How can a dental office prepare for an announced audit ?

Again, state law grants a plan the authority to conduct an audit of a dental office and this right must be included in a plan’s contract with its network providers. In addition to referencing the audit within the provider contract, a plan may include more detailed information on the scope of a quality assurance audit in its dentist handbook. In 2002, CDA assisted the California Association of Dental Plans (CADP) in its development of a standardized quality assessment audit tool that can be used by every dental plan licensed in California. While state law does not require every plan to use a uniform audit tool, CADP has encouraged its member plans to use it and most now do. CADP's standardized audit tool is the basis for its auditor certification training.

Dental CPT Code Lookup.

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