Ensure a meeting of the minds
It’s important that patients understand their financial responsibilities for treatment that is covered – and not covered – by their dental benefits plan. Be sure to discuss treatment plans, alternatives and costs with your patients. And, obtain patients’ written acknowledgement of the discussion and that they agree with the treatment plan and understand the costs.
Verify your TIN, use CDT 2018, report fraud
Review reminders and link to resources that will help us work together even more efficiently.
Review the summary of changes
CDT 2018 includes 18 new codes, three code deletions and several description changes. A summary of the changes, including our applicable claims processing policies, is available for your review.
For California dentists: Q Review, Winter 2017
Testing your office sterilizers each week is required by the California Dental Board. This requirement includes using biologic indicators (not paper strips or packaging that changes color) and testing all sterilizers, even those used infrequently or as backup. During an onsite Quality Assessment review, the examiner checks your in-office spore testing log to ensure your compliance with regulations.
For California dentists: Q Review, Summer 2017
California AB 2235 (also known as “Caleb’s Law”), took effect January 1, 2017. Follow-up bill, AB 224, redefines general anesthesia, defines deep sedation, and includes additional requirements for any dental procedure involving general anesthesia or deep sedation.
Moving? Let us know your new address well in advance
We’ll update your practice location/mailing address in our system, contact you if your new location affects your fees, and notify you when the changes are effective. Start the process by using the Notice of Address Change form located on our website.
NCQA award demonstrates quality
Our Credential department was awarded certification from the National Committee for Quality Assurance for quality and consistency in its credentialing procedures.
Re-credentialing occurs every three years
Numerous contractual and regulatory requirements obligate us to conduct the re-credentialing process and to terminate the Delta Dental contracts of dentists who do not complete the process. Don’t take chances with your network status — be sure to return the re-credentialing form to us by the due date stated in the cover letter.
Opt in, check your TIN, use CDT 2017 and more
Review these five important reminders and take action now.
Expedite claims processing
Though not required, using ICD-10 CM diagnosis codes on claims helps ensure correct processing when enhanced benefits apply to patients with health conditions such as pregnancy, diabetes and heart disease.