OHCA SUPPORT FOR DENTAL PROVIDERS
Although OHCA Provider Services cannot direct providers on how to code claims, we do assist with claim submissions and provide support when claims are denied or pay differently than expected. For coding assistance, providers are directed to policy and referred to the Current Dental Terminology (CDT) manual.
Te Provider Services Dental team assists with approximately 650 calls from dental providers each month. Of the 7,016 total provider visits made by Provider Services from January 2013 through October 2014, 904 (13 percent) were made to dental providers. In addition to providers being able to request on- site support at any time, the travel team schedules visits with providers to assist with upcoming or recent policy changes.
Visits are also scheduled based on referrals for educational opportunities made by other teams or departments. While in the area, the team may also “check in” with providers to obtain feedback and offer any assistance that might be needed.
Provider trainings conducted during 2013-14 attracted 521 attendees from dental practices. Postcards requesting that providers “Save the Date” are mailed in advance of the trainings. Global messages promoting the trainings are also posted on provider portals.
Ninety-three participants attended dental-specific webinars conducted during 2013-14. Global messages are also used to promote the webinars.
As noted earlier, insufficient documentation is one of the most common (and avoidable) reasons for
which a provider may be audited. For additional information regarding the role of documentation and Medicaid compliance in dentistry, please refer to the Centers for Medicare & Medicaid Services’ Medicaid Compliance in Your Dental Practice.1
It is important to note
that although the document is related to recovery (RAC) audits, the tips offered should be helpful to any provider seeking to be in compliance with Medicaid rules.
1. Centers for Medicare & Medicaid Services. Medicaid Compliance in Your Dental Practice. (Available at:
http://www.cms.gov/Outreach- and-Education/Medicare-Learning-Network- MLN/MLNProducts/Downloads/Medicaid_ Compliance_ICN908668.pdf) Accessed January 2, 2015.
World Oral Health Day: March 20th
World Oral Health Day is celebrated every year on March 20. It’s an international day to celebrate the benefits of a healthy mouth and to promote worldwide awareness of the issues around oral health and the importance of looking aſter oral hygiene to everyone old and young.
World Oral Health Day is important because 90 percent of the world’s population will suffer from oral diseases in their lifetime, and many of them can avoid these health issues with increased governmental, health association and society support and funding for prevention and detection programs. In addition, World Oral Health Day offers the dental and oral health community a platform to take action and help reduce the global disease burden.
Tis year, World Oral Health Day will focus on wishing everybody a lifelong and healthy smile at all ages. Te theme is “World Oral Health Day 2015, Smile for Life!” and has a double meaning: ‘lifelong smile’ and ‘celebrating life’. Everybody can take part in this initiative: health associations, specialist groups, member organizations and partners, governmental groups, students, teachers and the general public.
If you would like to promote World Oral Health Day online through your social media accounts or website, or would just like to access more information about the campaign please visit
www.worldoralhealthday.com.
It’s time to focus on oral health in Oklahoma.
32 journal | March/April 2015
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