Do I need a separate license to practice a specialty?

While some states issue specialty licenses, no such license is required or available in Wisconsin. A general dentist may perform services that fall within a defined dental specialty, as long as the general dentist can competently provide that service. While the DEB does not license specialties, they do restrict the ability of dentists to advertise… Continue Reading Do I need a separate license to practice a specialty?

Do I need to have a special permit to provide sedation to patients in my dental practice?

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?

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?

How do I file an insurance complaint?

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?

How do I report patient insurance fraud?

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?

How do I obtain legal assistance in reviewing a potential insurance contract?

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?