Dental-Medical Cross Coding 101

ZZ
NPI
Earn
1 CE credit
30
40
This course was
written for dentists,
dental hygienists,
and assistants.
21248
10
Dental-Medical
Cross Coding 101
A Peer-Reviewed Publication
Written by Marianne Harper
Abstract
The need for dental-medical cross coding
is growing in today’s dental practices.
Cross coding may be perceived as being
too difficult to implement but this course
will provide a detailed look at all aspects of
medical coding and lay the foundation for
a seamless implementation of cross coding.
Dental practices that implement cross
coding have an enhanced ability to increase
reimbursement for their patients.
Publication date: Aug 2013
Expiration date: July 2016
Educational Objectives:
At the conclusion of this educational activity
participants will be able to:
1. Describe medical necessity and which dental
procedures can be classified as medically
necessary
2. Describe the different types of medical insurance plans and those that require referrals
3. Implement the different coding systems used
for medical insurance
4. Learn how to complete the medical claim
form
5. Learn how to add narrative information to the
medical claim form
JP
Author Profile
Marianne Harper has expertise in revenue and collection
systems, business office systems and training dental practices
in dental-medical cross coding. Ms. Harper is a well respected
consultant, trainer, lecturer and author.
Author Disclosure
Ms. Harper is CEO of The Art of Practice Management. She can
be reached at [email protected].
Supplement to PennWell Publications
ThiscourseisapprovedforAGDcreditsonly
it is not approved for ADA credits
This educational activity was developed by PennWell’s Dental Group with no commercial support.
This course was written for dentists, dental hygienists and assistants, from novice to skilled.
Educational Methods: This course is a self-instructional journal and web activity.
PennWelldesignatesthisactivity for1ContinuingEducational Credit Provider Disclosure: PennWell does not have a leadership position or a commercial interest in any products or services
discussed or shared in this educational activity nor with the commercial supporter. No manufacturer or third party has had
DentalBoardofCalifornia:Provider4527,courseregistrationnumberCA#:01-4527-13077 any input into the development of course content.
“ThiscoursemeetstheDentalBoardofCalifornia’srequirementsfor1unitofcontinuingeducation.” Requirements for Successful Completion: To obtain 1 CE credit for this educational activity you must pay the required
fee, review the material, complete the course evaluation and obtain a score of at least 70%.
ThePennWellCorporationisdesignatedasanApprovedPACEProgramProviderbythe
CE Planner Disclosure: Heather Hodges, CE Coordinator does not have a leadership or commercial interest with products or
AcademyofGeneralDentistry.Theformalcontinuingdentaleducationprogramsofthis
services discussed in this educational activity. Heather can be reached at [email protected]
programproviderareacceptedbytheAGDforFellowship,Mastershipandmembership
Educational Disclaimer: Completing a single continuing education course does not provide enough information to result
maintenancecredit.Approvaldoesnotimplyacceptancebyastateorprovincialboardof
in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and
dentistryorAGDendorsement.Thecurrenttermofapprovalextendsfrom(11/1/2011)to
clinical experience that allows the participant to develop skills and expertise.
(10/31/2015) Provider ID# 320452.
Registration: The cost of this CE course is $20.00 for 1 CE credit.
Cancellation/Refund Policy: Any participant who is not 100% satisfied with this course can request a full refund by
contacting PennWell in writing.
Educational Objectives:
At the conclusion of this educational activity participants
will be able to:
1. Describe medical necessity and which dental procedures can be classified as medically necessary
2. Describe the different types of medical insurance plans
and those that require referrals
3. Implement the different coding systems used for
medical insurance
4. Learn how to complete the medical claim form
5. Learn how to add narrative information to the medical
claim form
Abstract
The need for dental-medical cross coding is growing in
today’s dental practices. Cross coding may be perceived as
being too difficult to implement but this course will provide
a detailed look at all aspects of medical coding and lay the
foundation for a seamless implementation of cross coding.
