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June 10, 2010

A group of patients and providers filed a class action lawsuit against United Healthcare and its affiliates alleging violations of state and federal law in providing insufficient reimbursement for covered out-of-network services.  Those involved have agreed to settle the lawsuit in exchange for $350 million in monetary compensation to patients and providers, and ongoing business practice changes by United Healthcare.

If you are a dentist who has claimed assignment of benefits as an out-of-network provider with United Healthcare in the past 15 years, you may be eligible to receive a payment under this settlement.

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June 10, 2010

The Colorado Department of Health Care Policy and Financing sent a notice this week regarding Medicaid claims and reimbursement:

  • Any Medicaid claims submitted by June 11 will be paid on June 18, as usual.
  • However, any Medicaid claims submitted after June 11 will NOT BE PAID UNTIL July 9.

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June 10, 2010

During the 2010 legislative session, the CDA actively supported HB 1033, a bill that would extend Medicaid reimbursement to healthcare providers who provide substance abuse interventions to their patients.  HB 1033 will save lives by encouraging more providers to help patients recognize substance abuse problems early-on and connect them with the help they need.

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June 10, 2010

Last week, the Federal Trade Commission (FTC) announced that it will further delay enforcement of its Red Flags Rule, which would have gone into effect on June 1, 2010.  With the new extension, enforcement is postponed until Jan. 1, 2011.

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May 10, 2010

The ADA hosts a legislative and lobbying conference in Washington, D.C. each spring that provides a mix of prominent speakers, issue briefings, grassroots education and political training. Eight CDA dentists represented Colorado at this year’s conference, held April 12-14: Dr. Jeff Hurst, Dr. Brett Kessler, Dr. Ed Leone Jr., Dr. David Lurye, Dr. Rhett Murray, Dr. Jeanne Salcetti, Dr. Jeane Schoemaker and Dr. Ken Versman.

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