Talking with the Toothcop
Duane Tinker
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Dentists face numerous regulatory and liability issues. Keep up with the issues can be daunting and best, career ending at worst. Host Duane Tinker (AKA the Toothcop) discusses the issues and helps make them easy to understand and apply in your dental practice.
Available episodes
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Oct 6, 2023
Clinical Recordkeeping for Dental Assistants
Clinical Recordkeeping for Dental Assistants for Nifty Thrifty Dentists Group
🦷 The importance of proper documentation and compliance in dental practices: Learn from Dwayne Tinker, former police officer for the Texas Dental Board, as he shares insights on #DentalCompliance and record-keeping.
Key Takeaways:
1️⃣ Proper notations for medications and doctor's instructions are crucial.
2️⃣ #HIPAA compliance is a must, especially for patient record access.
3️⃣ Respect patient privacy and obtain consent during conversations.
4️⃣ Ensure accuracy and reliability through thorough documentation.
5️⃣ Fix problems in advance to maintain credibility and avoid audits.
6️⃣ Comprehensive clinical notes are essential, including medical history, x-ray findings, and perio charts.
Join us to stay informed about the legal implications of dental records! 📋🔒
#DentalDocumentation #ComplianceMatters #PatientPrivacy #DentalRecords #HealthcareCompliance
Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On LinkedIn
*
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Feb 28, 2023
Waterline Safety – Amanda Hill, RDH, BSDH
Amanda Hill RDH, BSDH has been a dental hygienist for over 26 years. When she took her annual infection control training in 2017, the speaker covered waterlines. She never knew that she had to do more than flush her waterlines. No one else in her dental office knew that they were supposed to do more.
Her practice failed their first water test, badly. So Amanda dug in and got them to pass their water testing. Then she started offering to help other dental offices. In this episode, Amanda shares her expertise and we have a deep discussion about waterline testing. Outline of This Episode
* [1:56] Learn more about Amanda Hill AKA the “Waterline Warrior”
* [6:24] Open line versus closed waterline systems
* [11:10] What is a biofilm and how do you kill it?
* [16:08] Amanda’s favorite germicide delivery system
* [19:39] Reasons you need to do waterline testing
* [26:25] Why you want to be consistent with treatments
* [28:40] How frequently you should test your waterlines
* [33:24] Addressing the flushing your waterlines debate
* [38:33] Waterline testing must include documentation Resources & People Mentioned
* Email: amandahillrdh@gmail.com
* Friend on Facebook
* Follow on Instagram
* Connect on LinkedIn
* Check out Amanda’s Website
* Deanna Otts-Whitfield, RDH, BSDH, MSHQS
* BluTube Dental Unit Water Purification Cartridge
* Dental procedures during pandemic are no riskier than a drink of water
* Preventing Airborne Diseases in Dentistry with Michelle Strange
* CDC warns of bacteria in dental waterlines after children are infected Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Jan 24, 2023
MCS Infection Control Solutions - Paul Saueressig
Without question, the Covid pandemic had a large impact on the healthcare field. It highlighted monstrous changes that needed to occur in the infection control space. MCS put its resources into investigating standards of care in infection control.
MCS came out with some new technologies that will transform the world of infection control. Paul Saueressig outlines the solutions they’ve created and how they can benefit your dental practice in this episode of Talking with the Toothcop. Do NOT miss this one! Outline of This Episode
* [2:12] Learn more about MCS Infection Control Solutions
* [8:01] Solution #1: Protective Coating Solutions
* [15:03] Solution #2: Rapid Testing Solutions
* [26:08] Two options for healthcare facilities
* [35:53] The problem with Healthcare-Associated Infections (HAIs)
* [39:56] Providing long-term proactive solutions for the healthcare space
* [41:09] How to get more information about MCS infection control solutions Resources & People Mentioned
* MCS
* Paul Saueressig
* Hygiena Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Feb 8, 2022
How the No Surprises Act Impacts Dentists - Laura Diamond
Have you heard of the federally implemented “No Surprises Act?” Were you aware that it applies to dentists? The No Surprises Act protects uninsured and self-pay patients from receiving surprise medical bills. So what does that mean for your practice? Find out in this episode of Talking with the Toothcop! How the “No Surprises Act” applies to dentists
As of 1/1/2022, you need to provide patients an estimate of anticipated charges for dental services, i.e. “Good Faith Estimates” or GFEs. They must be provided upon request or upon scheduling an appointment—well in advance of the treatment plans and financial estimates you may be currently providing.
Because you’re already providing financial estimates in advance of service, does that mean you’re exempt? NOPE. Sorry to tell you, that’s not the case. At this time, it applies to uninsured and self-pay patients. It may apply to insured patients in the future. What do you have to do?
Here are the basics:
* You have to provide notice to your patients of their right to receive a GFE
* You must post a notice on your website
* You must post a notice in your practice where scheduling and service costs may be discussed (so a check-in desk).
You need to implement a good faith form in your practice. You have to issue this to current and new uninsured and self-pay patients before you provide—or continue providing—services. This applies to anyone who even contacts your office. If they ask what you charge for a dental cleaning, you have to provide them with that estimate.