Dental practices that implement cross coding have an enhanced ability to increase reimbursement for their patients.
It used to be so simple! Dentists treated their patients
and filed dental claims for those covered by dental plans.
Physicians did the same for their patients. Rarely did this
ever cross over. Times have changed in dentistry and now
there’s more of a need to cross over through dental-medical
cross coded claims.
Cross coding is actually not new to dentistry. Trauma
claims and third molar extraction claims have often been
suspended by dental plans with the requirement that the
claim be filed with the patient’s medical plan first. This can
create quite a dilemma.
There is definitely some work involved with getting
past the “we’re dental” attitude. Medical coding is different and often times more difficult than dental coding. Yes,
it will require some extra work to learn how to cross code
but this should not be reason enough not to. This course
can be the first step to accepting the challenge and learning
how to cross code.
The most important consideration regarding cross
coding is the medical necessity to do so. Medical necessity
requires that the services and procedures be in compliance
with recognized medical standards and be appropriate and
necessary for:
• diagnosis or treatment
• prevention of a medical condition
• improvement of a condition
• rehabilitation of lost skills1
The American Medical Association’s definition of
medical necessity is threefold:
• In accordance with generally accepted standards of
medical practice
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08. 2013 | www.DENTALECONOMICS.com
• Clinically appropriate in terms of type, frequency,
extent, site, and duration
• Not primarily for the convenience of the patient,
physician, or other health-care provider.2
The conditions that the dentist determines to be medically necessary must be part of the documentation in the
patients’ records. Should a practice not have adequate
documentation of medical necessity and an audit occurs, it
can result in financial problems for a dental practice.3
Dental procedures that consitute medical mecessity include:
• Exams, radiographs and consultations for medically necessary
dental procedures
• Many oral surgical procedures
• Excisions
• Biopsies
• Reconstruction due to trauma or genetics
• Endodontics due to trauma or a medical condition
• TMD procedures including treatment of myofascial pain conditions
• Emergency treatment of oral inflammation
• Non-surgical sleep apnea treatment
• Patients with medical conditions such as diabetes, heart disease,
pregnancy, hormonal conditions, Parkinson’s disease, Alzheimer’s
disease
• Dental treatment required due to patients needing radiation treatment
• Implants
Loss of teeth due to trauma
Loss of teeth due to systemic conditions (e.g. tumors, cysts,
radiation therapy, cancer, genetics)
Bone atrophy that results in dentures that won’t seat
correctly, resulting in difficulties with chewing and getting
good nutrition
• Patients needing a dental clearance prior to surgery 4
Many dental procedures will not fall under these guidelines, so dentists must be careful to only file cross coded
claims for those that are medically necessary. Keep in mind
that medical plans have differing language in their contracts
as to what they will cover, so there may not be coverage for
all of these procedures. When these procedures are filed
with a medical plan, they should not be filed concurrently
with dental. If they are medically necessary procedures, they
should be filed with medical as primary.
Comparisons of medical and dental insurance are as follows:
• Most medical plans do not have annual maximum allowances
• Medical plans quite often have a much higher deductible than
dental but helping patients meet their deductibles is still a
major benefit to a patient.
• There are several different types of medical insurance plans:
Indemnity
Preferred Provider Organization (PPO)
Capitated plans such as HMO’s – referrals required 5
Point of Service plans (combination of PPO and HMO) –
referrals required 6
Tricare – referrals required for Prime and possibly required
for Standard 7
Medicare – providers must be enrolled to file 8
Workers Compensation
The primary difference between dental and medical plans
is that medical requires the use of diagnosis codes to prove why
a procedure was necessary. The diagnosis code set used for
medical claims at present is the ICD-9. These codes are used to
describe illness, injury, and symptoms. Within this code set is a
subset of codes referred to as the V and E codes. For dentistry,
the V codes are mostly used to help explain medical history
factors that influence treatment such as diabetes, heart disease,
history of stroke, etc. E Codes are used most often in dentistry
to provide the external cause and place of occurrence of trauma
events. Diagnosis codes must be prioritized on the claim form.
