HDS Sponsors Seminars at the University of Hawaii at Manoa

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July 2012 HDS Holiday Friday, August 17 HDS Online and DenTel will be available to verify patient eligibility, limits and benefits, and to submit claims.

Hawaii Client Services Hawaiian Airlines Kuakini Medical and Dental Federal Credit Union Profitability of Hawaii SuperThreads New!

m. Oahu: 529-9248 Toll Free: (800) 232-2533 ext.

University of Hawaii Department of Dental Hygiene. The first seminar, held on May 24, featured internationally renowned board certified oral and maxillofacial radiologist Dr.

1 July 2012 HDS Holiday Friday, August 17 HDS Online and DenTel will be available to verify patient eligibility, limits and benefits, and to submit claims. Save Money with The Discounts for Dentist program! You can receive discounts from the following vendors: Bishop & Company First Date/Telecheck Guardian Capital Management New! Hawaii Client Services Hawaiian Airlines Kuakini Medical and Dental Federal Credit Union Profitability of Hawaii SuperThreads New! Upspring Media Log on to HDS Online to download a copy of the packet or call Professional Relations to request a packet. Information Eligibility and Claims: Customer Service Monday - Friday 7:30 a.m. to 4:30 p.m. Oahu: Toll Free: (800) ext.248 HDS Sponsors Seminars at the University of Hawaii at Manoa As part of its 50th anniversary celebration, HDS is a co-sponsor of a continuing education seminar series held in conjunction with the University of Hawaii Department of Dental Hygiene. The first seminar, held on May 24, featured internationally renowned board certified oral and maxillofacial radiologist Dr. Dale Miles who is professor of Oral and Maxillofacial Radiology at the Arizona School of Dentistry and Oral Health and adjunct professor at the University of Texas at San Antonio. More than 100 participating dentists, dental hygienists, dental assistants and hygiene students attended the seminar on the University of Hawaii at Manoa campus. Look What s New! Mobile Version of HDS Public Website (deltadentalhi.org) HDS recently launched a new mobile version of our public website for our members. The mobile version allows users to access the most popular features on our website, such as, searching for a dentist and viewing their HDS ID card and their dental benefits. Dr. Dale Miles and Dr. Martin Oishi, faculty member from the UH Department of Dental Hygiene. Dr. Miles discussed the recent controversial study published in Cancer that links dental X-rays to brain meningioma together with indications for cone beam imaging in dental practice, advantages and disadvantages of digital X-ray imaging, and avoiding common X-ray positioning errors. He also discussed basic principles of ALARA (as low as reasonably achievable) and the 2003 National Council on Radiation Protection and Measurements (NCRP) report No. 145 which mandates that dentists examine patients prior to the prescription/taking of X-ray images. Image selection criteria should be based on the clinical examination findings, individual patient risk factors, and dental history and not on a predetermined routine or administrative schedule. The use of rectangular collimation, mandatory use of thyroid collars in children, E or F speed conventional film and the need for establishing a radiation safety/protection program for all dental offices were additional highlights of the program. The next seminar scheduled for Thursday, August 9, will feature Dr. John Suzuki, dean of Graduate Studies, School of Dentistry, and professor of Periodontology and Oral Implantology at Temple University. Please see the enclosed flyer for details. HDS Online: Payment On Preauthorizations for Multiple HDS Plans HDS has enhanced its Pay-On-Preauthorizations (POA) feature for HDS members with multiple HDS plans. Dental offices are able to submit a POA on the primary HDS plan and our system will automatically process any additional HDS plans accordingly. This feature has also been extended to the Benefit Estimator. When converting a benefit estimate into a preauthorization for a patient with multiple HDS plans, dental offices are now able to submit a POA on the primary HDS plan and our system will automatically process any additional HDS plans accordingly.

Processing Policies May Differ for Out-of-State Delta Dental Plans When treating out-of-state Delta Dental patients, please remember that while the majority of processing policies are the same for

