Oklahoma Attorney General Gentner Drummond has ordered the Oklahoma Health Care Authority to withdraw a proposed rule adding prior authorizations for complex tooth extractions. A letter from Mr. Drummond sent to the OHCA director said the rule creates excessive bureaucracy,…
Revenue Cycle Management
State lawmakers have introduced several pieces of legislation aimed at enhancing accountability and transparency for dental insurers. Six updates: 1. The Nevada Commissioner of Insurance adopted new regulations requiring insurers to file an annual report on or before May 1…
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.…
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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…
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…