The most significant diagnosis, the one that explains the problem being treated and the main reason for care, is referred to
as the primary diagnosis code. Up to three additional codes,
including V and E codes, can follow the primary.
What is similar between dental and medical insurance
claim filing is that procedure codes are required. Medical
procedure codes are called CPT Codes. Similar to the dental
procedure code set, the codes are divided into categories.
These categories are evaluation and management; anesthesia;
surgery; radiology; pathology and laboratory; and medicine.9
The evaluation and management codes are not like the dental
exam codes. They are much more complex and have different
criteria for their use. Dental practices need to cautiously choose
codes from this section as most of the mid-level to high-level
codes require a time factor and the evaluation of multiple body
systems.10 Filing high-level evaluation and management codes
by dental practices can result in audits. Part of the difficulty in
cross coding is that very few CPT codes exactly parallel dental
procedures. There are some insurance carriers that will actually
accept CDT codes on the medical claim form. It is always wise
to check with the carrier and use them if allowed. It reduces the
confusion and time involved with narratives when you can use
an actual CDT code. If the carrier does not accept CDT codes,
there will be times when there is no close match and you will
have to use a very non-specific CPT code. This will require a
narrative to explain the nature of the procedure.
Within the CPT code set is a subset of codes called Modifiers. There are times when you will need to communicate that
a procedure was altered by a specific circumstance and that is
accomplished with Modifiers. Examples include; the need to
report that a procedure is less involved than the code normally
used, or the need to explain that more than one type of procedure was performed on the same date by the same provider.
Modifiers would also be used to explain that an exam and x-ray
were performed on the same date of service and should be paid
as separate entities. There are many more modifiers and it is
important to know when and how to use them.
The medical claim form is called the CMS-1500 and is the
form required by most medical insurance carriers. There are
some significant differences between this form and the dental
claim form. We are accustomed to using plain white paper and
having our dental software print the forms and fill in the blanks.
Medical claim software is completely different. Medical claim
software only fills in the blanks, so the forms must be purchased.
Copied forms will not scan correctly. These forms look quite a
bit different from dental forms because they are printed in red.
It is essential that the medical claim form be completed
accurately because claim form completion errors can result in
denials. Below is a breakdown on how to complete the CMS1500 claim form.
• In the top blank area of the claim form, over to the right,
is the area where the insurance carrier name and address
should appear. This is a four line field, so if the mailing
address is only three lines, be sure to skip a line to make the
city, state, and zip code appear on the fourth line.
• Box 1 asks for the type of plan that you are filing. It ranges
from a choice of Medicare, Medicaid, Tricare/Champus,
CHAMPVA, Group Health Plan, FECA BLK Lung, and
Other. It is very important to check off one of these.
• Box 1a through 11d (except box 10) are the areas where
patient demographic information is entered including
primary and secondary subscriber and insurance plan
information.
• Box 10 asks if the patient’s condition is related to
employment, auto accident, or another type of accident.
One of these boxes must be checked. The information
provided in this box helps the carrier determine if workers’
compensation or liability insurance would have primary
responsibility for payment.
• Box 12 is where the authorization for the release of medical
information or other information is provided to process the
claim. “Signature on File” can be used.
• Box 13 is where the authorization is provided for assignment of benefits and “Signature on File” can be used.
• Box 14 may request different information depending on
the carrier including; the date applicable to any of the
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conditions listed or the date of service for the treatment
being performed.
Box 15 asks if the patient had the same or similar illness
previously and to give dates. If this does not apply, it can
be left blank.
Box 16 asks for dates that the patient was unable to work
in the current occupation. If this does not apply, it also can
be left blank.
