Dilaine Gloege's guest appearances

Dilaine Gloege

The Navigating Dental Insurance Podcast

Nobody Told Me That! with Teresa Duncan

The eAssist Dental Solutions Podcast

Lynne Leggett

Lois Banta

Andrea Greer

Laura Hatch

Andy Cleveland

Alan Stern

David Harris

Lisa Copeland

Jen Butler

Anissa Holmes

Mark Costes

Jason Campbell

Mary Fisher

Jordon Comstock

David Maloley

OwlTail

Where did all these Medicare Advantage plans come from? They’re great for seniors to be able to afford more dental care but they’re taking a lot of offices by surprise. I asked my friend Dilaine to break it down for you (and for me!) We throw around a lot of words like opt-in, enrolled and prescribing physician. They each have significant meaning and we will need to not only know them but to adequately explain it to our patients. I expect you’ll take plenty of notes - I know I did! Full show notes on the podcast home page! https://nobodytoldmethat.libsyn.com/ Quotes:   “Any provider who opted out of traditional Medicare is not eligible to receive benefits from a Medicare Advantage plan.” “It seems like everyone and their brother has a Medicare Advantage Plan.”  “There is a lot of stuff with Medicare that does apply to the dentists that flies under the radar.”  “We can dive into a deep black hole and stay there (to investigate Medicare Advantage), but office managers may not be able to do that.”  Regarding customer service reps: “If it’s not on their list in front of them they will not know the answer.”  “Be sure you have entered into a written private contract with that patient and I recommend doing that every two years, every time that renewal period comes up.”  “If you have to listen to this again no one would blame you, this is not easy stuff.”   Don’t forget to check out my other podcast Chew on This - A Dental Podcast!  Resources:  CMS: Home - Centers for Medicare &amp; Medicaid Services  Who are the MACs (Medicare Administrative Contractor)?  Example of a Medicare Advantage offering  Connect with Dilaine:  Dilaine Gloege, CDA, CPC - Dental Speaker, Author, Educator, and Coach/Director of Education/Client Services Dental ClaimSupport: Outsource Dental Billing for More Smiles, Less Stress  Also! Grab this Ebook that is completely free for you. 50+ pages of knowledge, checklists and job descriptions. Enjoy! Click here for the Prepare Protect Prosper eBook If you like the show then I’d appreciate a good rating. Tell your friends. Even podcasters ask for referrals!  Teresa’s Website- https://www.odysseymgmt.com/ (sign up for my newsletter!) Teresa’s Book Moving Your Patients to Yes! Easy Insurance Conversations  http://odysseymgmt.corecommerce.com/Book/ (use ‘newsletter’ for $3 off)

Where did all these Medicare Advantage plans come from? They’re great for seniors to be able to afford more dental care but they’re taking a lot of offices by surprise. I asked my friend Dilaine to break it down for you (and for me!) We throw around a lot of words like opt-in, enrolled and prescribing physician. They each have significant meaning and we will need to not only know them but to adequately explain it to our patients. I expect you’ll take plenty of notes - I know I did! Full show notes on the podcast home page! <a href="https://nobodytoldmethat.libsyn.com/" rel="nofollow" target="_blank">https://nobodytoldmethat.libsyn.com/</a> Quotes:  <ul> <li>“Any provider who opted out of traditional Medicare is not eligible to receive benefits from a Medicare Advantage plan.”</li> <li>“It seems like everyone and their brother has a Medicare Advantage Plan.” </li> <li>“There is a lot of stuff with Medicare that does apply to the dentists that flies under the radar.” </li> <li>“We can dive into a deep black hole and stay there (to investigate Medicare Advantage), but office managers may not be able to do that.” </li> <li>Regarding customer service reps: “If it’s not on their list in front of them they will not know the answer.” </li> <li>“Be sure you have entered into a written private contract with that patient and I recommend doing that every two years, every time that renewal period comes up.” </li> <li>“If you have to listen to this again no one would blame you, this is not easy stuff.” </li> </ul> <a href="https://chewonthisdentalpodcast.libsyn.com/" rel="nofollow" target="_blank">Don’t forget to check out my other podcast Chew on This - A Dental Podcast! </a> Resources: <ul> <li><a href="https://www.cms.gov/" rel="nofollow" target="_blank">CMS: Home - Centers for Medicare &amp; Medicaid Services</a></li> <li><a href="https://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Who-are-the-MACs" rel="nofollow" target="_blank"> Who are the MACs (Medicare Administrative Contractor)?</a></li> <li><a href="https://www.humana.com/dental-insurance/supplemental-dental-insurance" rel="nofollow" target="_blank"> Example of a Medicare Advantage offering</a></li> </ul> Connect with Dilaine: <ul> <li><a href="https://www.linkedin.com/in/dilaine-gloege-cda-cpc-3605a867/" rel="nofollow" target="_blank">Dilaine Gloege, CDA, CPC - Dental Speaker, Author, Educator, and Coach/Director of Education/Client Services</a></li> <li><a href="https://www.dentalclaimsupport.com/" rel="nofollow" target="_blank">Dental ClaimSupport: Outsource Dental Billing for More Smiles, Less Stress</a></li> </ul> Also! Grab this Ebook that is completely free for you. 50+ pages of knowledge, checklists and job descriptions. Enjoy! Click here for the <a href="https://shor.by/Teresabook" rel="nofollow" target="_blank">Prepare Protect Prosper eBook</a> If you like the show then I’d appreciate a good rating. Tell your friends. Even podcasters ask for referrals! <ul> <li>Teresa’s Website- <a href="https://www.odysseymgmt.com/" rel="nofollow" target="_blank">https://www.odysseymgmt.com/</a> (sign up for my newsletter!)</li> <li>Teresa’s Book Moving Your Patients to Yes! Easy Insurance Conversations</li> </ul> <a href="http://odysseymgmt.corecommerce.com/Book/" rel="nofollow" target="_blank">http://odysseymgmt.corecommerce.com/Book/</a> (use ‘newsletter’ for $3 off)