What else do you need to know?
* Even if you provide a GFE verbally, it must also be provided in writing (mail, fax, or encrypted email). Before you give out this information verbally, it’s wise to tell a potential patient that you must follow up with this information in written form and ask for their name and address (and assure them this is federal law).
* It must be provided within a specific time frame (1–3 business days after an appointment is scheduled or 3 days after an inquiry)
* GFEs must be mailed to current patients before you continue with treatment
* You have to maintain the estimates that you provide in a patient’s charting and document in their progress notes that you’ve talked about the GFE
* They have to be maintained for six years (even GFEs for patients who never scheduled)
* A GFE is the cost of services that you anticipate providing for a patient over a year. If those costs change, you must issue a new GFE.
None of this is difficult. But it is just one more thing you have to implement. That’s why we’ve created a toolkit for you to help you implement this in your practice. Why does any of this matter?
If there is a difference of more than $400 between your GFE and billed charges, the patient can initiate a billing dispute that the HHS can investigate. Those decisions are reviewed by a third-party contractor. If the decision doesn’t go in your favor, you can lose out on legitimately earned fees. Secondly, this may become like HIPAA. A complaint may lead to your practice being audited and civil monitoring down the road. Outline of This Episode
* [1:23] The Federal No Surprises Act
* [3:35] What you have to do
* [7:03] When did this become effective?
* [8:04] Why does any of this matter?
* [9:52] Where this falls in order of operations
* [11:00] Q&A session with Laura
* [17:49] How to connect with Laura
* [19:46] Important compliance reminders OUR SPONSORS:
ProEdge Dental Water Labs: https://ProEdgeDental.com/Toothcop
Protective Dental: https://DentalCompliance.com/DrugKit Resources & People Mentioned
* The No Surprises Act implementation guide and toolkit
* Connect with Laura by email: ldiamond(at)dsedlaw.com Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Jan 25, 2022
Protect Your Practice: Exclusions Monitoring + Compliance Programs - Justin Withrow
Everyone needs a compliance program tailored to the needs of their practice. Justin Withrow jumps in when a compliance program is absent and things go horribly wrong. Perhaps a client was employing an individual that's excluded from participation in the Federal Healthcare Program that should have been caught.
There is a multitude of things that could happen that could have been prevented by a compliance program. In this episode of Talking with the Toothcop, we dissect the importance of exclusion monitoring, the basics of the false claims act, self-disclosure protocol, and much more. The importance of exclusion monitoring
Justin worked with a multi-location practice where the owner worked with walk-in and Medicaid clients frequently. He was doing criminal background checks and checking licenses with the dental board. But he didn’t know an exclusion list existed with the Federal Healthcare Program that could exclude providers from working with the Medicaid program. Unfortunately, one of his providers knew they were excluded and didn’t tell him. It resulted in a fraud investigation of his practice. He was looking at jail time for something that could easily have been avoided.
It feels like science fiction but it’s the real deal. It’s as simple as running your licensed staff members’ names through a website. You need to know they’re authorized to work with your patients so you can get reimbursed for services rendered. If you don’t, they’ll take that money back—and then some. Justin dissects the basics of the false claims act and the fines you could be looking at if you were caught in this situation. Don’t miss it. The submission of “unclean” claims
If you submit a claim for reimbursement by a provider who is excluded from a state Medicaid program, that claim is labeled as a false claim. Let’s say a practice employs someone who they knew was excluded and billed services as rendered by a credentialed provider. If it was determined the service was rendered by an excluded provider, that triggers a false claim. Any service rendered by an excluded provider and submitted for reimbursement to Medicaid is a false claim.
If a provider has been excluded, that individual can’t have contact with any patient insured with Medicare or Medicaid. If they work on that patient that claim cannot be reimbursed. That’s why it is SO important to do exclusion checks. This applies to dental assistants, hygienists, and even administrative staff. Every member of your organization needs to be regularly run through exclusion databases. Defining self-disclosure protocol
A compliance program helps you identify improper practices (something coded incorrectly, overpayment, etc.), catch them, and self-disclose or clarify that you made a mistake. You can let the governmental agency know a mistake was made and correct the mistake. Usually, you’re given a certain time period—60 days—in which to self-disclose. The government knows mistakes happen. That’s why this protocol exists.
If you’re in the general ballpark of 60 days, it’s usually fine. Even if you’re outside of the 60-day window, doing nothing is the wrong approach. You will get in trouble down the road. It’s always appropriate to rectify your mistakes when they’re identified. Just work with a professional to do it appropriately. What a compliance program must address
A compliance program must address the policies and procedures that an office uses to operate (i.e. OSHA, HIPAA, dental board regulations, state and federal regulations, etc.). You must properly and safely render care to patients while adhering to various laws of various agencies. It’s an all-encompassing document that dictates how you do everything in your practice. It’s who you are and how you operate. It has to be reflected in the day-to-day operation of your practice.
