Medi-Cal Dental Provider Workshop Seminar V 1.0
6
Credits
Description
This workshop covers a comprehensive range of topics essential for navigating the intricacies of the Medi-Cal Dental program. Participants will delve into understanding enrollment processes, certification requirements, and program criteria, along with familiarizing themselves with policies and procedures governing Medi-Cal Dental. Practical guidance will be provided on completing and submitting claims and Treatment Authorization Requests (TARs), as well as participating in Direct Deposit. Additionally, attendees will gain insights into utilizing the Automated Eligibility Verification System (AEVS) and billing procedures for commonly used procedure codes, while also learning how to handle various member services such as California Children's Services (CCS), Genetically Handicapped Persons Program (GHPP), and hospital cases. Furthermore, the workshop will address the importance of compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations.
Estimated Length
6 Hour(s)
Objectives
The workshop topics are as follows:
- Understanding the Medi-Cal Dental enrollment, certification, criteria and policies and procedures.
- How to complete and submit claims and Treatment Authorization Requests (TARs).
- Direct Deposit participation.
- The Automated Eligibility Verification System (AEVS).
- How to bill for commonly used procedure codes and complete other miscellaneous forms.
- How to provide member services for California Children's Services (CCS), Genetically Handicapped Persons Program (GHPP), hospital cases, and processing claims.
- Health Insurance Portability and Accountability Act (HIPAA).
- Other support services.
