Yes, a special permit is needed to provide sedation to patients. Near the end of 2019, the Dentistry Examining Board and ad-hoc committee comprised of three of the dentists on the board proposed some changes to the anesthesia guidelines and required permits in Chapter DE 11 in the Administrative Rules section. The Class I permit… Continue Reading Do I need to have a special permit to provide sedation to patients in my dental practice?
Dentists are required to obtain 30 credit hours of continuing education to receive a renewal license. That requirement applies to the Sept. 30, 2021 renewal deadline. Are there requirements for the types of courses that must be taken?
Yes, there are requirements for types of CE that must be taken for license renewal. Of the 30 hours required, 25 must be in the clinical practice of dentistry or medicine and two hours must be on the topic of responsible prescribing of controlled substances for the treatment of acute dental pain. The remaining three… Continue Reading Dentists are required to obtain 30 credit hours of continuing education to receive a renewal license. That requirement applies to the Sept. 30, 2021 renewal deadline. Are there requirements for the types of courses that must be taken?
Must employers pay for their employee’s CE courses? Does it matter if the CE is required as a condition of the employee’s licensure?
Dentists and dental hygienists are responsible for their own CE, since requirements are imposed by the state and not the employer. Thus, the purely legal answer is that the employer is not required to pay any part of the course registration or related costs. Related considerations include: Can the employer set the dates on which… Continue Reading Must employers pay for their employee’s CE courses? Does it matter if the CE is required as a condition of the employee’s licensure?
Who regulates dental insurers to make certain the databases they maintain are compliant with Wisconsin laws?
The Wisconsin Office of the Commissioner of Insurance regulates dental benefit plans. If a patient were to lodge a complaint, OCI would investigate the case and report back to the patient within an allotted time frame. However, prior to contacting OCI, patients should first correspond directly with the dental benefit plan. Only after exhausting the… Continue Reading Who regulates dental insurers to make certain the databases they maintain are compliant with Wisconsin laws?
OCI assists complainants with their insurance problems. Insurance complaints can be filed by accessing the OCI complaint form and guidelines on the website at https://ociaccess.oci.wi.gov/complaints/public/. AS A SECONDARY CARRIER, DO ALL PLANS COORDINATE BENEFITS THE SAME WAY? No. Wis. Adm. Code INS 3.40, permits insurers to coordinate benefits at three levels or options. One level/option… Continue Reading How do I file an insurance complaint?
OCI complaints and their processing guidelines can be found online at https://ociaccess.oci.wi.gov/complaints/public/.
Report any type of patient fraud involving insurance to the National Insurance Crime Bureau at 800-835-6422. This includes fraudulent names, information, cashing insurance checks with no payment to the dental provider. The National Insurance Crime Bureau is a federal bureau offered to protect insurers from fraud and abuse. The bureau will contact the insurer and… Continue Reading How do I report patient insurance fraud?
Through your membership with the ADA and the WDA you are offered the ADA legal analysis of any insurance contract through the WDA prior to joining as a contracted provider. This analysis defines certain critical terms in contracts, and provides questions for dentists to ask before entering into a contract. This analysis is offered in… Continue Reading How do I obtain legal assistance in reviewing a potential insurance contract?
Coordination of benefits in an orderly system is intended to establish uniformity and consistency in the order in which claims are paid when a person is covered by two or more dental benefit plans. This provision allows payment up to, but not to exceed, 100 percent of the total fee. Male/female rule – Up until… Continue Reading How does coordination of benefits work?
The primary and secondary dental benefit plans are determined by the birthday rule. Where both coordinating plans follow the birthday rule, the order of benefits is as follows: Employee/dependent – The plan covering that person as an employee pays benefits first. The plan covering that person as a dependent pays benefits second. Dependent child of… Continue Reading How do you determine primary and secondary coverage?