Hot topics in the world of dentistry: recap from the ADCPA Conference

Since its inception in 2001, the Academy of Dental CPAs (ADCPA) has expanded to 26 CPA firms across 30 locations but its goal, and the goal of its members, continues to focus on specialization providing dental clients with industry-focused consulting, accounting and tax services.

On a biannual basis, the ADCPA meets over the course of three days to discuss relevant topics that are occurring within the industry. As one of the founding members of the ADCPA, Baker Tilly attended the most recent event where various topics were presented by some of the leaders in the dental industry including practicing dentists, insurance providers and equipment representatives, among others. 

While the topics discussed touched on many different aspects of the dental industry, many of which are discussed below, one thing that quickly became clear is the true dynamic nature of the industry and the need to have meaningful conversations with your dental CPA to stay abreast of the ever-changing environment.

Coding and fee transparency

Renowned dentist Dr. Charles Blair presented on various topics with a focus on proper reimbursement techniques for dental practices. With dental preferred provider organizations (PPO) still providing the vast majority of revenue for most dentists, the ability to properly document and adhere to the requirements of your PPO is more important than ever.

Many dental plans have increased in complexity, requiring enhanced linkage between medical diagnosis, dental diagnosis and ultimately the treatment provided. With the move to ICD-10-CM and its 70,000 diagnosis codes, the ability to properly diagnosis the patient and ultimately document that diagnosis through the proper coding can have a direct impact on the bottom line of your practice. Dentists and other associates should continue to gain familiarity with medical diagnosis that affect the oral cavity to take full advantage of the work being performed and ensure that maximum reimbursement is received through proper documentation of the diagnosis.

Along with coding, Dr. Blair also commented on the following;

• Increased momentum towards fee transparency: the question is no longer “if” but “when” total fee transparency will be mandated for all healthcare organizations including dental
• The industry’s trend towards multi-doctor practices
• Discount plans for noninsurance patients (see “Insurance alternatives”, discussed below)