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How PPO Processing Policies Affect Claim Adjudication - Part 1 [Webinar]

Title slide for webinar presentation titled 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 (i.e., contract). There are many considerations a dentist should take into account before signing. This on-demand webinar from April 22, 2021 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.

Viewers of this webinar will: 

  • Better understand payer processing policies and the potential financial implications they may have on a dental practice.
  • Gain an understanding of what questions to ask before signing a participating provider agreement.
  • Learn of available ADA online resources to help with dental insurance questions and concerns.

ADA leadership continues to hear your feedback on these issues and has taken action to assist dental offices with dental insurance issues. This webinar is another of the many ways the ADA is working to support our members by providing valuable educational ready-to-use resources on innovative dental insurance solutions for dentists. 

Additional Resources

Please note: CE credit is only provided for participating in the live webinar; viewing this recording does not qualify for credit.

 

 

About the presenters

Andrew Gazerro III, D.M.D.

Dr. Andrew (Andy) Gazerro III 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 NCS 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. 

Hadi Ghazzouli, D.M.D.

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 3rd District Representative to the ADA Council on Dental Benefit Programs.