Navigating Office Challenges Like a Pro

  • Saturday 1/29/2022
  • Time: 8:30 - 10:30 am
  • Course Code: 616SL
  • Cost: $59
  • Room Location: BCEC Room 102 A
  • Credits: 2 CE Hours
Dilaine Gloege, CDA is Director of Education and Client Services for Unified Smiles. She is also founder of Tidewater Consulting Services. She leads programs to help practice owners develop a team of experts. A dental billing author, educator, speaker, and consultant, Dilaine has more than 35 years of dental experience. Dilaine helps dental practice owners succeed through profitable, legitimate insurance claims reimbursement. She speaks, presents, and consults on dental and medical billing nationwide. Certifications and Memberships: Certified Dental Assistant, AAPC Certified Professional Coder, Member of the Academy of Dental Management Consultants, Member of Dental Entrepreneur Woman, and Member of American Association of Dental Consultants. Dilaine has contributed to the following publications: Insurance Solutions Newsletter, Coding with Confidence, Administration with Confidence, and Medical Dental Cross Coding with Confidence. Dilaine is the author of Dental Claim Support’s Profitable Guide to Coordination of Benefits for Dentists: Navigate the insurance maze and master the rules of coordination of benefits. Available soon!

Have you questioned if the credits issued to patients are truly the patient’s, experienced record keeping challenges, when you can charge your UCR fee to a PPO patient? These are just a few of the common challenges dental team members face on a daily basis. Inaccurate PPO adjustments can result in loss of practice revenue. Coordination of benefits plays a role in inaccurate patient credits. Rules and regulations affecting the dental practice is ever-changing. This course will update attendees on recent changes and how your practice is affected. Medicare Advantage plans are sold by commercial payers. Dental practices have patients presenting with Medicare Advantage dental benefits. Understanding how traditional Medicare rules and the type of plans can be confusing. This course will help attendees navigate many of the common administrative challenges you are facing. 

After this course attendees will be able to:
  • Explain the basic rules of Medicare and Medicare Advantage plans
  • Demonstrate how to properly calculate the patient’s portion and the PPO provider write-off
  • Understand fee capping legislation and much more
  • Discuss recent changes and how your practice is affected
Recommended Audience: Assistant, Dentist, Hygienist, Office