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How PPO Processing Policies Affect Claim Adjudication - Part 1
An important business decision any dentist makes is whether or not to sign a PPO agreement. There are many considerations a dentist should take into account before signing. This webinar will discuss typical processing policies utilized by PPO plans and their potential financial implications on a dental practice, including, downcoding, bundling and least expensive alternative treatment (LEAT) clauses. In addition, dentists will receive information on:
• Questions to ask before signing an agreement
• ADA’s ready to use educational resources
ADA leadership continues to hear your feedback on these issues and has taken action to assist dental offices with dental benefit issues. This webinar is another of the many tactics we are employing as part of our coordinated communications plan on dental insurance. We look forward to your participation.

Upon completion, participants will have a better understanding of payer processing policies and the potential financial implications on a dental practice.

Upon completion, participants will gain an understanding of what questions to ask before signing a participating provider agreement.

Upon completion, participants will be knowledgeable of available ADA resources to help with dental insurance questions and concerns.

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.

Apr 22, 2021 12:00 PM in Central Time (US and Canada)

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Speakers

Dr. Andrew Gazerro III
@Council on Dental Benefit Programs
Andrew (Andy) Gazerro III, D.M.D. is a practicing dentist in the State of Rhode Island. He has been chair of the Council on Dental Benefits for the Rhode Island Dental Association for over a decade and was instrumental in helping to write the first non-covered services legislation in the nation in 2009. From 2003-2010 he was a dental claim review consultant for a major dental benefit provider and he is currently the 1st district representative to the ADA Council on Dental Benefit Programs.
Dr. Hadi Ghazzouli
@Council on Dental Benefit Programs
Dr. Hadi Ghazzouli has been in practice as a general dentist since 2009, first as an associate and now as the owner of multiple private practices. Moreover, he has worked as a part-time attending instructor at the General Practice Residency at St. Luke’s Hospital in Bethlehem, Pennsylvania. Dr. Ghazzouli’s employment history has given him an understanding of the design elements of various dental plan concepts including indemnity plans, managed care plans and government programs (Medicaid). Currently, Dr. Ghazzouli serves as the 3rd district representative on the ADA's Council on Dental Benefit Programs.