Speaking here in Springfield at the site of a soon-to-open dental clinic, Sen. Bernie Sanders (I-Vt.) said Friday that Vermont is making progress on access to affordable dental care, but more must be done in Vermont and the nation to address the national crisis. More than 130 million Americans do not have dental insurance, according to a report prepared for a Senate subcommittee that Sanders chairs. One quarter of U.S. adults ages 65 or older have lost all of their teeth. About 17 million low-income children do not see a dentist each year. Only 45 percent of Americans age 2 and older saw a dental provider in the past 12 months. Although most oral health conditions are preventable, 60 percent of kids age 5 to 17 have cavities. Tooth decay, is five times more common among children than asthma, according to the report. While oral health problems can affect anyone, low-income people, racial or ethnic minorities, pregnant women, older adults, and people who live in rural areas have the hardest time getting to see a dentist. Unless the situation is addressed it is likely to get worse. At a time when there are nearly 10,000 too few dental providers in the United States, dental schools are graduating fewer new dentists than the number who retire each year. In Vermont, Sanders said, there has been significant progress. Over the last six years, six new dental clinics have opened at Federally Qualified Health Centers (FQHCs). Within the last year, a new facility at Ludlow, Vt. was opened by the Springfield Medical Care Systems and another clinic will open in Springfield in the future. Altogether, 10 dental clinics will serve more than 25,000 Vermonters at health centers which accept Medicare, Medicaid, private insurance and allow patients to pay on a sliding scale depending on their income. In addition to expanding dental access at community health centers, an effective way to address the problem is to provide dental care in schools. “Putting dental clinics in schools is a real opportunity to address some of the serious problems we have been talking about,” Sanders said. Sanders is also drafting legislation he plans to introduce in the Senate to address the national crisis. His bill would:
Video: Dental Insurance Commercial for Folks on Medicare
ADAVB Inc. Blog: Medicare to review some dental audits
Medicare will review the cases of more than 600 dentists under audit for suspected Medicare payment irregularities. Human Services Minister Kim Carr announced yesterday retrospective changes to compliance arrangements under the Chronic Disease Dental Scheme. He said that the new arrangements “would not excuse everyone who has fallen foul of the current arrangements”. Greens Health spokesman Senator Richard Di Natale welcomed the change but his Opposition counterpart, Mr Peter Dutton, called for an equitable outcome. The President of the Australian Dental Association, Dr Shane Fryer, said that this was a positive sign but reminded dentists to comply with the scheme.
State sues Stamford dental practice
Westchester, Fairfield banks cautious, opportunistic Lawn Doctor franchisee sets the bar Developers applaud “Platinum Center” proposal Building a dream, he hits rock Rules block reform in New York health care Startup 2.0 Anchors away for Guardbot Virtual office suites gain ground No signs of progress in Harrison train station plans Spreading a health care model
A new Medicaid trend, Walmart gift cards?
One example is the for profit hospitals who are updating their facilities to make them more attractive to Medicaid patients who are normally served at the non for profit hospital across the street. We read with interest the following article about large dental practices in Texas that have 100′s of recruiters on the street looking to encourage patients to see the dentist. These recruiters give out gift cards or pizza coupons to encourage a Medicaid covered patient to visit the dental office that has hired them. Servicing Medicaid patients is big business and dentists in Texas are clearly scrambling to get a bigger piece of the pie.
Medicare And Dental Coverage For Your Health And Wellness
Searching for the best Medicare as well as dental plan is necessary to pay for your overall wellness. In order to fetch the best dental insurance coverage, a fast online investigation is good. Request for quotations and compare policies. Think! Will it be better to pick the dental discount plan or perhaps the traditional dental insurance plan might be a greater investment in the long run? Most Medicare dental insurance plans offers low rates which care very reasonable aside from the speedy online quotes that they provide. Here you are offered with various competitive dental insurance plans that are available. You just need a good online search, a good eye to match the quotes and you are almost there for that bigger investment.
Texas Medicaid Dental Claims Under Scrutiny
Although the practice of using a statistically relevant sample to estimate the number of times something may be present in the universe of items has been around since the advent of higher mathematics, the application of this methodology to estimate the number of improper claims paid over a specific period of time is relatively new. The application of statistical sampling to health care claims for this purpose dates back about twenty years to a decision by the U.S. Secretary of Health and Human Services (HHS) to authorize the use of statistical sampling in lieu of engaging in onerous claim-by-claim reviews. In Chaves County Home Health Services v. Sullivan, 931 F.2d 914 (D.C. Cir. 1991), the Federal District Court upheld extrapolation as being within the Secretary’s discretion. The use of statistical sampling has spread over the years. Federal agencies (such as HHS-OIG, CMS-contracted auditors, etc.), State agencies (such as HHSC-OIG) and even private insurance payors now capitalize on the use of this damages-estimating tool, usually to the detriment of the targeted health care provider. To be clear, everyone recognizes that an “extrapolation” is merely a substitute for conducting a claim-by-claim review of every claim submitted by thee provider and paid by a payor during the period in question. Nevertheless, the methodology is here to stay, regardless of the adverse impact it can have on a provider’s ability to remain in business.
Ct, RI, and Mass Dentists Accused Of $24 million Fraudelent Medicaid Claims
Department of Social Services Commissioner Roderick L. Bremby, said “We greatly appreciate the Attorney General’s dedication of both resources and expertise to bring forward this major case of alleged provider fraud. DSS investigators first identified the suspected fraudulent activity and worked with the AG’s Office and federal authorities to develop the case. The role of the Department of Consumer Protection is also important in our collective efforts to root out fraud and abuse on behalf of taxpayers.”
