medicaid organizations, are watching dental insurance claims to identify ‘outliers’ or those who stick out as compared to their peers in the number and type of claims submitted for [..]

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The Case for Dental Record Auditing

Sadly, few dental practices audit patient records. A lot can be learned from auditing including identification of incomplete or inadequate documentation/ paperwork, missed billing opportunities, issues that can result in recoupments (even criminal prosecution), and a host of other issues. Physician practices and hospitals routinely audit for compliance, risk management, revenue cycle and quality of care [..]

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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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