FYI

Category: Reminders (page 1 of 2)

annual reminders, TIN, NPI, fraud prevention, ID cards

On-site Quality Assessment review checklist

California dentists – be ready for a future QA review
See your practice from the QA examiner’s perspective! Use this list to compare aspects of a QA review with your practice’s policies and procedures, and be even better prepared for a future on-site QA review.

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Intel patients have risk-based benefit

A personalized style of care
This year, Intel Corporation adopted a risk-based approach to dental care for its Delta Dental PPO plan (group #05178) enrollees. Calendar-year benefits include one exam for adults at low risk for oral health problems and two exams for high-risk adults and children to age 14.

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Important reminders for 2018

Verify your TIN, use CDT 2018, report fraud
Review reminders and link to resources that will help us work together even more efficiently.

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Medicare Part C enrollment added for dentists

Enrollment required for payment
The Centers for Medicare and Medicaid Services (CMS) require dentists in Medicare Advantage plan networks (“Part C” plans) to be enrolled as Medicare providers. The CMS-855I (long form) was cited in the CMS rule as appropriate for this enrollment.

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Use CDT 2018 codes on claims 1-1-2018

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.

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Achieve communication success

Enhance your cultural awareness skills
Knowing your patients’ language preferences helps increase their comfort level and improves the quality of care you provide. Boost your skills further by taking classes, documenting office protocol and using interpretive services.

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Leaner and greener from a dentist’s perspective

See how going green saves money
Our recent webinar (now a video), “Going Green & Saving Green”, features an outstanding example of an eco-friendly office and how it got that way. Plus, you’ll get realistic and simple steps you can take to start “greening up” your practice and saving money, too.

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Address change FAQs

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.

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Click before you call

Get benefits information fast with Provider Tools
See the same information that Customer Service agents see — no phone call necessary. Log in to your online account and click My Patients or Eligibility & Benefits. Or, request a real-time pre-treatment estimate using My Patients or Submit Claim. You’ll usually get quick results, often while the patient is still in the office.

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Re-credentialing FAQs

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.

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