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PPO Contracts and Processing Policies: What you need to know
It is that time of year again when dentists are reminded of the importance of reviewing your signed PPO agreements. You may also want to try to renegotiate contract terms and provisions as well, including network fee schedules. Dentists are forced to make important business decisions when it comes to signing or not signing and/or continuing current PPO contracts and there are many considerations a dentist must take into account during the contract evaluation process.
This presentation will provide important information on the most common clauses found in PPO contracts that all dentists should be aware of. It will also cover the potential financial implications these clauses can have on a typical dental practice. Examples of some of these clauses include hold harmless, network leasing, recoupment, most favored nation clauses and more. In addition, the most common processing policies imposed by payers will also be discussed.

Participants of this webinar will:
• Gain a better understanding of payers’ contractual clauses and processing policies and the potential financial implications these policies may have on your dental practice.
• Learn what questions to ask before signing a participating provider agreement.
• Hear about a multitude of ADA online resources available to help dentists and their staff tackle difficult dental insurance contract questions and concerns.

ADA leadership continues to listen to your feedback on these issues and has taken action to assist dental offices with dental insurance concerns. This webinar is another of the many ways the ADA is working to support our members

1 CERP credit.

The ADA is a 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.

Dec 13, 2022 12:00 PM in Central Time (US and Canada)

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Speakers

Dr. Paul Calitri
General dentist, West Greenwich, Rhode Island
A native Rhode Islander, Dr. Paul Calitri earned his D.M.D. degree from the Tufts University School of Dental Medicine in 1991, and a General Practice Residency certificate from the V.A. Medical Center, Boston, the following year. He has been a solo practitioner and a general dentist in Rhode Island for the past 30 years. Dr. Calitri has served both the Rhode Island Dental and American Dental Associations in many tripartite positions of the organization. He was the Rhode Island Dental Association President in 2015 and, on the completion of his term, accepted the position of First District representative to the Council on Dental Benefit Programs. Dr. Calitri was assigned to the Dental Benefit Information subcommittee during his tenure on the Council from 2015-2020.
Dennis McHugh
Manager, Third Party Payer Advocacy @American Dental Association
Dennis McHugh is the manager of third party payer advocacy for the American Dental Association and works in the Practice Institute’s Center for Dental Benefits, Coding and Quality (CDBCQ). CDBCQ is the ADA agency responsible for promoting resources and information on dental benefit plans to employers and member dentists. In addition, CDBCQ responds to requests and helps resolve dental insurance problems from member dentists and helps answer questions regarding the CDT Code. He has been with the ADA for 22 years and prior to that spent 7 years working for the American Association of Orthodontists. Dennis graduated from Southeast Missouri State University with a Bachelor of Science degree in Business Administration and an Associate of Applied Science in Computer Science.