People always say, “We’re too busy.” That’s NOT okay. It’s an excuse. These things can’t fall by the wayside. This has to be a staple of your business. There needs to be a compliance officer that is someone other than the dentist. They are your professional lifeguard. They stop the real cops from coming into play. If you’re “Too busy” it’s only a matter of time before you’re audited or investigated. Outline of This Episode
* [3:56] The importance of exclusion monitoring
* [6:30] The basics of the False Claims Act
* [11:56] Defining self-disclosure protocol
* [16:21] What a compliance program must address
* [24:12] Managing the merger and acquisition process
* [29:21] Possible reductions in fines and penalties
* [31:44] How to connect with Justin Withrow OUR SPONSORS:
ProEdge Dental Water Labs: https://ProEdgeDental.com/Toothcop
Protective Dental: https://DentalCompliance.com/DrugKit Resources & People Mentioned
* DENTAL COMPLIANCE RULES: NEW IN 2021 [PART II]
* DENTAL CHART AUDITING [WHY IT’S SO IMPORTANT]
* Connect with Justin Withrow
* Connect with Justin on LinkedIn Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Jan 18, 2022
Dental Compliance Doesn't Matter Until It Matters. Then It Matters BIG TIME.
When you’re in the midst of a busy day in your dental office, the details are the things that you typically let slide, right? But in the dental business, it’s the details that keep you on track and it’s the details that protect your office from huge fines and your Doctor from losing her licenses. This episode highlights some of the things I’ve seen recently that I think all dental office workers need to have top-of-mind. If you don’t take these things seriously, you’re going to have issues eventually. Online training or in-person training? Which do you need?
Every dental office is going to be required to do Continuing Education from year to year. BLS, ACLS, and PALS are common certifications that need to be upgraded. Many times, compliance teams do their training through “approved” course providers through an online course. That’s OK, but you can’t assume that because it says “approved” or “certified” that it’s truly that across the board. Your STATE may have additional requirements that the course provider is not aware of. For example, for some of the CE requirements, you can do the didactic part online and the testing part online. But you must have a hands-on, in-person evaluation of skills to finish up the CE credit. Don’t get caught out of compliance because you didn’t finish a course as was required. If you discover that’s the case for you, simply fix the issue as soon as possible. Office Inspections: Things I’m seeing that you should consider
As I do reviews at offices to help them get ready for State Board Inspections, I come across a variety of things that are of concern and should be addressed. One of the most common points where I’m finding errors recently is the Pre-Op Sedation/Anesthesia Checklist. State inspectors are fanatical about the form and want it to be used without exception. The title on your form must be exactly that: Pre-Op Sedation/Anesthesia Checklist. There is a lot of information on that form that is required to be ON the checklist. You will fail your sedation review if that is not the case. These are little things you need to make sure are properly in place to pass the inspection. You don’t want to be embarrassed or look bad in front of the board. If you are not 150% sure on your checklist, send me a copy and I’ll send you input on what you are missing (if anything). Compliance around drugs is a huge issue I’m seeing of late
We all know there are compliance regulations in force surrounding the topic of expired drugs. But lately, I’ve come across offices that have terrible problems in this area. Many offices have their checklists but they are not accurate or up to date. In one situation I encountered, the NEWEST expiration date on drugs in their facility was dated 2016. That’s so problematic! You MUST be up to date by removing expired drugs from the premises, and by keeping accurate records. You’re playing a risky game if you’re not taking compliance issues like this seriously. Don’t just check the boxes on the forms, pay close attention to the reality of you drug inventory. Protect yourself and your patients. It doesn’t matter until it matters, and then it matters big time! Why office inspections are powerfully helpful for your dental practice
The beauty of what I do and how I do it is that I’m able to do office inspections as a neutral 3rd party. That means I’m able to be entirely objective because I am not tied to the outcome in any way. I’m not so close that I can’t see the issues. This helps me identify what needs to be fixed, help the staff fix the issues, and move on. It really is that simple. There’s no need for panic or concern because you find something of concern. Just call and I’ll come out and assess everything, give you my recommendations, and point you in the right direction to fix any compliance issues I find.
Quotes for this episode:
“If you continue to think the way you’ve alway thought, you’ll continue to get what you’ve always got.” - Kevin Trudeau
“Do all the good you can, by all the means you can, in all the ways you can, in all the places you can, at all the times you can, to all the people you can, as long as you can.” - John Wesley Outline of This Episode
* [3:58] Continuing Education requirements - changes, updates, clarifications
* [10:35] Office reviews and concerns that I’m seeing as I do these reviews
* [18:05] Best-practices for Dental office reviews (the article is linked below)
* [25:15] The quotes we’ve found helpful this past week Resources & People Mentioned
OUR SPONSORS:
ProEdge Dental Water Labs: https://ProEdgeDental.com/Toothcop
Protective Dental: https://DentalCompliance.com/DrugKit
* Get the physical newsletter: The Dental Legal Update (Jeanine’s website)
* Dental IQ: Survivor: Dental office audit edition Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Jan 11, 2022
Enforcement Activity Is Up! Do You Have A Legit Paper Trail?
