A Dentist’s Guide to the Law. American Dental Association

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A Dentist’s Guide to the Law - American Dental Association Guidelines for Practice Success

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or Colleagues?

       180. Can I Extend Dental Coverage Through My Office to Patients Who Do Not Have It by Establishing My Practice’s Own In-Office Dental Plan?

       181. Are There Legal Problems in Offering and Awarding Social Coupons to New or Existing Patients?

       182. If a Patient Is Behind on Payments, Can I Withhold Records or Stop Treatment?

       183. Am I Required to Continue Treatment If the Patient Is in Bankruptcy?

       184. Can I Charge Interest on Overdue Amounts? What About Collection Costs?

       185. When Should I Use a Collection Agency?

       186. Are There Limits to What Can Be Done in Collections?

       187. How Does Small Claims Court Work? Is It Worth It?

       188. What Should I Do If the Patient Wants a Refund, or a Nominal Sum for Malpractice?

       Chapter 25: Insurers and Other Commercial Payers

       189. The Plan’s Explanation of Benefits Makes It Seem Like I’m Overcharging. Is That Legal?

       190. I Submitted a Claim to an Insurance Company Six Months Ago, and I Still Haven’t Received My Reimbursement. What Can I Do?

       191. An Insurance Company Is Withholding Payment for Part of the Claims I Submitted to Them Recently. They Say They’re “Offsetting” an Amount They Overpaid Me Previously. Can They Do This?

       192. Dental Benefit Plan XYZ Claims I’m a Participating Provider in Their Plan, and That I Have to Treat All of Their Enrollees Who Come to My Office, and Accept Their Fees as Full Reimbursement. How Can This Be? I Never Signed a Contract With Plan XYZ.

       193. Can an Insurance Plan Force Me to Allow It to Audit Out-of-Network Charts, or Does HIPAA Prevent This?

       The Patient

       Chapter 26: The Dentist-Patient Relationship

       194. What Rights Does a Patient Have to Privacy and Confidentiality?

       195. What Should I Do to Protect Patient Information?

       196. My Patient Is in a Lawsuit. Do I Have to Testify? Doesn’t the Dentist-Patient Privilege Help Me Avoid This?

       197. What If I See Signs of Abuse or Neglect Upon Examination?

       Chapter 27: Diagnosis and Treatment

       198. Are There Specific Legal Concerns to Watch for When Taking a Health History?

       199. How Often Should Patients Be Asked to Update Their Health History Forms?

       200. Are There Legal Issues Regarding Treatment Planning?

       201. Who Must Give Informed Consent?

       202. So How Do I Go About Getting Informed Consent?

       203. Should I Use an Informed Consent Form?

       204. What If the Patient Refuses to Consent?

       205. Can I Proceed With Treatment Even If the Patient Will Not Consent to Recommended Diagnostic Procedures?

       206. Can I Provide Care That the Patient Wants But I Do Not Think Is Indicated?

       207. Did I Commit Malpractice? What is the Standard of Care?

       208. I’m a Volunteer Dentist, Donating Dental Services. Do the Same Rules Apply?

       Chapter 28: Referrals

       209. Are There Legal Issues to Consider When I Make a Referral?

       210. How Does the Law Regulating Self-Referral (Stark Law) Affect My Dental Practice?

       211. When Might the Stark Law Apply?

       212. How Could the Federal Anti-Kickback Statute Affect My Practice?

       Chapter 29: Thorny Patient Treatment Issues

       213. Do I Have to Hire Sign Language Interpreters for Hearing Impaired Patients?

       214. Who Pays for the Interpreter? I’d Lose Money If I Have to Pay.

       215. Must I Provide Foreign Language Interpreters?

       216. Do I Have to Allow Service Animals (Such as Seeing Eye Dogs) in the Operatory?

       217. Do I Have to Allow Motorized Wheelchairs in My Dental Practice?

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