Box 17 is used to report referring provider information. It
requires both the name of the referring provider and the
NPI number of that provider. The NPI number is entered
in box 17b.
Box 18 asks for hospitalization dates if related to the current procedures. If this does not apply, it can be left blank.
Box 19 can be used to provide narrative information but
must be done concisely and can possibly eliminate the
need for a separate narrative. As explained above, there
are times when there is no parallel CPT code for a dental
procedure so narrative information must be provided. This
box can also be used to report information such as “See
Attachment” or “Corrected Claim.” Concise narratives
can also be entered in the shaded area above box 24 on the
claim form. The qualifier “ZZ” must be listed first. For
reporting procedures with tooth numbers or quadrants,
enter “ZZ”, then the CDT code, then the “JP” qualifier for
tooth number(s) or “JO” for quadrant(s) using quadrant
codes (10 for maxillary right, 20 for maxillary left, 30 for
mandibular left, and 40 for mandibular right).
Box 20 asks for information on whether an outside lab is
involved with the procedure. Check yes or no accordingly.
If yes, and the lab charges the practice a fee, enter the
amount of the fee in the Charges area.
Box 21 is used for reporting the diagnosis code(s). The
primary code is reported in box 1. Secondary codes and/or
V and/or E codes can be listed in boxes 2, 3 and 4.
Box 22 is used only for Medicaid resubmissions.
Box 23 is where a prior authorization number is entered.
Box 24 has several sub-boxes:
24A – The date of service is entered in both the from
and to sections
24B – The place of service is entered here. 11 is the
indicator for office.
24C – This box is used to indicate an emergency but is
often not used. There are specific instructions on its use
in the NUCC guidelines.11
24D – The procedure codes are entered here. If any
modifiers are required, there are four boxes provided
following the procedure code boxes.
24E – This box is labeled diagnosis pointer. This is the
area used to report which of the diagnosis codes is most
significant to each procedure. If the first diagnosis code
listed applies, enter number 1 in the box. If the second,
third or fourth diagnosis code listed is the most significant
to the procedure, enter either 2,3 or 4 in this box.
08. 2013 | www.DENTALECONOMICS.com
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24F – The fee for each procedure is entered here. If
the same procedure is performed several times, such as
four third molar extractions, the procedure code must
be listed only one time, then multiply the fee by the
number of times the procedure was performed.
24G – This box is where the number of units of each
procedure code is indicated. In many cases, it will be
one (1). However, in the case where more than one of
the same procedure was performed and the procedure
is reported on one line, you must enter the number of
times it was performed. In the case of 24F above, the
number 4 would be entered. An exception to this is
when you perform a procedure that involves a multiple.
Attention must be paid to the descriptor of the code to
determine this. As an example, the CPT code for one
to three implants in a dental arch (21248) requires
the number 1 to be entered in the days/units box if
up to three implants were placed in an arch. Keep in
mind that the units of that procedure code are being
indicated, not the number of implants.
24H is for EPSDT Family Plan cases only.
Box 24J is used to report the treating provider’s NPI
number.
Box 25 – Place the Federal tax ID number here and check
off if it’s a social security number or an EIN number.
Box 26 – A patient’s account number can be placed here
or it can be left blank.
Box 27 – Use this box to indicate if assignment of benefits
has been accepted or not.
Box 28 – The procedure code fees are totaled in this box.
Box 29 – This box can be left blank unless coordination
of benefits is necessary. It is not intended for reporting
patient payments.
Box 30 – The total balance due is reported in this box.
Box 31 – The signature of the provider is entered here.
Box 32 – The name and address of where the services
were rendered is noted here..
Box 33 – The name, address, and telephone number of
the billing entity is placed here.
Box 33a – Enter the billing provider’s NPI number or the
treating provider’s NPI if there is only an individual NPI
number.
