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Course Details

Navigating the Complexities of Medicare and Coordination of Benefits

Dilaine Gloege, CDA, CPC

Sponsors

Time: 8:00 am – 11:30 am Code: F13 Cost: $35 | $50 after 9/26 Date: Friday, Oct. 25

Subject:  Insurance Management |  Audience: Dentists, Office Managers/Staff  |  CE Credits: 3 hours Lecture

Course Description:

This focused three-hour course bridges crucial knowledge gaps in Medicare essentials and Coordination of Benefits (COB) for dental professionals. Designed to streamline operational efficiency and improve patient care, the course offers a holistic view on integrating Medicare policies and effective COB strategies into dental practice management. Participants will start with a deep dive into Medicare, understanding its impact on dental services through practical examples. This includes differentiating between original Medicare and Medicare Advantage plans, identifying procedures covered by Medicare, and aligning with compliance strategies based on provider enrollment options. The latter half emphasizes mastering COB, addressing common challenges like calculating provider write-offs and patient financial responsibilities. Through scenario-based learning, attendees will explore the orderly application of benefits across multiple insurers to maximize revenue while complying with insurance regulations.

Learning Objectives:

  • Differentiate between Medicare coverage types and their relevance to dental practices.
  • Understand Medicare rules, enrollment options, and strategies for procedure coverage.
  • Master coordination across insurance plans to optimize revenue and ensure compliance.
  • Navigate COB complexities confidently, improving patient satisfaction and practice efficiency.

About the Speaker: Dilaine Gloege CDA, CPC began her career in dentistry over 37 years ago as a dental assistant and quickly moved into the roles of business team member and practice administrator. She soon discovered her passion for coding and insurance while solving the most complex administrative challenges. Dilaine is founder of Tidewater Dental Consulting, a dental consulting company with a focus on education for the dental team. She speaks, presents, and coaches on dental and medical billing nationwide. Prior to founding Tidewater Dental Consulting, Dilaine worked alongside Dr. Charles Blair developing coding and insurance resources for the dental team. During her seven years with Dr. Blair and PracticeBooster, she assisted thousands of dental team members with finding solutions for their greatest challenges while helping them gain legitimate insurance reimbursement. She then joined the team at Dental ClaimSupport as Chief Claims Officer and Director of Education where she developed and executed multiple training courses for their Dental Claims Academy. Dilaine is the author of Dental ClaimSupport’s Profitable Guide to Coordination of Benefits for Dentists: Navigate the insurance maze and master the rules of coordination of benefits. Dilaine lives in North Carolina with her husband of 36 years. She enjoys spending time with her four children and four grandchildren.

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