During the 4th Quarter of 2021 we saw a lot of enforcement activity, from the agencies that are announcing their fraud enforcement efforts to insurance companies that are initiating audits, etc. So whatever you’re involved with (Medicare, Medicaid, Indian Health Services, etc.), be sure you have an audit process in place that includes good records on the steps you’ve taken. You need to be able to prove your compliance should an audit or investigation comes your way. Narcotics charges against a Michigan Dentist, and lesson for all of us
A Michigan Dentist was busted recently on narcotics charges, and it’s easy to sit at a distance and pass judgement. But regardless of the facts in this case, there are other things that happen along this line that are more common. For example: sometimes only one Dentist has a DEA license but the others in the practice may write scripts using the other Doc’s DEA number. That’s a dangerous habit to get into. This news story demonstrates that the powers that be are not looking the other way. Don't share your credentials and don’t allow other providers to use your credentials. Sharing is not caring in this situation. Are you considering the purchase of a dental practice?
If you are considering buying a dental practice and the practice has been guilty of compliance issues, you will become liable for those issues the moment you buy the practice. So you need some kind of due diligence process that will assess the practice before you buy to ensure you’re not buying a piece of junk that you can’t get into compliance. But the good news is that not all things that look terrible are terrible. Duane has seen many situations where a practice was able to be easily fixed, then sold (like house flipping) for a profit. If you’re looking for support in the purchase of a dental practice, reach out!
Outline of This Episode
* [3:06] Duane’s interest and belief in goals (and another puppy)
* [7:13] Regulatory action is taking place, so be sure your audit process is up to date
* [8:44] A Michigan dentist is guilty on narcotics charges brought by the DEA
* [14:38] The Self-Disclosure Protocols have been renamed
* [17:27] The DOJ reintroduces corporate compliance monitors
* [26:31] NEW SEGMENT: Inspirational Quotes Resources & People Mentioned
* Learn more about protectIt dental at https://dentalcompliance.com/drugkit or call them at 888-878-8916 and tell them that the Toothcop sent you!
* The Pro Edge Water team - www.ProEdgeDental.com/Toothcop (affiliate)
* Michigan Dentist busted by the DEA
* Self Disclosure Protocols renamed
* CIA's are back!
* The Justice Department's criminal fraud page
“We don’t rise to the level of our expectations, we fall to the level of our training.”
“Don’t practice until you get it right, practice until you can’t get it wrong.”
“Most people never run far enough on their first wind to find out they have a second wind.” Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Sep 21, 2021
An Important Announcement from the Toothcop
I started the Talking with the Toothcop podcast in December 2017. Andrea has been with me since early 2019. We love doing this podcast together. Sadly, it’s time for us to hit the pause button. We will be back—I promise! But we have a lot on our plates right now and it makes sense to pull back temporarily. If this podcast has been rewarding and educational for you professionally, take some time and go back to listen to our episode archive! Outline of This Episode
* [0:22] What’s happening in our lives!
* [4:18] Check out ProEdge Dental
* [7:01] Sharing some bittersweet news
* [9:07] Learn more about protectIt dental Past podcast episodes to check out!
Check out some of our most popular and episodes packed with need-to-know information:
* Dental Unit Waterlines: the Good, the Bad, and the UGLY (with Mike Rust + Kellie Thimmes
* The 7 Elements of Dental Compliance Programs
* How a Compliance Program can Save Your Bacon
* Sedation Inspections + EPCS + Continuing Education
* The Importance of Sterilization Processes - Stephen Kovach
We’re always here to answer questions, so don’t be afraid to reach out. Until we return, subscribe to our email list! Resources & People Mentioned
* Check out ProEdge Dental at https://proedgedental.com/toothcop!
* Learn more about protectIt dental at https://dentalcompliance.com/drugkit or call them at 888-878-8916 and tell them that the Toothcop sent you! Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Sep 14, 2021
Instrument Processing Part I: The Proper Cleaning Process
I work with dental offices and do a lot of dental inspections/consults. I help people identify what they need to do differently. We talk through OSHA, HIPAA, infection control, radiology, medications, state board compliance, etc. But I get really excited about infection control and sterilization. That’s my stage—my moment to shine. In this episode of Talking with the Toothcop, we’re going to talk about instrument processing and cleaning procedures. Find out what you could be doing wrong and what to do instead! Outline of This Episode
* [0:49] Time to redo the 75 Hard Challenge!
* [6:00] Check out ProEdge Dental at https://proedgedental.com/toothcop!
* [7:16] What a sterilization room should look like
* [10:46] Don’t neglect monitoring your ultrasonic
* [14:37] Follow manufacturers instructions for use
* [16:45] Other things to note when using your ultrasonic
* [20:20] Learn more about protectIt dental at https://dentalcompliance.com/drugkit
* [21:46] Check out the 2021 Dental Compliance Bootcamp! What a sterilization room should look like
I’ve seen thousands of sterilizations rooms. Some are great, some are poorly designed, and some just don’t shock me anymore. What should it look like? It needs to be physically segregated into different areas for instrument receiving and cleaning, decontamination, preparation and packaging, sterilization, and storage.
