Insurance Considerations for the OMS: Effectively Handling Claims When Out‐of‐Network*
-
You must log in to register
- Member - Free!
- Resident Member - Free!
- Allied Staff Member - Free!
- Professional Staff Nonmember - $50
- Other Nonmember - $50
From the AAOMS podcast library, Thomas J. Force, Esq., President of Patriot Group and The Force Law Firm, PC, discusses the challenges OMSs face in filing claims and/or receiving reimbursement when they are not participating in their patient’s insurance network. Topics discussed include techniques to maximize out-of-network revenue, appeals drafting, compliance and audit prevention, insurer settlement negotiation, reversal of denials, defense of refunds and recoupment attempts.
*Indicates that this activity is approved by AAOMS for continuing dental education credit ONLY.
Learning Objectives
At the conclusion of this program, participants should be able to:
- Discuss how to generate revenue when the dental practitioner is out-of-network.
- Explain how to be an out-of-network provider and stay compliant and safe from insurer audits.
Thomas Force, Esq.
Private Practice
New York, New York
Disclosure: No relevant financial relationships were disclosed.
An Internet-based CDE Activity
Original Podcast Date: December 26, 2023
Estimated time to complete this educational activity: 0.25 hours
Method of participation: Self-Study
Thomas J. Force Esq.
Disclosures: No Relevant Conflict of Interest Disclosures were reported.
Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The American Association of Oral and Maxillofacial Surgeons designates this activity for 0.25 continuing education credit(s).
AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680