From lawsuits to payer challenges, here are six dental RCM updates since September: 1. The American Dental Association is supporting dentists dealing with claim downcoding by third-party insurers. 2. About 25% of dentists have dropped out of insurance networks so…
Revenue Cycle Management
The American Dental Association is supporting dentists dealing with claim downcoding by third-party insurers. Five notes: 1. The ADA said Oct. 7 that it will support states and dental providers addressing downcoding in response to increased reports of the practice.…
About 25% of dentists have dropped out of insurance networks so far this year, according to the American Dental Association’s “Economic Outlook and Emerging Issues in Dentistry” report for the third quarter of 2025. The ADA’s Health Policy Institute surveyed…
California Gov. Gavin Newsom signed SB 386 into law, which requires dental plans to provide dentists with clear and easy ways for dentists to opt in and out of virtual credit card payments, according to an Oct. 3 news release…
Nearly 66% of dentists have increased their fees this year, according to the American Dental Association’s “Economic Outlook and Emerging Issues in Dentistry” report for the third quarter of 2025. The ADA received 691 responses from dentists on whether they…
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The California Dental Association has committed to pushing for dental reform after losing its appeal against Delta Dental of California. The California Dental Association filed a legal action against Delta Dental of California in December 2022, claiming that the insurer…
Georgia’s Department of Community Health has failed to adopt recommendations made in a 2021 audit that were meant to improve children’s access to dental care under Medicaid, Georgia Public Broadcasting reported Sept. 30. Six notes: 1. The Georgia Department of…
The West Virginia Dental Association is lobbying for the state to pass a dental loss ratio for insurers, The Real WV reported Sept. 24. Three notes: 1. The WVDA launched a campaign to advocate for legislation during the state’s upcoming…
A Michigan federal judge has denied class certification in a lawsuit against Solstice Benefits. Brian Lyngaas, DDS, filed a class-action lawsuit in 2022 alleging that the dental benefits provider violated the Telephone Consumer Protection Act by sending advertisements via fax…
An Illinois federal judge has denied a group of dental providers class certification in a lawsuit against Delta Dental. The lawsuit, filed in 2019, alleges that Delta Dental engaged in several anticompetitive practices within its state subsidiaries, including suppressing reimbursement…