"Third-Party Payers Understanding Dental Insurance to Maximize Success in Your Practice"
with Dr. Gary Dougan
2 CE Units
Dentists and office staff members continue to be frustrated and confused about the denial or alteration of dental claims by third party payers. This course will offer tips to avoid the most common submission errors, including some common coding errors. In addition, future likely benefit plan changes, common insurance utilization management efforts, fraud detection, changing incentives and quality measures will be highlighted.
Attendees will be aware of the most common reasons their claims are denied and how to avoid common billing mistakes in their practices
Attendees will review common insurance business practices regarding coverage design with suggestions for how to maximize success
Attendees will be able to identify newly created codes and how to use them in their practices
Attendees will be exposed to common coding errors that can interfere with payment
Attendees will become aware of the concepts of Utilization Management and Data Mining and how payers use these techniques to manage claims
Attendees will become aware of Fraud, Waste and Abuse and how payers view these practices
About Dr. Gary Dougan:
With twenty-plus years each of practice and directing insurance plans Dr. Dougan has directed QM and UM programs for LIBERTY, MetLife, United and Aetna dental plans, serving millions of subscribers. He has reviewed thousands of claims, audited hundreds of practices and is a noted nationwide speaker on practice management, working with insurance companies, dental quality management metrics and quality improvement.
Gary earned a DDS from Georgetown, and his MPH from UCLA. He is a UCSF Health Care Leadership Fellow, and continues to participate in that program as a mentor to physicians, nurses, and other clinicians.
Dr. Dougan strives to include oral health, and dental coverage understanding for patients and providers in the changing healthcare discussion.
This course is FREE to All TCDS Members and two of their staff members at the time of registration. A deposit of $50 is required to hold reservation and is fully refundable upon completion of the course. Members must cancel reservation 48 hours prior to the event to receive full deposit.
Staff cannot attend on behalf of Member.
No Walk-Ins spots are available for this course.
TCDS Member-Staff: FREE (Limited to 2 Staff Members), Additional Staff: $25.00 /Non-Members $ 65.00
After June 11, 2018
Additional TCDS Member Staff: $50.00/Non-Members $ 85.00
Note: Payments made by check must be received in the TCDS office prior to the date cost increases in order to take advantage of the lower price