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Center for Professional Success offers resources to help members navigate Medicare decision

March 11, 2015

By Kelly Soderlund

The deadline for opting in or out of Medicare is looming for dentists, and the ADA Center for Professional Success has a number of online resources that can help them make sense of the regulation and what to do.

Any dentist who prescribes Part D covered drugs to Medicare beneficiaries has three choices. They must enroll in the program either as a provider of Medicare services or as an ordering/referring provider or opt out in order for prescriptions they write to be reimbursed by Medicare, according to the federal government. Dentists who fit this requirement must take action by Dec. 1.

The Centers for Medicare and Medicaid Services has several options for enrolling that apply to dentists. Opting out of the program, by signing an affidavit and entering into private contracts with patients as appropriate, means dentists are out of Medicare for two years and cannot receive any direct or indirect Medicare payment for services provided to Medicare patients. Regardless of the choice, a full explanation and links to the appropriate form, as well as sample affidavits, are available through the Center for Professional success.

The Center for Professional Success has a number of other resources that can help with this sometimes complicated and confusing process:

  • Medicare tutorial video
  • Frequently asked questions about the Part D regulation
  • Resources for enrolling as a Medicare provider
  • Resources to opt-in as a Medicare ordering/referring provider
  • Resources to opt out

The Medicare tutorial video, along with the FAQs, is designed to help dentists make a decision on which option is right for them.

To access these resources and more, visit Success.ADA.org.