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Revenue Cycle Management

The American Dental Association recently contacted dental insurance company Principal to get clarity on a new policy regarding periapical radiographs. Five notes: 1. Principal recently notified dentists that it would begin requesting additional documentation for periapical radiographs taken during routine…

The Nevada Commissioner of Insurance has adopted new regulations governing how insurers report data for standalone dental plans, according to a Feb. 24 report from Insurance Business.  The amended regulation, R134-24, requires that insurers file an annual report on or…

The Idaho Legislature has introduced a bill that would require dental healthcare service plans to report their dental loss ratios. Under House Bill 729, the Idaho Department of Insurance would make dental loss ratio reports submitted by plans publicly available.…

Nearly 80% of dental practices have reported an increase in claim denials or payer scrutiny over the past 12 months, according to a new report from Zentist. Zentist released its inaugural 2026 “Dental RCM Trends & Insights” Report Feb. 24.…

The Colorado House Health and Human Services Committee has passed legislation aimed at improving transparency within dental insurance networks.  HB26-1070 would require insurance carriers to obtain dental providers’ consent before renting out their services. The HHS Committee approved the bill…

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Dental membership platform Clerri has completed its System and Organization Controls 2 Type I audit. The audit demonstrates that Clerri’s data security measures meet AICPA Trust Services Criteria, according to a Feb. 17 news release from the company.  Clerri also…

CMS is proposing to reverse a recently added policy that allowed states to add adult dental services as an essential health benefit to their benchmark plans. Five notes:  1. CMS issued a final rule in April 2024 that adds routine…

Massachusetts Gov. Maura Healey has proposed implementing a $1,000 annual cap on Medicaid dental coverage as part of the state’s budget for fiscal year 2027, Boston 25 News reported Feb. 10.  Seven notes:  1. State officials are trying to reign…

Several states are grappling with Medicaid funding challenges, while proposed Medicare changes are receiving pushback from dental organizations. Four notable updates: 1. The American Dental Association urged CMS to retain oversight of Medicare Advantage supplemental benefits. The groups said that…

The American Dental Association has urged CMS to retain oversight of Medicare Advantage supplemental benefits.  Proposed changes for contract year 2027 could weaken transparency, lessen insurer accountability and reduce access to care, according to a Feb. 3 news release from…

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