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Calibrate assures consistency in critical oral health-related functions, including detection, diagnosis, treatment planning, and insurance claim submissions. Dugoni School of Dentistry, have received American Dental Education Association (ADEA) grants to use Calibrate in their research, which will culminate in Q2 2025.
Stored patient data are not only essential to practice services, but also comprise protected health information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). Investing in cyber risk insurance is certainly a wise idea, but it doesnt cover all your bases when it comes to cybersecurity or data compliance.
Calibrate assures consistency in critical oral health-related functions, including detection, diagnosis, treatment planning, and insurance claim submissions. Dugoni School of Dentistry, have received American Dental Education Association (ADEA) grants to use Calibrate in their research, which will culminate in Q2 2025.
Challenges in insurance payments largely occur between insurance carriers and dental practices. While a practice seeks to collect payments from carriers, insurance companies reject claims that don’t fall within their parameters of acceptance and this happens often. . Impact on Staff and Cash Flow .
Additionally, many private insurers now include telehealth among their covered services. This includes federal laws – those issued under the 1996 Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act – as well as any applicable state laws.
Forgetting to address insurance before fully booking the appointment. Pre-qualify Patients by Asking for Insurance. For some patients in your practice, their first conversation with your office will be a call about what types of insurance you take. Ideally, your office accepts their insurance, and everything is excellent.
Does the insurance not pay you in full? The revenue workflow at a dental practice starts with every treatment completed and ends when the total receivables reach the practice account from the insurance carrier and the patient. Die at the insurance company if they reject your claim. By the insurance company. Or is it both?
Does the insurance not pay you in full? The revenue workflow at a dental practice starts with every treatment completed and ends when the total receivables reach the practice account from the insurance carrier and the patient. Die at the insurance company if they reject your claim. By the insurance company. Or is it both?
After 10 years of management and technology consulting in the dental industry, Song co-founded the dental tech company, Zentist, to bring automation to dental insurance claims processing and revenue cycle management. Dental insurance has become increasingly complex and is the cause for much antagonism between patients and providers.
In addition, you must look at laws like Health Insurance Portability and Accountability Act (HIPAA) , employment laws, and other international privacy laws like the General Data Protection Regulation (GDPR). When transitioning to a paperless dental office, you must comply with all applicable data privacy laws.
✅ Pre-qualify Patients by Asking for Insurance For some patients in your practice, their first conversation with your office will be a call about what types of insurance you take. However, patients and the front office tend to forget to address insurance, especially if the patient does not bring it up.
Verify that the clinic has: The necessary equipment and trained personnel: This includes monitoring equipment and stafftrained in emergency response procedures. Explore insurance: Check your insurance coverage to understand what portion of the costs might be covered.
Understanding HIPAA Compliance in Dental Practices Adhering to the Health Insurance Portability and Accountability Act (HIPAA) is a complex and legally required set of responsibilities. Another crucial aspect of dental HIPAA compliance is stafftraining.
HIPAA, the Health Insurance Portability and Accountability Act, is the legal standard for protecting sensitive patient data in health care, including in dental practices. We focus on the specifics of transitioning to digital forms, patient privacy, and stafftraining.
The Health Insurance Portability and Accountability Act (HIPAA) presents a series of detailed regulations that dental practices must navigate and follow. Regular Training and Updates StaffTraining: Conduct regular training sessions for staff on the latest compliance requirements and best practices.
Provide Adequate StaffTraining: Transitioning from traditional methods to a digital paperless environment can overwhelm some staff. Introducing a new system or software will require stafftraining. You must ensure staff members understand the new technology and how to use it properly.
Tip #4: Train your Dental Team When was the last time you thought about having your team brush up on their skills? Incorporating continuous dental stafftraining is a key component to happy, productive, and effective employees. Or what about your employee onboarding experience? Easy, right? That is not always the case.
Stafftraining should begin with clearly defined protocols for common tasks like scheduling appointments, verifying insurance, and collecting payments. Refine Front Office Systems The front office serves as the initial point of contact for patients and plays a critical role in setting the tone for their dental care experience.
Unlike private insurance predeterminations, the efficiency of the CDCPs approval system is still in question, which could lead to delays and additional work for dental teams. Investing in stafftraining and technology can help offset the additional workload, ensuring that patient care remains efficient and profitable.
Practice management integration Bi-directional syncing connects scheduling to patient records, billing, and insurance for a seamless workflow. Also partner on plans for stafftraining, patient education, and rollout. No more double data entry across systems. Share how it can alleviate scheduling headaches.
Long-Term Operational Communication : Discussions around practice management, such as equipment purchases, service expansions, or stafftraining programs, typically don’t fit into the daily communication flow. These require a repository of information and file sharing that can be accessed and built upon over time.
This includes state-based health insurance exchanges and Department of Health and Human Services (HHS) programs such as Medicaid and Medicare. The HHS’s Office for Civil Rights will consider factors such as the size and resources of the entity when evaluating compliance efforts. Click here to read more.
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