There needs to be a “cleaned” area and a dirty area. I can’t tell you how often I see cross-contamination issues. When you bring the instruments into sterilization, the rest of the processes need to move in one direction. If you move in the opposite direction, you’re contaminating what’s supposed to be sterile. Don’t neglect monitoring your ultrasonic
A sterilization area contains two major processes: instrument cleaning and sterilization. If you don’t do one part right, it impacts the entire process. There are monitors in place for the sterilizer, color-changing indicators on instrument peel-pouches, and indicator tape on instrument cassettes. They give us visual confirmation of whether or not the sterilization process worked.
People often monitor the sterilization indicators but neglect the cleaning side of the process. You can’t just assume the instrument washer or ultrasonic is working effectively. Just because it sounds like it’s working properly doesn’t mean it is. You need a qualitative test—like a foil test—to make sure that it’s working properly. It needs to be done frequently. When those machines fail, they don’t sound any different. It is not obvious.
I don’t love the foil test. What do I prefer instead? An ultrasonic cleaning monitor. It can be ordered through your dental suppliers. Get and use that weekly. Record in your records that it passes inspection. It gives you information on several data points: cavitation, enzyme concentration, and more. Follow manufacturers instructions for use (IFU)
Are you using the correct concentration of enzymes in the ultrasonic? More than half of dental offices aren’t. Whatever product that you use for ultrasonic enzymes, make sure you follow the manufacturer’s instructions for use. People frequently use the wrong concentration, which is why I’m partial to tablets. It’s easier to calculate.
Secondly, people don’t understand the water capacity of the ultrasonic. The box says “one tablet per gallon” so they drop one tablet in, not realizing they have a three-gallon unit. One tablet won’t cut it—you’re off by a lot. I was in an office last week that had a three-gallon ultrasonic and they were putting in one tablet. According to the IFU, they were supposed to be using two tablets per gallon. They should have been using six tablets total!
What’s an easy way to track this? Buy a label maker and print the name of the product and the number of tablets/ounces required each time you fill an ultrasonic. Other things to note when using your ultrasonic
What else do you need to focus on?
* Run the ultrasonic with the cover on. When the cover is not in place, you’re spewing aerosols of biohazards into the air. If you don’t have a cover, get a replacement.
* Anything that has moveable parts or hinges must be in the open position before it goes in the ultrasonic. If you’re not doing this, bioburden accumulates in the jaw or hinge. Those parts must be exposed to be adequately cleaned and sterilized.
* Cleaning time is important and it varies per dental instrument. Review the IFUs for each individual piece you have as well as peel-pouches and instrument cassettes.
If you run the instruments and find when you’re rinsing them that they’re still dirty, what do you do? Run the cycle again. Fight the urge to manually scrub instruments. You will never do as good of a job as the instrument washer/ultrasonic.
Tune in next week for part II—the sterilization process! Resources & People Mentioned
* Check out the 75 Hard Program
* Ultrasonic Cleaning Monitor
* Check out the 2021 Dental Compliance Bootcamp!
* Check out ProEdge Dental at https://proedgedental.com/toothcop!
* Learn more about protectIt dental at https://dentalcompliance.com/drugkit or call them at 888-878-8916 and tell them that the Toothcop sent you! Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Sep 7, 2021
Dental Infection Control Awareness Month
It’s September! And it’s officially Dental Infection Control Awareness Month! We get you’re probably sick and tired of hearing about COVID and infection control. So guess what? Andrea and I will cover infection control without mentioning COVID, other than right now...We’ll cover getting a point-person in place and written policies and procedures. Check it out! Outline of This Episode
* [0:20] Dental Infection Control Awareness Month!
* [1:20] Check out ProEdge Dental at https://proedgedental.com/toothcop!
* [3:02] Every office needs a point-person
* [6:17] Make sure you have written infection-control protocols
* [10:31] Learn more about protectIt dental at https://dentalcompliance.com/drugkit Every office needs a point-person
This is an opportunity to use the time we have in Slowtember to review infection control protocols. Every office needs to have an infection prevention coordinator—or OSHA safety coordinator—to oversee all things related to employee safety and infection control. If more than one person is in charge, no one is in charge. Andrea points out that you don’t want to run into a situation where you’re saying, “Oh, I thought you were taking care of that.”
Secondly, you want to make sure if that person leaves their role is reassigned to someone else. If you don’t know who it is, you probably don’t have someone in place. I promise you, there will be someone in your practice who wants to do the role. But if no one steps up, so be it. Someone has to lead the pack and you get to choose who that someone is. But make sure you give them the paid time to get it done. Make sure you have written infection-control protocols
You need to have written policies and procedures that establish how you do things. According to the CDC, you need written procedures specific to the dental setting. This includes things like:
* Procedures for containing respiratory secretions
* Rules for sick employees
* Infection control education
* Policies for immunizations and vaccinations (Hepatitis B, Chicken Pox, MMR, Tetanus, Diphtheria/Pertussis)
* Safe injection practices for sharps/needles
* Rules for cleaning and sterilizing contaminated dental instruments
* Having instructions for use for medical devices and instruments (handpiece, sterilizers, x-ray machines, etc.)
