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Texas Dentists: Did You Fail Your Last Sedation/Anesthesia Inspection?

Did you or someone you know fail a tier II anesthesia inspection by the Texas State Board of Dental Examiners (TSBDE)?

If so, you/they are not alone. Unfortunately, hundreds of dentists failed a tier II anesthesia inspection. The TSBDE is making good on their promise to re-inspect those who failed.

Some dentists were recently re-inspected and are getting ‘jammed up’ over ‘repeated failures’.

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Fools Rush In by Tink

A movie called Fools Rush In came out in 1997 (worth noting this was over 20 years ago). Three years later in October 2000 the federal Office of the Inspector General (OIG) established written compliance program guidelines for Individual and Small Group Physician Practices. The OIG’s compliance guidelines outline seven elements as voluntary measures individual and small group physician practice (and dental practices) should implement in effort to demonstrate their commitment to prevent criminal fraud and a high level of corporate integrity.    The seven elements include:  1.     Implementing written policies, procedures and standards of conduct. 2.     Designating a compliance officer and...

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Sometimes You've Got To Be Your Own Snitch

Sometimes when you mess up – and that mess up involves Medicare, Medicaid, or funds from another government healthcare program – not only do you have to fix the mess, but you may also have to go back and make amends to limit your liability and hedge against civil and/or criminal prosecution later. Hospitals do it. Physician groups do it. Ambulance providers do it. Home health does it. What? Get busted for coding, documentation, and billing problems. The federal government developed the Self-Disclosure Protocol (“SDP”) for healthcare providers to be able to bring themselves forward to the government in a...

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Data Backup versus the Data Backup Plan

Okay folks – we need to talk about your data backup.   Dental offices, as covered entities, must meet Implementation Standards to get in compliance with the HIPAA security rules. There are two types of implementation standards: required and addressable. Required means it must be done and there is only one right way to do it. Addressable means it must be done, but you have options. However, if you aren’t going to do it, you must document in writing why. Substantiate. Substantiate. Substantiate.   Backing up your data (the act/action) is an addressable implementation standard. You’ve got to do it,...

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N2O Safety & Compliance is not Laughing Matter

Some states require separate credentialing for dentists and auxiliary staff for nitrous oxide administration. Typically, dentists are required to have a permit for this. Many states also require dental assistants and hygienists to have a separate certificate to monitor a patient who on N2O.If N2O is used in a dental office, I highly recommend that hygienists and dental assistants obtain their N2O monitoring certification (if required). It affords the dentist the flexibility to step out of the operatory during a procedure. It also eliminates the potential for allegations that an auxiliary practice outside their scope.For auxiliary staff, practicing outside their...

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