Davy Clay is an Expert Dental Billing Consultant with 10+ years experience working in the dental billing and dental insurance industry. 26110 Santa Ana, CA 92799-6110 and Hotline … Companies should be required to respond to billing inquiries within a specified period of time. A review of the dental record indicated that medical history, initial examination, x-rays, and photographs had been repeated by the celebrated dentist prior to treatment. However, billing these treatments to medical insurance involve many rules and caveats. There are many reasons why accepting Medicare could be a beneficial change for your practice. 1. Now, as CEO of Medical Billing for Dentists, Dr. Lipsey shares his first-hand knowledge of the challenges faced by dental practices in balancing the best patient care with the limitations of the present system of insurance and billing. Depending on the extent and amount of the fraud, providers may have to pay huge fees or spend time in jail. Dental Fraud The owner of a mobile dental practice, his office manager, billing manager, and four dentists employed by the practice were indicted for allegedly upcoding or billing Medicaid for more expensive services … Certification as a medical biller demonstrates one's knowledge and skill in the field of medical billing and can help one get a job as a medical biller and earn more in pay. To contact Glasscoe for speaking or consulting, call (301) 874-5240 or email [email protected] Josh Smith, CDC Josh Smith is a co-founding partner of Dental … Phone: 1-800-633-4117 (1-800-MEDICARE) TTY: 1-877-486-2049; Report questionable billing practices to your insurance company’s antifraud department. Many dental practices do not accept Medicare due to the complicated procedures associated with billing. Dental Practice Act Business & Professions Code beginning at Section 1600; Existing Regulations: The Dental Board's regulations are under TITLE 16, PROFESSIONAL AND VOCATIONAL REGULATIONS, DIVISION 10, DENTAL BOARD OF CALIFORNIA. If there is still a balance owed on that bill and the doctor or hospital expects you to pay that balance, you’re being balance billed. ... Dentists should be advised as to what factors and expenses should be taken into consideration when setting the dental fees for their practices … Anyone … Effective from: 1 July 2020. If the provider cannot resolve your billing concerns, report it. Whether you are an individual dentist, endodontist, orthodontist, or periodontist, we can help. State Restrictions on Debt Collection Practices, Collection Lawsuits, Post-Judgment Remedies, and Repossessions Due to Coronavirus. Dianne D. Glasscoe, RDH, BS, is a professional speaker, writer, and consultant to dental practices across the United States. Its original intent was to protect the government against the fraudulent sale of supplies to the Union Army during the Civil War. If you are a network provider, you know that your provider agreements require you to file claims with the insurance carrier. Guidelines for scope of practice (182 KB,PDF). Working in both the medical and dental billing environment allows Dr. Lipsey to help … Under the terms of the original act, wrongdoers were forced to pay double damages and pay a $2,000 fine for each claim. With an Insurance degree from University of Georgia and MBA from Georgia Southern University, Davy started Dental ClaimSupport in 2012 after working for Howard Family Dental as the Head of the Billing Department running the billing for their eight practices. Good business practices. LIBERTY Dental Plan Attn: Provider Relations P.O. Medical billing fraud is a serious offense and isn't taken lightly by the federal government. 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