Dental Implants: A Better Remedy for Missing Teeth
Dental implant is a better solution for replacing missing teeth as compared to dentures. It was in 1950′s when titanium implants became known to bind bone like natural teeth. Implants are used not just to replace missing teeth but also to provide stability for dentures. Made up of surgically pure titanium cylinders that are inserted into the bone of the jaw, implants can serve as artificial roots where dentists can attach crowns, bridges or removable dentures. Within three to six months after the placement of implants, bone grows tightly and strongly grips in the jaw. Nowadays, implant for single or multiple teeth may be completed in just one day.Numerous advantages are offered by dental implants over conventional crowns (caps), bridges and dentures. Compared to bridges, implants need not be attached to the natural teeth eliminating the need to cut the adjacent teeth for crowns (cap). Likewise, it does not decay and instead it stimulates the growth of bone in the area therefore maintaining its normal volume. This prevents jaw bone shrinkage which usually occurs with conventional bridges. For people with dentures, denture implants provide stability being permanent (non-removal) teeth that are firmly attached to the jaw.
Medicaid vs. Private Insurance Providers’ Perspective
http://www.medicalbillersandcoders.com End to End Medical Billing Solutions Medicaid vs. Private Insurance: Providers’ Perspective Medicaid not only plays a significant role in helping disabled and indigent people in the country but also provides important financial support for long term care patients. However, Medicaid also has a pivotal role to play in crowding-out private players in the insurance industry. Medicaid is essentially for poor people or indigent individuals and families and those with disabilities or people living with HIV/AIDS and since it is publicly funded, the reimbursement is on the lower side compared to other private health insurance payers. The fact that private insurance is usually acquired by financially stable families and individuals is a vital point in favor of private insurance companies. However, one of the most palpable benefits of accepting Medicaid patients is the incentive provided by the government for `meaningful use’ of EMR/EHR systems which is higher compared to the incentive for accepting Medicare patients. In relation to Medicaid, the law only covers low-income and indigent families and individuals but does not make it compulsory for providers to accept Medicaid patients. This creates further complications in the form of more and more Medicaid patients for those providers who do accept Medicaid. The distributions of disadvantages for physicians who accept Medicaid are geographic and differ from one state to another. Many states have not raised the reimbursement rates of providers for more than a decade and this has been a dampener for the expansion plans that were recently undertaken to improve Medicaid. The effect of the reluctance of providers to accept Medicaid patients is not just limited to the revenue of providers but also puts undue pressure on those who accept Medicaid plans by concentrating Medicaid patients to such providers. Private insurance providers and Medicare are faring much better since Medicare laws do not vary by state and private insurers pay more compared to Medicaid plans. Moreover, many physicians end up accepting Medicare patients since it pays better for the same services rendered in Medicaid. The irony is not just the fact that many physicians want to accept low-income indigent individuals but are not able to do so due to the lower reimbursement, but also the fact that even though the laws for Medicaid vary by state, the willingness (or reluctance) to accept Medicaid patients has almost remained the same across various states. The health reforms have improved the outlook for Medicaid and physician revenue due to the incentives provided, but there are numerous challenges for physicians when it comes to managing their revenue in such a dynamic payer environment. The growing need for better interaction with payers and a scientific and professional approach towards managing the revenue is being felt in contemporary medicine due to the recent reforms and the challenges faced by both publicly funded insurance plans as well as private payers. For more information about Medicare and Medicaid reimbursement plans, revenue cycle management, EMR/EHR implementation, consultancy, medical billing and coding, and other related services, please visit medicalbillersandcoders.com, the largest consortium of medical billers and coders in the United States. For more regarding medicaid or even private insurance please visit medical billing companies www.medicalbillersandcoders.com Copyright (c)-2011 M.D.C.P. All Rights Reserved. Page 1 of 1
Trumbull Dentist Arrested for alleged Medicaid Fraud
“It is alleged that Anusavice hired Zamani at Landmark Dental in October 2008, and that Zamani soon became aware of Anusavice’s disciplinary history. In January 2009, Zamani submitted a Medicaid Provider Enrollment Application with the DSS in order to obtain a Medicaid provider number for Mehran Zamani LLC, listing his group practice name as Landmark Dental. In May 2009, ZAMANI submitted an application with the DSS for a Medicaid provider number for Landmark Dental. In the applications ZAMANI submitted, he failed to disclose that Anusavice had an ownership or control interest in Landmark Dental, even though Zamani knew that Anusavice was running the practice and profited from it,” Fein said.
Deciding upon out Sensible Tips For Dearborn Dentist
To be clear, we recognize that many dental offices may have copied draft Compliance Plans off of the internet or purchased a sample plan from their local association. While they may fully intended to follow through with personalization of the draft document, in most of the cases we have seen, more pressing events have taken precedence and these dentists have not had the time or expertise to complete the project. As a result, we recommend that you engage qualified legal counsel to assist you with this project. The benefits of an effective Compliance Plan can be significant, and could conceivably mean the difference between an aggressive investigation and a mere cursory review by the government once they learn that you have taken multiple steps to better ensure that your operations and practices fully comply with applicable Federal and State requirements. Source: lilesparker.com
What is Chicago IL Medicare Advantage?
Starting in 2011 all Medicare Advantage plans must include a maximum out of pocket expense limit of no more then $6700. If you happen to reach this amount in out of pocket expenses then the insurance carrier must cover 100% of the medical bills for normally covered services. The amount of $6700 is the amount that is set by the government for out of pocket expenses though some insurance companies have chosen to set a lower amount of $3400 but for the lower amount they can ask you to pay more in cost sharing.