2 Processing Policies May Differ for Out-of-State Delta Dental Plans When treating out-of-state Delta Dental patients, please remember that while the majority of processing policies are the same for all Delta Dental plans, most Deltas allow their employer groups to negotiate customized processing rules. For example, it is becoming more common on the mainland for some employer groups to cover posterior composites and porcelain crowns on posterior teeth. This means that these services have a maximum plan allowance and the participating dentist cannot charge more than the allowed amount. To ensure that you provide an accurate estimate to your Delta patients, HDS encourages you to submit a preauthorization for services and to contact the appropriate Delta Dental directly for information on benefits. Another difference among the Delta plans is their deadlines to submit claims. HDS accepts claims for services performed within the past 12 months. Other Deltas may stipulate a shorter time limitation for claims submission, such as six months instead of 12 months. To ensure payment, we encourage you to submit your claims promptly. Evidence-Based Plans: Additional Benefits for Many HDS Dental Plans Evidence-based plans allow additional dental benefits for patients with certain medical risk factors. Diabetic patients are eligible for two additional prophylaxis or periodontal maintenance procedures as evidence clearly shows that poorly controlled diabetic patients may be at increased risk for periodontal disease, dental caries and oral fungal infections due to hyperglycemia (high blood sugar). Untreated or poorly controlled periodontitis may also elevate blood sugar levels which can promote and accelerate atherosclerosis, retinopathy (blindness), neuropathy, and peripheral vascular disease. Pregnant patients may also receive an additional prophylaxis or periodontal maintenance as fluctuation in hormonal levels may promote or accelerate gingivitis and other periodontal problems. Patients over the contract fluoride age limit may be eligible for a fluoride varnish if they have a medical or systemic condition (e.g. radiation therapy, Sjogren's syndrome etc.) that increases the risk for dental caries. The following outlines how to determine if your patient has an evidence-based plan and how to add the required medical risk factors to the patient eligibility. Evidence-based benefits are listed along with the basic benefits structure. Dentists must notify HDS of a patient s health condition or medical risk factor in order for the patient to take advantage of these benefits. Please log on to HDS Online and refer to the Announcements/Tips/Tools section to download instructions on how to add, change or delete a patient s medical condition. For offices that submit paper claims, please include a narrative indicating the patient s medical condition. Please contact HDS Customer Service for more information. Ask HDS If you would like to submit a question, please askhds@hdsonline.org. Q: How do I submit an appeal of a claim? A: A request for appeal of the determination on a claim must be made within 12 months from the date of service. All information in support of the treatment should be included with the request. If no new information is provided, no further appeals will be considered. Appeals can be made via HDS Online or on paper and should include the original claim number and information to support the treatment. Q: How do I correct a claim for a patient with two HDS plans? A: Submit an inquiry through HDS Online on either the primary or secondary claim and HDS will automatically adjust both claims accordingly. New Dentists General Dentists Robert Berger, DDS Jasmin H. El-Gohary, DDS Joon S. Ha, DDS Jeremy J. Oakley, DDS Training: New Staff Orientation HDS offers basic training for front office staff. This one-hour training session is designed especially for dental staff who do not have experience filing dental benefits claims.

A Continuing Education Course (6 CEUs) for Dental Health Professionals sponsored by Hawaii Dental Service and the Department of Dental Hygiene of the University of Hawai i at Mānoa Thursday, August

Anatomy of the periodontium in both health and disease. AAP current classification of periodontal disease. Role of inflammation in periodontal and systemic disease.

Jon Suzuki is a Professor of Microbiology and Immunology in the School of Medicine and Professor of Periodontology and Oral Implantology in the School of Dentistry at Temple University, Philadelphia.

Microbiology, a Diplomate and Board Examiner of the International Congress of Oral Implantology, and a Diplomate of the American Board of Periodontology.

Robert Sherman Jon Suzuki DDS, PhD, MBA, FACD, FICD August 9, 2012 8:30 a.m. 3:30 p.m. University of Hawai i at Mānoa Campus Center Ballroom 2465 Campus Road, 3rd fl. $75.

asp (enrollment limited to 200) Cancellation Notification of cancellation must be submitted in writing to the Outreach College via email at noncred@hawaii.edu.