* Cleaning and disinfection protocols for surfaces
* Cleanups of chemical spills or bodily fluids
* Testing dental unit waterlines + water treatment
* Protocols for the correct use of sterile water
* Rules for how to manage boil water advisories
* A tuberculosis exposure control plan (review the statistics for your country and state)
Many dental offices that have a written set of protocols have never read them. That means practices are simply assuming their staff has been trained on these things. Not good. The dentist is expected to have the most knowledge and experience with infection control. Sadly, they’re often the least knowledgeable and experienced. Don’t let that be you! You also want to have a detailed conversation with your staff about these protocols. Does your staff know them? You’re only as strong as your weakest link.
Mark your calendar for Dental Compliance Bootcamp 2021! Bootcamp is all things compliance and risk-management related. It’s available to non-clients (even better, It’s FREE for current clients). Resources & People Mentioned
* Check out ProEdge Dental at https://proedgedental.com/toothcop!
* Learn more about protectIt dental at https://dentalcompliance.com/drugkit or call them at 888-878-8916 and tell them that the Toothcop sent you!
* Mark your calendar for Dental Compliance Bootcamp 2021 Connect With Duane
* https://www.dentalcompliance.com/
* toothcop(at)dentalcompliance.com
* On Facebook
* On Twitter
* On LinkedIn
* On Youtube
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Aug 31, 2021
The Toothcop’s Quick Tips for Emergency Preparedness
Did you know that September is National Preparedness Month? So in this episode of Talking with the Toothcop, we share some quick tips your practice can follow to be prepared—for whatever may come. We also share a few ways you can take advantage of “Slowtember” and prep for the year to come. Outline of This Episode
* [0:22] Quick tips for emergency preparedness
* [6:00] Take advantage of Slowtember
* [11:57] Check out Compliance Bootcamp
* [12:45] Shoutout to some podcast listeners! Quick tips for emergency preparedness
What are some easy things you can do to prepare your practice for emergencies?
* Check that emergency lighting (exit signs) are working properly if there’s a power outage.
* Check your fire extinguishers and make sure they aren’t overdue for inspection. The fire department can do—and will sometimes just walk in—fire extinguisher checks for you.
* Check your smoke detectors and change the batteries regularly.
* Make sure that you perfor…
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Aug 24, 2021
The Lowdown on the 2021 Dental Compliance Bootcamp
In this episode of Talking with the Toothcop, you get a glimpse into the “behind the scenes” of what recording an episode really looks like. From food pranks to our favorite Starbucks orders—every tangent that we usually edit out is on full display. Don’t miss a fun and quirky episode that also includes some important news about our Dental Compliance Bootcamp! Listening may even get you some FREE coffee! Outline of This Episode
* [0:21] Food pranks: Starbucks + Subway
* [6:10] Check out ProEdge Dental at https://proedgedental.com/toothcop!
* [12:12] Dental Compliance Bootcamp 2021
* [20:00] Record-keeping + Compliance Programs + Cybersecurity
* [27:48] Learn more about protectIt dental at https://dentalcompliance.com/drugkit Learn about Dental Compliance Bootcamp 2021
Bootcamp is coming up, November 19th-20th in Hurst, TX (in the DFW area) at the Hurst conference center. The Hilton Garden Inn is attached to the conference center.
* We are going to have some hand…
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Aug 17, 2021
The Backpack Rule: Giving Gifts in Dentistry
Did you know there are specific rules from the Office of the Inspector General (OIG) regarding giving things of value (i.e. gifts) to solicit potential customers? In this episode of Talking with the Toothcop, Andrea and I talk about some of the specific rules on gifts and kickbacks. This is stuff that you need to be aware of so you don’t get hit with penalties and fines for breaking the law. Outline of This Episode
* [3:34] The OIG Backpack Rule
* [11:26] Texas Administrative Code Rule 108.58
* [15:25] The anti-kickback statute (42 U.S.C. 1320a-7b)
* [20:34] Section 259.008 Dental Practice Act
* [23:03] “But everyone is doing it”
* [28:08] Dental Compliance Bootcamp 2021 The OIG “Backpack” Rule
The OIG released a special bulletin entitled “Offering Gifts and Other Inducements to Beneficiaries.” This advisory from the OIG clarifies how the state interprets and applies the rules and statutes to giving things of value to Medicaid benefit recipients.
