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How the No Surprises Act Impacts Dentists - Laura Diamond

Have you heard of the federally implemented “No Surprises Act?” Were you aware that it applies to dentists? The No Surprises Act protects uninsured and self-pay patients from receiving surprise medical bills. So what does that mean for your practice? Find out in this episode of Talking with the Toothcop!  Outline of This Episode [1:23] The Federal No Surprises Act  [3:35] What you have to do [7:03] When did this become effective?  [8:04] Why does any of this matter? [9:52] Where this falls in order of operations [11:00] Q&A session with Laura  [17:49] How to connect with Laura [19:46] Important...

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PROTECT YOUR PRACTICE: EXCLUSIONS MONITORING + COMPLIANCE PROGRAMS - JUSTIN WITHROW

Everyone needs a compliance program tailored to the needs of their practice. Justin Withrow jumps in when a compliance program is absent and things go horribly wrong. Perhaps a client was employing an individual that's excluded from participation in the Federal Healthcare Program that should have been caught.  There is a multitude of things that could happen that could have been prevented by a compliance program. In this episode of Talking with the Toothcop, we dissect the importance of exclusion monitoring, the basics of the false claims act, self-disclosure protocol, and much more.   The importance of exclusion monitoring  Justin...

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Dental Compliance Doesn't Matter Until It Matters. Then It Matters BIG TIME

When you’re in the midst of a busy day in your dental office, the details are the things that you typically let slide, right? But in the dental business it’s the details that keep you on track and it’s the details that protect your office from huge fines and your Doctor from losing her licenses. This episode highlights some of the things I’ve seen recently that I think all dental office workers need to have top-of-mind. If you don’t take these things seriously, you’re going to have issues eventually.   Online training or in-person training? Which do you need? Every...

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Enforcement Activity Is Up! Do You Have A Legit Paper Trail?

During the 4th Quarter of 2021 we saw a lot of enforcement activity, from the agencies that are announcing their fraud enforcement efforts to insurance companies that are initiating audits, etc. So whatever you’re involved with (Medicare, Medicaid, Indian Health Services, etc.), be sure you have an audit process in place that includes good records on the steps you’ve taken. You need to be able to prove your compliance should an audit or investigation comes your way. Narcotics charges against a Michigan Dentist, and lesson for all of us A Michigan Dentist was busted recently on narcotics charges, and it’s...

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An Important Announcement from the Toothcop

I started the Talking with the Toothcop podcast in December 2017. Andrea has been with me since early 2019. We love doing this podcast together. Sadly, it’s time for us to hit the pause button. We will be back—I promise! But we have a lot on our plates right now and it makes sense to pull back temporarily. If this podcast has been rewarding and educational for you professionally, take some time and go back to listen to our episode archive!  Outline of This Episode [0:22] What’s happening in our lives! [4:18] Check out ProEdge Dental [7:01] Sharing some bittersweet...

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