3 A Continuing Education Course (6 CEUs) for Dental Health Professionals sponsored by Hawaii Dental Service and the Department of Dental Hygiene of the University of Hawai i at Mānoa Thursday, August 9, 2012 Anatomy and Disease of the Periodontium Dr. Jon Suzuki Course participants will fully understand the: Current concepts in the etiology and pathogenesis of periodontal and gingival disease. Anatomy of the periodontium in both health and disease. AAP current classification of periodontal disease. Role of inflammation in periodontal and systemic disease. Indications for non-surgical and surgical periodontal therapies. Treatment planning, site preparation and maintenance of dental implants. Dr. Jon Suzuki is a Professor of Microbiology and Immunology in the School of Medicine and Professor of Periodontology and Oral Implantology in the School of Dentistry at Temple University, Philadelphia. He is a panel member of the Food and Drug Administration Dental Products Panel; fellow of the American and International College of Dentists, a Specialist Microbiologist of the American College of Microbiology, a Diplomate and Board Examiner of the International Congress of Oral Implantology, and a Diplomate of the American Board of Periodontology. He has published over 150 papers, chapters, and symposia, 200 abstracts, and a textbook on medical technology. Cracking the Code for Periodontics Dr. Robert Sherman Jon Suzuki DDS, PhD, MBA, FACD, FICD August 9, :30 a.m. 3:30 p.m. University of Hawai i at Mānoa Campus Center Ballroom 2465 Campus Road, 3rd fl. $75.00: Dentist, Dental Hygienist, Dental Assistant, Other $25.00: Dental Hygiene Student Register online at hawaii.edu/ programs/2012/ event-p12273.asp (enrollment limited to 200) Cancellation Notification of cancellation must be submitted in writing to the Outreach College via at noncred@hawaii.edu. Fee will be refunded for cancellations received on or before July 26, 2012, 12:00 p.m. Please allow 6-8 weeks after August 9, 2012 for processing. Course participants will fully understand: The various components of a dental procedure code. Proper CDT coding for periodontal procedures. Proper coding for the use of lasers in periodontics. The components of a well constructed narrative. How to improve coding accuracy by understanding frequently misrepresented procedure codes. Robert Sherman DMD, CDC Dr. Robert Sherman is the Dental Director for Hawaii Dental Service. He is a retired U.S. Captain (O-6) with over 27 years of active duty serving in various clinical, educational, administrative, and leadership positions in both medical and dental services. A Diplomate of the American Board of Oral Medicine, he is a Certified Dental Consultant, examiner consultant for the Northeast Regional Board and American Dental Licensing Board and is a member of the State of Hawaii Board of Dental Examiners. Parking $5.00 Enter from Lower Campus Road and park in multi-deck parking structure adjacent to Athletic Complex. Approved PACE Program Provider FAGD/MAGD Credit approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement.

4 Please Join Us for our Seminar and Luncheon Free for Participating Dentists! (Earn 3 AGD CEU) Session Topics: Embezzlement in the Workplace Guest Speakers: Assistant United States Attorney Leslie Osborne, Jr and Tom Simon, FBI Special Agent HDS In-Office Review Process Speaker: Minna-Mari Lehti, HDS Director of Compliance CDT 2013 Changes and Select Clinical Topics Speaker: Robert Sherman, DMD, HDS Dental Director What s New at HDS and Claims Processing Speakers: Kathy Fay, HDS Vice President of Operations and Jim Johnson, Director of Dental Claims Thursday, September 13, :30 a.m. - Registration 9 a.m. to Noon - Presentation Noon - 1 p.m. Luncheon Celebrating HDS s 50th Anniversary! Ala Moana Hotel - Hibiscus Ballroom I HDS is pleased to present experts from the Federal Government who will share their experience with current issues regarding embezzlement in the health care field. In addition, the HDS management team will provide information on compliance, upcoming CDT 2013 changes, HDS plan benefits and new products launched this year. The seminar goals are to inform you about: Embezzlement in the workplace and how to protect your office. HDS s new in-office review process and current findings and outcomes from in-office reviews. Upcoming changes to the 2013 CDT Dental Procedure Codes. Evidence - Based Dentistry (EBD) and how it benefits your at-risk patients. RSVP by Friday, August 31 at hdsonline.org or call Professional Relations at (808) For Participating Dentists Only Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement.

5 Neighbor Island Participating Dentists Please Join Us for our Seminar and Luncheon! (Earn 3 AGD CEU) Session Topics CDT 2013 Changes and Select Clinical Topics Speaker: Robert Sherman, DMD, HDS Dental Director HDS In-Office Review Process Speaker: Minna-Mari Lehti, HDS Director of Compliance What s New at HDS Speaker: Kathy Fay, HDS Vice President of Operations Claims Processing Speaker: Jim Johnson, Director of Dental Claims Location Dates: Sept Kona King Kamehameha Hotel Sept Hilo Hawaiian Hotel Oct Maui Kahili Golf Course Nov Kauai Marriott 9 a.m. to Noon Registration and Presentation Noon - 1 p.m. Luncheon Celebrating HDS s 50th Anniversary! The HDS management team will provide information on compliance, upcoming CDT 2013 changes, HDS plan benefits and new products launched this year. The seminar goals are to inform you about: HDS s new in-office review process and current findings and outcomes from in-office reviews. Upcoming changes to the 2013 CDT Dental Procedure Codes. Evidence Based Dentistry (EBD) and how it benefits your at-risk patients. Space is Limited! Participating Dentists may bring one staff member RSVP two weeks prior to the seminar date at or call Professional Relations at (800) ext. 222 Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement.

IMPLANT CONTINUUM/EXTERNSHIP

CONTINUING DENTAL EDUCATION IMPLANT CONTINUUM/EXTERNSHIP Lecture & Hands-on Workshop Course beginning April 2017 2018 Dates Coming Soon Sponsored by The University of the Tennessee College of Dentistry