EP 83: Dilaine Gloege Teaches Me About Dental Medicare Advantage Plans

Dilaine Gloege is the Director of Education and Chief Claims Officer for Dental Claim Support (www.dentalclaimsupport.com). She has 35 years of experience in dentistry and has served as a Certified Dental Assistant and is an AAPC Certified Professional Coder. Most recently, Dilaine worked alongside Dr. Charles Blair as a Call Center Support Supervisor for his Insurance Solutions Newsletter and PracticeBooster where she has helped thousands of practices with coding and insurance questions for both medical and dental claims. She is a true expert in her field. During this episode Dilaine discusses some of the most common coding issues that occur in dentistry. We focus on build-ups and perio coding issues where Dilaine provides key insight on how to effectively report these codes and in a way that increases your chances of getting paid for the work you are performing. Dilaine gives key feedback on documentation and narratives that are essential for claims payments and gives a peak into the "auto-adjudication" (claim review by insurance companies) methods by insurance carriers that may negatively impact you if you are not using key words or submitting the proper documentation with your claim.  To contact Dilaine visit www.dentalclaimsacademy and click on the "Contact" page. As the Director of Education she hosts webinars and other seminars to help further your knowledge and skills on coding and other related insurance management issues you deal with on a day to day basis. 

Dilaine Gloege is the Director of Education and Chief Claims Officer for Dental Claim Support (<a href="http://www.dentalclaimsupport.com/" rel="nofollow" target="_blank">www.dentalclaimsupport.com</a>). She has 35 years of experience in dentistry and has served as a Certified Dental Assistant and is an AAPC Certified Professional Coder. Most recently, Dilaine worked alongside Dr. Charles Blair as a Call Center Support Supervisor for his Insurance Solutions Newsletter and PracticeBooster where she has helped thousands of practices with coding and insurance questions for both medical and dental claims. She is a true expert in her field. During this episode Dilaine discusses some of the most common coding issues that occur in dentistry. We focus on build-ups and perio coding issues where Dilaine provides key insight on how to effectively report these codes and in a way that increases your chances of getting paid for the work you are performing. Dilaine gives key feedback on documentation and narratives that are essential for claims payments and gives a peak into the "auto-adjudication" (claim review by insurance companies) methods by insurance carriers that may negatively impact you if you are not using key words or submitting the proper documentation with your claim.  To contact Dilaine visit <a href="http://www.dentalclaimsacademy.com/" rel="nofollow" target="_blank">www.dentalclaimsacademy</a> and click on the "Contact" page. As the Director of Education she hosts webinars and other seminars to help further your knowledge and skills on coding and other related insurance management issues you deal with on a day to day basis.

Insurance Coding Behind the Scenes with Dilaine Gloege