RiskMatters - Audits and Item Codes

About this episode

This episode discusses audits related to third-party payment mechanisms and the appropriate use of item codes in dental practice.

Have you ever been the subject of an audit related to a third-party payment mechanism such as a private health fund or Medicare? Are you unsure about use of certain item codes, how non-compliant use might lead to scrutiny or even why a particular practitioner might be selected for audit? In this podcast episode, Dr Colm Harney from Dental Protection speaks with Dr. Amit Gurbuxani, General Dental Practitioner, recent Past President of ADAWA and current member of the ADA Federal Item Code Committee. They discuss what an audit might look like, when to seek advice and how to respond. Dr. Gurbuxani shares insights on appropriate use of item codes from his work on the ADA’s Schedule and Third Party Committee. They also explore practical steps dental practitioners can take to prevent becoming the subject of an audit.

People in this episode

Host: Dr Colm Harney

Guest: Dr. Amit Gurbuxani

Topics covered

• audits
• item codes
• third-party payments
• private health fund
• Medicare
• dental practice

Keywords

• audit
• item codes
• private health fund
• Medicare
• dental practitioner
• compliance
• ADA

Mentioned in this episode

Organizations: ADAWA, ADA Federal Item Code Committee, ADA’s Schedule and Third Party Committee, Dental Protection

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