Some of the major dental practice management software
have cross coding capabilities and will either provide the
codes or provide an area to enter the codes. In addition, these
programs will fill in the CMS-1500 claim form. If the practice
software does not include this feature, there are programs that
can be purchased online such as instaclaim.com, availity.com,
and www.ub-92software.com/hcfa.php that will fill in the
claim form.
With a better understanding of cross coding through this
course, the process can be simplified to help improve patient
reimbursement and remove barriers to dental treatment.
References:
1. Medical Necessity, Illinois Department of Insurance. September 2010
http://insurance.illinois.gov/HealthInsurance/Medical_Necessity.
asp, Accessed 2/27/13
2. American Medical Association. www.ama-assn.org/ama/upload/
mm/372/i99cms13doc.doc, Accessed 3/15/09
3. How to Ensure Proper Reimbursement and Avoid a RAC Audit,
Orion Healthcorp. 2011 http://www.orionhealthcorp.com/Portals/0/
Orion%20White%20Paper.pdf , Accessed 2/27/13
4. Dental and Oral Surgical Procedures, UnitedHealthcare Oxford.
January 1, 2013 https://www.oxhp.com/secure/policy/dental_and_
oral_surgical_procedures.pdf, Accessed 2/27/13
5. Health Maintenance Organization, Wikipedia. http://en.wikipedia.
org/wiki/Health_maintenance_organization, Accessed 2/27/13
6. FAQ: How Do Referrals Work in a POS Plan?, Go Insurance Rates,
September 25, 2009 http://www.goinsurancerates.com/healthinsurance/referrals-in-pos-plan/ Accessed 2/26/13
7. TRICARE Authorizations and Referrals, Military.com Benefits http://
www.military.com/benefits/tricare/tricare-authorizations-andreferrals.html, Accessed 2/26/13
8. What’s new with Medicare enrollment?, American Medical Association
http://www.ama-assn.org/ama/pub/physician-resources/solutions-
managing-your-practice/coding-billing-insurance/medicare/
medicare-enrollment-process.page, Accessed 2/26/13
9. American Medical Association, 2013 Current Procedural Terminology,
Professional Edition (American Medical Association, Chicago, 2012),
p. X
10. American Medical Association, 2013 Current Procedural Terminology,
Professional Edition (American Medical Association, Chicago, 2012),
p. 7, 8, 9
11.1500 Health Insurance Claim Form, National Uniform Claim
Committee July 2012 http://www.nucc.org/images/stories/PDF/
claim_form_manual_v8-0_7-12.pdf, Accessed 2/26/13
Author Profile
Marianne Harper has expertise in revenue and collection
systems, business office systems and training dental practices
in dental-medical cross coding. Ms. Harper is a well respected
consultant, trainer, lecturer and author.
Author Disclosure
Ms. Harper is CEO of The Art of Practice Management. She can
be reached at [email protected].
Online Completion
Use this page to review the questions and answers. Return to www.ineedce.com and sign in. If you have not previously purchased the program select it from the “Online Courses” listing and complete the online
purchase. Once purchased the exam will be added to your Archives page where a Take Exam link will be provided. Click on the “Take Exam” link, complete all the program questions and submit your answers. An
immediate grade report will be provided and upon receiving a passing grade your “Verification Form” will be provided immediately for viewing and/or printing. Verification Forms can be viewed and/or printed
anytime in the future by returning to the site, sign in and return to your Archives Page.
Questions
1. Medical necessity must always be
established for any cross coded claim. Of
the following, which dental procedure does
not present a medical necessity:
a. Reconstruction due to trauma or genetics
b. Single implant placement performed as a result of
tooth loss due to decay
c. TMD procedures
d. Non-surgical sleep apnea treatment
2. Which of the following types of insurance
plans will probably not require a referral
from the primary care provider:
a.
b.
c.
d.
