July 2019

Get ready for an all-new DOT! 

With a fresh look and streamlined functionality, the Dental Office Toolkit® (DOT) will change how you run day-to-day office operations. The new DOT hits provider offices soon!

There are a few steps you can take to get ready for the new DOT.

  • Ensure you have the latest version of Google Chrome and Adobe Acrobat Reader downloaded.
  • Download the latest version of Google Chrome here.
  • Download the latest version of Adobe Acrobat here.
  • To view a full list of system requirements the new Toolkit will require, please click here
  • Ensure that you have pop-ups enabled for https://dentalofficetoolkit.com. Pop-ups will only be used to display a printable format of benefits, routine procedures, etc. 
  • To view a step-by-step guide on how to enable pop-ups, please click here.

As the launch date nears, you’ll continue to receive additional information, training materials and other helpful resources.

Where can I learn more?

Whether you’re a longtime user or new to DOT, we’re here to help! Click here to get a sneak peek of the new Dental Office Toolkit, review system requirements and ensure your office is ready for the transition.

FAQ

  • Where do I go to access the new Dental Office Toolkit?
  • Will I need to make a new username?
    • No, your existing DOT username and password will continue to work with the new Toolkit.
  • What will happen when I log in to the new Dental Office Toolkit?
    • The first time you log in, you will be prompted to create new security questions and/or confirm the name, phone number and email address for your account.
  • What states will the new Dental Office Toolkit service?
    • Delta Dental of Michigan
    • Delta Dental of Ohio
    • Delta Dental of Indiana
    • Delta Dental of North Carolina
    • Delta Dental of Arkansas
    • Delta Dental of Kentucky
    • Delta Dental of Nebraska
    • Delta Dental of New Mexico
    • Delta Dental of Minnesota (Individual ONLY)
    • Delta Dental of Tennessee
    • Delta Dental of Wisconsin (CMS ONLY)

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Medicare vs. Medicare Advantage—when a member calls

Does this sound familiar? 

Your front desk answers a phone call from someone asking if the office accepts Medicare. The office has not signed up to participate with Medicare, so the employee tells the individual “no, we do not accept Medicare.”

But remember… 

If you participate in Delta Dental PPOTM and/or Delta Dental Premier® network(s), you also participate in Delta Dental Medicare AdvantageTM. This is outlined in your Delta Dental participation agreement.

When asked if the office accepts Medicare, the front desk employee should ask the caller if they have a Medicare Advantage plan administered by Delta Dental. If the answer is yes, that individual can be scheduled, and eligibility and benefits should be checked just like any Delta Dental member.

A Delta Dental Medicare AdvantageTM member will be handled the same as any other patient in your practice who has a Delta Dental PPO or Delta Dental Premier plan, and claims will be processed the same as well. There is no separate fee schedule for Medicare Advantage plans, as payment is based on the program in which the dentist is participating.

Taking the time to clarify if a plan is Medicare Advantage, not a Medicare plan, makes all the difference to this member and your office! 

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Age 0 to 5 dental care—the most important years 

If you’re a Delta Dental Healthy Kids Dental provider, you understand the immediate and lasting difference you can make in your patients’ lives. Download a copy of our Age 0 to 5 Dental Care flyer to learn more about how your office can make the biggest difference for your youngest patients. 

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Online CE courses now available

Delta Dental of Michigan, Ohio, and Indiana is pleased to offer online continuing education (CE) programs. Each CE program contains course content, assessment and a certificate of completion. Delta Dental is an accredited State of Michigan and ADA CERP CE provider. To date, our online course topics include: A New Classification Scheme for the Periodontal and Peri-Implant Diseases and Conditions, Human Trafficking – Modern Slavery, Infant and Toddler Oral Health Care, How to Complete an Age 1 Dental Visit, and Infant and Dental Care for Patients with Special Health Care Needs. More courses will follow.

Who has access to these courses?

Any dentist, dental hygienist, dental assistant or member of a dental office staff can register to gain access to these free courses.

How do I access these courses?

Visit http://dewlead.dewpoint.com/Bridge and register with your office’s valid National Provider Identification (NPI). After you register, and your NPI is confirmed, you will receive an email to set your password for your free learning courses. 

What is required to get my certificate for completing the credits?

You will watch an informational video on the topic you've selected, and then must complete an assessment and evaluation. After you've completed those items, you will receive a certificate of completion. 

How do I learn more?

Contact dewlead@dewpoint.com for questions or support.

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Using a patient private pay form

Before providing care, remember to discuss all treatment and non-covered services with your patient to ensure they are aware of any financial obligations.

Especially when treating a Medicare Advantage or Medicaid patient, it’s important you obtain a private pay form signed by the patient, which indicates they understand the services are not covered and agree to pay for those services.

If Delta Dental receives a complaint from a patient, the dental office will be asked to supply a copy of the form the patient signed agreeing to pay for any non-covered services. If that information is not available, the claim may be denied and not billable to the patient.

For your convenience, you may download a sample private pay form here for use. A pre-treatment estimate, printed from the Dental Office Toolkit® and signed by the patient, would also be acceptable documentation. 

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Important code updates

Effective June 12, Delta Dental updated our process in Michigan, Ohio and Indiana for receipt of claims where a dental office has submitted incorrect surface designations on anterior or posterior teeth. 

Previously, when claims with incorrect surfaces were received, the system applied a correction. However, depending on the claim, it was not always accurate. To improve claims accuracy, Delta Dental will reject the following incorrect procedure codes back to the dental office with a policy that explains the rejection:

  • D2140, D2150, D2160 and D2161 (amalgam restorations): when surface submitted does not correspond to tooth submitted. 
  • D2510, D2520, D2530, D2610, D2620, D2630, D2650, D2651 and D2652 (inlay restorations): when surface submitted does not correspond to tooth submitted.

Please carefully review all claims before submitting them to ensure you use the correct CDT procedure codes that correspond to the exact teeth and tooth surfaces of the procedures for which you’re requesting benefit payment.

Did you know? Prescribing opioids can be done with e-scripts to help reduce opioid abuse.

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Delta Dental supports Detroit revitalization with riverfront park

Delta Dental is investing in Detroit. 

With its $5 million contribution, the largest in its 62-year history, the 5-acre Delta Dental Play Garden will be a child’s paradise. Construction for the Detroit Riverfront is set to begin next year and be ready to enjoy by 2022 at the Ralph C. Wilson Jr. Centennial Park. 

New York City landscape architect Michael Van Valkenburgh and his firm Michael Van Valkbenburgh Associates will design the play garden. The firm’s previous projects include Gathering Place in Tulsa, Brooklyn Bridge Park in New York City and Maggie Daley Park in Chicago along Lake Michigan. 

The parks strives to be a public space connecting Corktown, Mexicantown and other southwest Detroit neighborhoods to the riverfront walkaway through downtown. 

In addition to the Detroit Riverfront revitalization, Delta Dental will be unveiling a similar Riverfront revitalization in Lansing in August. With its $250,000 contribution, Delta Dental will be unveiling the new riverfront plaza that is designed to attract people, programming, retail and restaurants to the city. 

“Delta Dental is committed to this community and to stimulating Lansing’s downtown riverfront as a thriving hub of activity,” says Margaret Trimer, director of culture, communications and community affairs at Delta Dental. The project will be unveiled at the end of August, 2019. 

These placemaking efforts show Delta Dental’s immense dedication to revitalizing and stimulating local economies throughout Michigan. 

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