Mosaic Management Professionals

I know quite a few offices have been dealing with ransom ware issue this past week. I just spent a very informative day with a Cyber Attorney, Daniel Fortune - [email protected] 205-521-8048, he has been involved with one of my docs and has been very helpful in getting forensic techs in and working our way through the insurance quagmire of what is covered and what is not. Just learning how this happened and building a disaster recovery plan is essential. He taught us about what we need moving forward independent of the IT companies. I have included his info if you need more information.

LEAVES ARE CHANGING........Are you ready!!
The leaves are changing meaning fall in around the corner this is a great time to take a fresh look at your practice. Are your numbers where you want them to be, what are the goals for the next year. 2019 is almost here and we have holidays between now and then so now is the time to get ready for next year. Take a look at your systems, are they working? What do you need to change and how do you go to the next step?

Hate Insurance Credentialing and Re-Credentialing?
This Might Help

Insurance Credentialing is becoming one of the biggest headaches that a practice has to deal with on a yearly basis. In Colorado we have always had to complete the Colorado Credentialing Application and in some cases we still do. However in more states and now finally in Colorado dentists can fill out a ProView CAQH form. The ADA is now endorsing ProView CAQH and you can complete the application on the ADA site (see below). The application looks like the Colorado credentialing applications, and pretty much asked the same questions, you then attach your license, DEA license, specialty certificates, malpractice insurance and anything you else most insurance company needs including a W9. When complete the insurance companies have access to the data.

Once this is completed you will be assigned a number just like your NPI and license number, this is the number you will use when re-credentialing or credentialing with a large number of the insurance companies. On the insurance applications we are now seeing a space for a CAQH number. If you put in the CAQH number than you can skip a large amount of the application. The one thing you do have to do is update your attestation questions on the CAQH website once every every 120 days. When one of your documents becomes out of date or expires you will receive an email letting you know and you can just upload the new version of your license or malpractice every year.

The great news is that it really cuts down on the amount of time we spend re-credentialing or even credentialing our practices and doctors. Hopefully this will go along way in bringing some consistency to the credentialing process. Now that most of the insurances want to have practitioners re-credentialing every two years this would be a huge help. Websites for completing the application are below. Make sure to keep track of your number and your password in order to re-enter.

If you are an ADA member you can register on the ADA Website: ADA.org
Go to members center, members benefits, practice resources, ADA Credentialing
or
proview.caqh.org

Lil' Teeth Dentistry had their annual Fun Fair on Saturday, June 30th looks like everyone was having a good time!! Dr. Andre, Dr Quynh, Dr. Brown

Changing staff is always difficult, changing front office staff can be especially challenging. Click below to see how to make it a bit easier.

THE FRONT OFFICE HEADACHE - Mosaic Management Pro I have been in dentistry for longer than I care to admit and I see some of the same mistakes made over and over. One of the most prevalent is what happens when there is staff change over. When a Hygienist or Assistant leave you hire a new employee, they are under the direct supervision …

2018

Happy Holidays

What Number is this, it may be the most important number of your practice. Take a look http://www.mosaicmanagementpro.com/?p=2142

CHARGING FOR NON COVERED PROCEDURES

In Colorado dental practices can now charge their UCR fees for non covered services. Make sure you understand the rules. Click on the link to learn more:
http://www.mosaicmanagementpro.com/?p=2136

Autumn Equinox!!

SB 190, allowing Dentist to charge UCR fees for procedures that are not covered expenses, becomes effective August 9th of this year. But is there more you need to know? http://www.mosaicmanagementpro.com/?p=2126