Capitated plan (HMO type)
Tricare Prime (active duty military plan)
Point of Service plan
Preferred Provider Organization
3. Which of the following statements is incorrect about diagnosis codes:
a. Modifiers are used to explain why a procedure is
altered by a specific circumstance and are part of the
diagnosis code set
b. V codes are used to show medical history factors that
influence treatment and are part of the diagnosis code
set
c. E codes are used to show the external cause and place
of occurrence for trauma and are part of the diagnosis
code set
d. Diagnosis codes are used to explain why a procedure
was performed by indicating illness, injury, or
symptoms
4. The CPT code set is divided into categories.
Which category provides the codes for an
exam:
a. Evaluation and Management
b.Surgery
c.Anesthesia
d. Pathology and Laboratory
5. CMS-1500 claim forms can be obtained by:
a. Copying another CMS-1500 claim form
b. Downloading forms online
c.Purchase
d. Printed from medical claim completion software
6. Certain boxes of the CMS-1500 claim form
can be left blank. Which of the following
cannot:
a.
b.
c.
d.
Box 15
Box 1
Box 16
Box 26
7. Narratives are often necessary with cross
coded claims because:
a. Narratives are used to indicate diagnosis codes
b. Many CDT codes have no parallel CPT code, so
non-specific codes like 41899 require narratives to
explain the nature of the procedure
c. Narratives are used to provide the place of service
d. Narratives are used to provide the dates of service
8. In coding four third molar extractions
that have the same CDT code (e.g.
D7140), which of the following is not
correct:
a. Only one procedure code line on the claim form
should be filled in for the extractions
b. The fee for one extraction should be multiplied by
four and entered in box 24F
c. The number 1 should be entered in the Days/Units
box 24G
d. The shaded area above the procedure code area can
be used to indicate the tooth numbers by entering ZZ
7140 JP 1 16 17 32
9. Which of the following should be placed as
the first diagnosis code (primary diagnosis)
on the claim form:
a. V Code
b. The code for the problem being treated and the main
reason for treatment
c. E Code
d. CPT Code
10. What is the most likely outcome if
an insurance carrier requires prior
authorization for a procedure and it is
not obtained prior to performing the
procedure:
a. The carrier may pay a lower percentage of benefits or
deny payment
b. The carrier may begin an audit
c. The carrier may fine the practice
d. The practice may automatically be contracted with
the carrier
11. Narratives included on the claim form
must be:
a. Very detailed
b. Placed at the top of the claim form
c. Placed in box 19 and must be concise
d.Handwritten
12. Where else can narrative information be
placed on the claim form?
a.
b.
c.
d.
At the top of the claim form
In box 10
In box 32
In the shaded area of box 24
13. The code sets that help to explain
how a procedure is altered by a specific
circumstance are:
a. V Codes
b.Modifiers
c. E Codes
d. ICD-9 Codes
14. If the same procedure code is performed
more than one time, which of the following
is not the proper way to code it?
a. Enter all with one procedure code
b. Enter each individually
c. Multiply the fee for one by the number of times the
procedure was performed
d. Indicate in the Days/Units box the number of times
the procedure code was performed
15. Audits and fines may result from:
a. Use of high level evaluation and management codes
by general dentists when evaluation of multiple body
systems was not performed
b. Not filling in every box of the CMS-1500 claim form
c. Using “Signature on File” in box 12
d. Completing the CMS-1500 claim form by hand
www.DENTALECONOMICS.com | 08.2013
97
ANSWER SHEET
Dental-Medical Cross Coding 101
Name:
Title:
Specialty:
Address:E-mail:
City:
State:ZIP:Country:
Telephone: Home (
)
Office (
Lic. Renewal Date:
) AGD Member ID:
Requirements for successful completion of the course and to obtain dental continuing education credits: 1) Read the entire course. 2) Complete all information
above. 3) Complete answer sheets in either pen or pencil. 4) Mark only one answer for each question. 5) A score of 70% on this test will earn you 1 CE credit. 6)
Complete the Course Evaluation below. 7) Make check payable to PennWell Corp. For Questions Call 216.398.7822
If not taking online, mail completed answer sheet to
Educational Objectives
1. Describemedicalnecessityandwhichdentalprocedurescanbeclassifiedasmedicallynecessary
Academy of Dental Therapeutics and Stomatology,
A Division of PennWell Corp.
