Dental BrushUp Bulletin Delta Dental of Kansas' quarterly newsletter highlighting current topics for Participating Dentists and Staff
Delta Dental Reminders:
Register Now for our Upcoming Seminars
The Delta Dental of Kansas (DDKS) Professional Relations team is hosting several educational seminars in 2017:
Trends, Innovations, Controversies and Clinical Tips
Saturday, August 12 - Topeka, KS
Educational seminar and annual meeting to be held in Topeka, KS. The seminar speaker is Dr. Damon Adams. This science-based presentation is recommended for doctors and dental laboratory technicians. The seminar is $20 per attendee, includes a full breakfast and provides three (3) CEUs.
Learn More and Register at DeltaDentalKS.com/Register
Dental Insurance 101Three opportunities to attend:
Friday, September 22 - Wichita, KS
Friday, November 10 - Topeka, KS
Friday, December 8 - Wichita, KS
As you might guess from the name, this seminar provides a learning opportunity for those who are new to dentistry or who are new to the role of handling insurance. This seminar will cover topics such as verifying patient benefits and discussing coverage and financial responsibility with patients. This course is also useful for dentists or other dental team members who want to learn how insurance works. The seminar is $15 per attendee, includes breakfast and provides two (2) CEUs.
2017 educational seminars are open to all Delta Dental of Kansas participating dentists and their dental office staff. You may register for all seminars at DeltaDentalKS.com/Register. If you have questions, please email them to PR@deltadentalks.com or contact your area Professional Relations representative.
In case you missed it! Our first two seminars of the year, that took place in March and April, were focused on basic dental insurance information and hygiene-specific coding with a special emphasis on the new ADA procedure code D4346 scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation. If you missed this seminar and want details about the new ADA Code D4346, please review the ADA Guidelines to Reporting.
National EFT/ERA Program Update
What is National EFT/ERA?
A program to receive electronic payments through Electronic Funds Transfer (EFT), and Electronic Remittance Advices (ERA) from all Delta Dental member companies nationwide.
What do I need to know?
There are 39 Delta Dental member companies each in different stages of this roll out. A few member companies, like Oklahoma and New Jersey, have already begun providing national EFT payments. Others, like Washington and Iowa, provided notifications that they will soon have the ability to pay you through EFT.
Thank you for your patience as the Delta Dental system continues to roll out this exciting new feature and value-added service. Each member company is working to program their system to pay out-of-state dentists electronically and provide electronic ERAs.
An important feature of this program that is still being finalized is the Electronic Remittance Advices (ERA) solution. This is the ability to go to one place to receive your ERA. The single-source repository selected for retrieval of your ERAs is DentalXChange. There is no cost to you, and you will not need a separate login. Once you’ve chosen to participate in the National EFT/ERA program, we will activate you, and you will find a new link in the ‘Payments’ tab within the Dental Office Services Portal titled ‘Check National ERA’. To create the best user experience for you, we will activate access to DentalXChange once a larger number of member companies are utilizing it.
We will keep you updated on project progress in regards to DentalXChange, and the continued roll out of EFT payments from all Delta Dental member companies.
Questions on project progress? Contact us at PR@deltadentalks.com
How do I enroll in this program?
You can access the enrollment form at DeltaDentalKS.com/Dentists/AvailableFormsOnlineDentists*. Please print and complete one form for your office and return it to us at the email or fax number provided on the form.
*The form will soon be added to the Dental Office Services portal. You will be able to access this form by clicking on the 'Documents & Dentist Handbook' tab, and then 'Dental Office Forms' . In addition, the form will also be made available in the 'Payments' tab within the portal. In the meantime, please use the Available Forms Link on the DDKS website.
New Online Tool for Checking Your Upcoming Patients' Benefits: Benefit Rundown
With this new online feature, you can request benefit details for all of your scheduled Delta Dental of Kansas patients for the week or day! You will have the ability to retrieve benefit details for a single subscriber, a family, multiple subscribers or multiple families all in one search inquiry.
How do I use this new feature?
National Benefit Inquiry Easily obtain benefit information for your Delta Dental patients nationwide.
The National Benefits Inquiry link on the Dental Office Services portal now provides more information than ever before, and has taken on a new look. Through this link, you can access benefit information for all of your Delta Dental patients nationwide.
The National Benefits Inquiry link eliminates the need to visit other Delta Dental’s separate websites to retrieve benefit and eligibility information for your patients with coverage through that particular state. You may start noticing that some Delta Dental’s are eliminating access to their separate websites. If you notice this happening and you are unable to register for the separate out-of-state site, simply use the National Benefits Inquiry link to view nationwide patient benefits and eligibility.
By Dr. Jon Tilton
We have had some inquiries lately concerning our requests for more information (chart notes or narrative indicating the technique used) with soft tissue graft submissions. In short, the purpose of asking for the technique used is to allow us to pay claims accurately.
There is a new technique being taught for soft tissue grafting that is called the ‘pinhole’ or ‘tunneling’ technique. As you know, there are a number of different codes for soft tissue grafts, each having its own descriptor. Unfortunately there is no code that adequately describes or fits the pinhole/tunneling technique. That’s one reason why we occasionally need to look at chart notes to know the proper way to benefit the claim submission.
If you are utilizing this technique, please submit code D4999, listing each tooth on a separate line on the claim form, and include chart notes or a narrative. We will then process the treatment as non-covered services and the fee will be the responsibility of the patient. Once adequate peer reviewed studies are completed addressing the long term success of the technique, it’s possible that the Delta Dental national processing policy may change for claim submissions for procedures using these techniques.
Thank you for your understanding and we apologize for any inconvenience.
Take the pledge to end opioid abuse:
Healthcare professionals are joining the Turn the Tide campaign to help curb widespread opioid over use and addiction. Visit turnthetiderx.org to take the pledge.
Important Dates & Upcoming Events
Save the date for DDKS' 2017 Seminars - Registration available at DeltaDentalKS.com/Register
Keep in Touch!
If your practice is changing email addresses, please let us know! Email your updated information to PR@deltadentalks.com.
Meet Your PR Representative
Who is your Professional Relations Representative? Click here to meet your representative.
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an oral wellness resource for your patients.
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