part 2

Question 1

What is the dental insurance program?

Answer 1

A contract between a clients employer, and the insurance carrier

Question 2

who is the “insured”

Answer 2

The person who purchases the contract

Question 3

who is the “insurer”

Answer 3

The company that designed and sells the insurance contract

Question 4

What is another word for the insurer?

Answer 4

carrier

Question 5

Group contract

Answer 5

The boss get insurance for the group with employees that work for them

Question 6

subscriber

Answer 6

Person who has subscribed to the insurance

Question 7

dependents

Answer 7

Immediate family members on the subscribers insurance

Question 8

Capitation program

Answer 8

When a group insurance contract is purchased at a cheaper cost, but the subscribers will only be allowed to see a specific dentist for treatment

Question 9

Preferred provider organization

Answer 9

When the dentist is contracted by the insurance carrier to work under fixed fee schedule to provide service to a particular group

Question 10

Healthy kids program

Answer 10

Helps Lauren come families under the age of 19 in British Columbia, eligible for $1400 of basic dental services every two years

Question 11

first nations and inuit health

Answer 11

For for something in your health can get services like cleanings, x-rays, fillings, extractions

Question 12

CINOT

Answer 12

Four children up to, and including 17 years of age in Ontario, who have dental conditions that could cause pain or infections, and who are not covered by dental insurance

Question 13

co-payment

Answer 13

remaining cost that a patient will pay

Question 14

deductibles

Answer 14

Annual fees based on either the calendar year contract years

what you pay to use your insurance?

Question 15

exclusions

Answer 15

Items at the insurance company would not cover

Question 16

limitations

Answer 16

Would be insurance carriers covering pre-existing treatment conditions, but limit the amount of coverage through an alternate benefits clause

Question 17

pre determination form

Answer 17

Shows the potential cost before insurance

Question 18

birthday rule

Answer 18

States that whatever parents birthday comes first is the first insurance used

Question 19

what code beings with 0

Answer 19

diagnostic

Question 20

what code begins with 1

Answer 20

preventive

Question 21

what code begins with 2

Answer 21

restorative

Question 22

what code beings with 3

Answer 22

endodontic

Question 23

what code begins with 4

Answer 23

periodontics

Question 24

what code begins with 5

Answer 24

removable prosthodontics

Question 25

what code begins with 6

Answer 25

fixed prosthodontics

Question 26

what code begins with 7

Answer 26

oral surgery

Question 27

what code begins with 8

Answer 27

orthodontics

Question 28

what code begins with 9

Answer 28

adjunctive general

Question 29

Electronic data interchange (EDI)

Answer 29

The electronic submission of insurance claims

Question 30

what is the key to productivity

Answer 30

to set goals that will maximize production, minimize stress, and meet the needs of the patient in a unified effort

Question 31

What is the most effective and efficient method of appointment scheduling?

Answer 31

Manuel appointment books

Question 32

How would you indicate that the office is closed on an appointment book

Answer 32

diagonal lines

Question 33

When should an emergency client be treated?

Answer 33

Immediately

Question 34

When should an urgency patient be treated

Answer 34

as soon as possible that can comfortably wait until the next opening

Question 35

What do you use to make appointments in a manual book?

Answer 35

a pencil

Question 36

Block scheduling

Answer 36

Leaving a certain time for a higher revenue treatment

Question 37

When should the charts for patients be pulled?

Answer 37

At least one day ahead

Question 38

Short notice list

Answer 38

Used when a patient cancelled the appointment a new patient can come in and take their place

Question 39

How much earlier should new patient be asked to arrive at the dental office

Answer 39

5-10 minutes

Question 40

What should a new patient be given?

Answer 40

brochure outlining the policies in the philosophies of the dental office

Question 41

Double booking

Answer 41

when there are two CDAs, you can book twice as much

Question 42

When did you schedule young children or an anxious patient for an appointment

Answer 42

Best in the morning

Question 43

What should you do when you’re running late?

Answer 43

Call your patient and let them know

Question 44

At what point a patient lateness, should you re-book

Answer 44

30 mins late

Question 45

Types of recall systems

Answer 45

telephone Mail Continuous appointment Combination recall Computerized recall

Question 46

at what time should you call the patients?

Answer 46

5 to 7 PM

Question 47

what is the most effective recall system?

Answer 47

telephone

Question 48

How many calls until you should we revert to sending the patient card?

Answer 48

3-4

Question 49

Why can you not book the patient one day before the recall

Answer 49

Insurance will not pay

Question 50

mail system

Answer 50

sending recalls via the mail, efficient though expensive

Question 51

how frequently should you send out recall mail

Answer 51

once a month

Question 52

continuous appointment system

Answer 52

Booking there next appointment as they finish the current one

Question 53

Combination of recall system

Answer 53

Incorporates all three systems saves a lot of time

Question 54

Computer is recall systems

Answer 54

Once you’ve entered, recalls report can be generated daily/monthly

Question 55

What is the objective of recall systems?

Answer 55

To encourage repeat business and preventive healthcare