Dental Benefits and Practice Management : A Guide for Successful Practices.

Intro -- Title Page -- Table of Contents -- About the author -- List of contributors -- Preface -- Acknowledgments -- PART I: History of Dental Insurance -- CHAPTER 1: Why dental benefits? -- Introduction -- The coming of health insurance -- Private health insurance -- Moral hazard -- Health insurance: The Blues -- Federal health benefits -- Dental benefits -- Dental service company -- What is dental insurance? -- Antitrust -- Conclusion -- Further reading -- CHAPTER 2: Dental benefits: Get it done -- Introduction -- Dental benefits -- Participating provider agreement -- Dental claim form (American Dental Association) -- CDT code -- Exclusion and limitation -- Electronic claim submission -- Code Maintenance Committee -- Nondentist provider -- Diagnosis code -- Conclusion -- CHAPTER 3: Dental benefits -- Introduction -- Get it right -- Participating provider agreement -- Dentist and dental plan design -- Dental plan contract -- Dental claim process -- Electronic services -- Claim filing tips -- Desktop procedures -- Conclusion -- PART II: Dental Claim System -- CHAPTER 4: Patient-centered practice -- Introduction -- Key to transform the health-care system -- Transformation: Impact on dentistry -- Transformation: Evidence in health care and dentistry -- Oral health-care delivery model -- Organizational structure: Opportunity -- Patient-centered care: Competitive advantage -- Conclusion -- References -- CHAPTER 5: Streamlined dental practice -- Introduction -- Private practice -- Airline analytics -- Sarrell Dental Center -- Quality -- Social determinant of health -- Conclusion -- CHAPTER 6: Patient Protection and Affordable Care Act -- Introduction -- Health-care insurance marketplace -- ACA -- Key provisions -- ACA essential health benefits -- Medicaid expansion -- ACA funding -- Drivers of health-care reform -- ACA quality and outcome.

ACA themes -- Actuarial value -- ACA dental benefit -- Impact on dentistry -- Cost of care -- ACA implication for dentists -- Conclusion -- References -- PART III: Competitive Strategies -- CHAPTER 7: Ethics and ethical behavior -- Introduction -- What is a profession? -- Situational ethics -- Dentist as expert -- Owner versus employee -- Dental board -- Value of treatment alternatives -- Social media and ethical behavior -- Future of dental ethics -- Conclusion -- Reference -- CHAPTER 8: Stay out of trouble -- Introduction -- Fraud, waste, and abuse -- Bad behavior -- Who's looking? -- Fraud, waste, and abuse in your office -- Conclusion -- References -- CHAPTER 9: Analysis to action -- Introduction -- Premise -- Competition -- Information -- Small private practice -- Group practice -- Group practice system -- Safety Net System (SNS) -- Organized dentistry -- Quality -- Teledentistry -- Integrator: Organized dentistry -- Integrator: IPA -- Integrator: IT company -- Conclusion -- Index -- End User License Agreement.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.