While th…
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Aug 10, 2021
PMP Inquiries: Clearing up the Confusion
Are PMP inquiries required for sedation meds that are dispensed in the office? A listener read through the rules in January 2020 and spoke with a sedation officer and was advised that they did not need to do the PMP check if they were dispensing in the office. But the way the rule is worded makes it seem as though you do need to. So in this episode of Talking with the Toothcop, Andrea and I will cover Chapter 111 and spell out the PMP rule in detail. Hopefully, this will clear up any confusion you may have! Outline of This Episode
* [3:43] Rule 111.1: Additional Continuing Education Required
* [6:24] Rule 111.2: Self-query of Prescription Monitoring Program
* [7:43] Rule 111:3: Prescription Monitoring by the Dentist
* [10:51] Breaking down the PMP inquiry rule
* [12:54] Rule 111.4: Prescription Monitoring by the Board
* [14:12] Rule 111:5: Electronic Prescribing Waivers
* [16:51] Subscribe to our email list to stay up-to-date! Rule 111.1 Subsection B: Additional Contin…
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Aug 3, 2021
The Texas State Board of Dental Examiners Newsletter [Important Updates]
In this episode of Talking with the Toothcop, I share some sobering news that recently happened in Kansas. I’ll also share some important updates that dentists need to be aware of that were highlighted in the Texas State Board of Dental Examiners Newsletter. Stay up-to-date on the latest dentistry compliance issues—don’t miss it. Outline of This Episode
* [0:21] 3-year-old boy dies during dental procedure
* [3:13] Get your dental unit waterlines tested through ProEdge!
* [4:30] Electronic Prescribing Waiver
* [6:03] Texas administrative code Rule 108.7 sub-section 16
* [7:44] Tele-dentistry rule (HB2056) passed
* [12:50] Questions about Rule 108.7 sub-section 16
* [14:33] Do dentists prescribe anxiety medication frequently?
* [15:26] Learn more about protectIt dental’s emergency medical kit
* [16:43] The Professional Recovery Network 3-year-old Boy Dies During Dental Procedure
A 3-year-old boy in Wichita, Kansas went in for a simple procedure. He was sedat…
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Jul 27, 2021
HIPAA: The Treatment, Payment, and Healthcare Operations (TPO) Exception
A lot of people get the Treatment, Payment, and Healthcare Operations (TPO) Exception wrong. So in this episode of Talking with the Toothcop, Andrea and I dissect what it is. We also talk about what to do if you need patient authorization and the importance of informed consent for treatment. Don’t miss it! Outline of This Episode
* [0:21] Coffee + Rom-Coms
* [4:07] Learn more about ProEdge Dental!
* [5:24] The treatment exception
* [10:00] The payment exception
* [11:01] The operations exception
* [12:14] If you NEED authorization
* [13:25] Informed consent for treatment
* [17:49] Learn more about protectit dental! The treatment exception
You can communicate with other healthcare providers (i.e. dentists/specialists) to care for a patient (consults, discussions, coordination of care, etc.). Under HIPPA you don’t need authorization from your patient to communicate with healthcare providers regarding treatment. Some state laws are more restrictive. For example, in…
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Jul 20, 2021
The Lowdown on Hepatitis B Vaccinations + Post-Vaccination Testing
Recently, I’ve dealt with some level of confusion surrounding the Hepatitis B vaccinations (HBV) and post-vaccination testing requirements. So in this episode of Talking with the Toothcop, I’m going to cover what both OSHA and the CDC require for the HBV and post-vaccination testing. Outline of This Episode
* [2:03] Hepatitis B vaccination requirements in dentistry
* [5:08] OSHA requirements for post-vaccination testing
* [10:22] Hepatitis B vaccination recap Hepatitis B Vaccination Requirements
When a dental office hires a new person, they need to determine if that person will have exposure to bloodborne pathogens. Front office staff may have exposure in one dental office and others won’t, whereas a clinical staff will have ongoing exposure. It all depends on the activities of your staff and whether or not they’re cross-trained. But it’s not like a bloodborne pathogen follows the rules and won’t cross into an area they’re not supposed to.
If a new staff member…
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Jul 13, 2021
Get to Know Duane Tinker + Andrea Baysinger
This episode of Talking with the Toothcop is a two-parter! In the first half, you’ll get a look behind the curtain and get to know me—Duane Tinker—and my co-host, Andrea Baysinger. In the second half of this episode, we share an important reminder about nitrous oxide compliance rules. Don’t miss it! Outline of This Episode
* [3:01] How Andrea became my co-host
* [6:05] I’m an introvert—until I take the stage
* [8:09] Andrea is an introvert disguised as an extrovert
* [9:29] Country versus city living (who is who?)
* [12:22] Raising Australian Shepherds on a ranch
* [13:05] Dentists that administer nitrous oxide
* [14:31] How dentists get busted for lack of compliance I’m an introvert—until I take the stage
I am an introvert. I’m like Sylvester Stallone (Hawk) in the Movie “Over the Top.” Hawk is a professional arm wrestler preparing for a national event in Las Vegas. At the end of the movie, Hawk is interviewed. He said that before he steps in th…
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Jul 6, 2021
Diving Deeper into the COVID-19 Rule Expiration
In our last episode, we talked about how the Texas State Board allowed their COVID-19 rules to expire. We think it’s a good thing! But a lot of dentists are not happy about it. So in this episode of Talking with the Toothcop, Andrea and I dive a little deeper into the topic. We’ll share why we think it’s a good thing and what dentists can do moving forward. Outline of This Episode
* [2:51] The feedback on the COVID-19 rule expiration
* [5:22] You can continue what you were doing
* [8:10] Dentists are encouraged to follow CDC guidelines
* [11:00] Let us know if you have any episode requests! The feedback on the COVID-19 rule expiration
I’m not entirely surprised dentists aren’t happy with the expiration of the rule. Many dentists want to know what they have to do—they like structure. I thought it was a beautiful thing that the state board was allowing dentists to take the reins again.
