Dental Law

Is Your Dental Practice Prepared to Undergo a Medicaid Dental Audit?

(November 25, 2013): The link between oral health and overall health has been increasingly acknowledged over the years. Emphasis has been placed on children’s oral health in particular. In fact, the Children’s Health Insurance Program Re-authorization Act of 2009 (CHIPRA) mandates that “child health assistance provided to a targeted low-income child shall include coverage of […]

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TSBDE Update: Texas State Board of Dental Examiners

(November 11, 2013): TSBDE Update – The Texas Legislature first provided for licensure of dentists in 1897, whereby district judges were empowered to appoint a Board for their districts consisting of three practicing dentists living in the district. In 1905, Senate Bill 84 created the Texas State Board of Dental Examiners (TSBDE or Board). The

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Medicare Dental Audits are Being Conducted by ZPICs. Is Your Specialty Dental Practice Ready?

(January 18, 2013): Specialty dental practices around the country are receiving audit letters from “Zone Program Integrity Contractors” (ZPICs), contractors working for the Centers for Medicare and Medicaid Services (CMS). This latest audit focus by ZPICs is rather surprising in light of the fact that very few dental procedures qualify for Medicare coverage and payment.

Medicare Dental Audits are Being Conducted by ZPICs. Is Your Specialty Dental Practice Ready? Read More »

A Credible Allegation of Fraud Related to Medicare or Medicaid Services Will Result in Your Dental Practice Being Placed on “Suspension” or “Payment Hold.”

(December 31, 2012): Over the last year, many dentists, orthodontists and oral surgeons around the country who participate in federal health care benefits programs such as Medicare and Medicaid have found themselves accused of a “credible allegation of fraud,” levied by federal / state investigators or agents contracted to audit dental providers on behalf of

A Credible Allegation of Fraud Related to Medicare or Medicaid Services Will Result in Your Dental Practice Being Placed on “Suspension” or “Payment Hold.” Read More »

Dental Cloud Computing Options Must be Carefully Analyzed Before Moving Your Data to the “Cloud.”

(December 30, 2012): Generally speaking, from the standpoint of a dental practice, “Cloud Computing” involves the use of an offsite server to store and access medical records, maintain patient information and or practice business records (such as coding and billing information). Cloud Service Providers (CSP) offer various services to dental practices. In most instances, the

Dental Cloud Computing Options Must be Carefully Analyzed Before Moving Your Data to the “Cloud.” Read More »