P.O. Box 116, Chesterland, OH 44026
or fax to: (440) 845-3447
2. Describe the different types of medical insurance plans and those that require referrals
3. Implement the different coding systems used for medical insurance
4. Learn how to complete the medical claim form
For IMMEDIATE results, go to www.ineedce.com
and click on the button “Take Tests Online.” Answer
sheets can be faxed with credit card payment to
(440) 845-3447, (216) 398-7922, or (216) 255-6619.
5. Learn how to add narrative information to the medical claim form
Course Evaluation
1. Were the individual course objectives met?Objective #1: Yes
Objective #2: Yes No
Objective #3: Yes No
No
ObN
jectYoevies#4:
Objective #5: Yes
No
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2. To what extent were the course objectives accomplished overall?
5
4
3 210
Acct. Number: ______________________________
3. Please rate your personal mastery of the course objectives.
5
4
3 210
Exp. Date: _____________________
4. How would you rate the objectives and educational methods? 5
4
3
2 10
5. How do you rate the author’s grasp of the topic?
5
4
3
2 10
6. Please rate the instructor’s effectiveness.
5
4
3
2 10
7. Was the overall administration of the course effective?
5
4
3
2 10
8. Please rate the usefulness and clinical applicability of this course. 5
4
3 210
9. Please rate the usefulness of the supplemental webliography. 5
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2 10
10. Do you feel that the references were adequate?
Yes
11. Would you participate in a similar program on a different topic?
Charges on your statement will show up as PennWell
No
Yes No
12. If any of the continuing education questions were unclear or ambiguous, please list them.
___________________________________________________________________
13. Was there any subject matter you found confusing? Please describe.
___________________________________________________________________
___________________________________________________________________
14. H
ow long did it take you to complete this course?
___________________________________________________________________
___________________________________________________________________
15. What additional continuing dental education topics would you like to see?
___________________________________________________________________
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AGD Code 554
PLEASE PHOTOCOPY ANSWER SHEET FOR ADDITIONAL PARTICIPANTS.
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We encourage participant feedback pertaining to all courses. Please be sure to complete the survey included with the
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INSTRUCTIONS
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All participants scoring at least 70% on the examination will receive a verification form verifying 1 CE credit. The
formal continuing education program of this sponsor is accepted by the AGD for Fellowship/Mastership credit.
Please contact PennWell for current term of acceptance. Participants are urged to contact their state dental boards
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The cost for courses ranges from $20.00 to $110.00.
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or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
PennWell maintains records of your successful completion of any exam for a minimum of six years. Please contact
our offices for a copy of your continuing education credits report. This report, which will list all credits earned to
date, will be generated and mailed to you within five business days of receipt.
Concerns or complaints about a CE Provider may be directed to the provider or to ADA CERP at www.ada.org/
cotocerp/.
Completing a single continuing education course does not provide enough information to give the participant the
feeling that s/he is an expert in the field related to the course topic. It is a combination of many educational courses
and clinical experience that allows the participant to develop skills and expertise.
The PennWell Corporation is designated as an Approved PACE Program Provider by the Academy of General
Dentistry. The formal continuing dental education programs of this program provider are accepted by the AGD
for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state
or provincial board of dentistry or AGD endorsement. The current term of approval extends from (11/1/2011) to
(10/31/2015) Provider ID# 320452.
CANCELLATION/REFUND POLICY
Any participant who is not 100% satisfied with this course can request a full refund by contacting PennWell in writing.
© 2013 by the Academy of Dental Therapeutics and Stomatology, a division of PennWell
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Customer Service 216.398.7822
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