But a large cross-section of dentists like the comfort of being told what to…
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Jun 29, 2021
The Expiration of the COVID-19 Rule: How Does it Impact Dentists?
The Texas dental board let the COVID-19 rule expire (rule 108.7 subsection 16). How does that impact dentists moving forward? What rules do some providers still need to follow? What procedures are still recommended by the CDC? We cover it all in this episode of Talking with the Toothcop! Outline of This Episode
* [3:20] The impact of the expiration of the COVID-19 rule
* [4:41] The OSHA Emergency Temporary Standard
* [9:25] 1910.504: The Mini Respiratory Protection Program
* [16:35] Subscribe to the podcast and sign up for our newsletter! The impact of the expiration of the COVID-19 rule
How does this impact you? Maybe very little. There is no longer a Texas State Board rule that says you have to follow these specific rules. You don’t have to wear N95 masks. You don’t have to do twice daily temperature checks. You don’t have to screen patients and check their temperature. But many of you have gotten used to the process and feel like it’s best to continue. You absolu…
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Jun 1, 2021
Don’t Neglect Your Sedation and Anesthesia Reviews
Are you doing proper sedation and anesthesia reviews? Are you making sure you don’t have drugs sitting in your office that expired pre-COVID? Are you checking with a patient’s primary care provider before administering anesthesia? Being busy and overwhelmed isn’t an excuse for not doing your due diligence. In this episode of Talking with the Toothcop, Andrea and I touch on the importance of doing a proper review. Outline of This Episode
* [4:09] Sedation and anesthesia reviews
* [8:49] Upcoming anesthesia course Check for expired drugs and equipment
I’ve done a lot of sedation and anesthesia reviews in the last few months, and I can tell that some offices have been quite distracted. Those that have been quite busy aren’t staying on top of the things they should, like an annual inspection of the sedation process and equipment reviews. As a result, I’m finding a lot of expired stuff. They’re lucky I found it—not the state board. You need to be routinely checking t…
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May 25, 2021
Death in the Dental Office: Avoid Tragedy with Proper Training
Last week, I read an article about an oral surgeon in North Carolina who got busted after a patient died. So in this episode of Talking with the Toothcop, we’re going to talk about what happened, why it happened, and how it could have been prevented. This isn’t to shame the dentist or staff involved, but to learn from the mistakes that were made. Tragedies in the dental office should never happen. Outline of This Episode
* [0:22] Death in the dental office
* [8:50] Get professional help before it’s too late
* [13:45] The Professional Recovery Network
* [18:21] Your patients may not trust you anymore
* [20:20] The current action being taken
* [24:15] Upcoming CE courses Death in the dental office
According to the article Leland oral surgeon suspended by Dental Board, under investigation by SBI for drug misuse, Dr. Mark Austin had his license suspended following an investigation by the State Board of Dental Examiners. The patient in question came in for an appointme…
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May 18, 2021
Where Are You Rusty in Your Dental Practice?
I recently realized it’s been so long since I’ve played my guitar that the strings have started to rust. It’s sad and embarrassing to realize I’ve let something I love that’s important to me get forgotten. But it made me question: Where do you have rusty strings in your dental practice? Where are you not putting in the energy and effort into things that you should be? Have you let the things that are important to you go to the wayside? In this episode of Talking with the Toothcop, our goal is to bring you back to your current reality. Outline of This Episode
* [0:22] Where do you have rusty strings?
* [2:23] You have to sweat the little things
* [6:22] Take a moment for self-reflection
* [8:26] Get on my schedule for a chat! Where are your rusty strings?
We’ve had a lot of distractions with the pandemic. Because of this, I’ve seen a lot of “rusty strings” in dental practices. People are forgetting to do a step-wedge test for their x-ray machines. They’re…
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May 12, 2021
Compliance Training Doesn’t HAVE to Be Boring
Who says compliance training can’t be fun—or funny? In this fun episode of Talking with the Toothcop, we take a short break from our scheduled programming to hopefully share some laughs. Plus, we drop some important news about upcoming events. Don’t miss it! Outline of This Episode
* [2:08] Why OSHA training is dangerous
* [6:44] An intentional demonstration
* [12:19] Bootcamp is coming BACK! Why OSHA training is dangerous
Those who know me know I LOVE public speaking. Recently, I was doing an in-person OSHA/compliance training (which was awesome). I was speaking in a movie theatre and this particular movie theatre had a short stage about one foot off the ground. Toward the end of the presentation, I was talking about medical emergency preparedness.
I like to lean on things and decided to lean on a bar. Turns out, the bar was pretty low—a lot lower than I had anticipated. I ended up awkwardly squatting into a semi-sitting position to learn on the bar. But as I did, I…
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Apr 27, 2021
Walking Through a Corporate Integrity Agreement [CIAS Part III]
In the first episode of this series, we talked about what a corporate integrity agreement is. In the second episode, we covered focusing on compliance. In this episode of Talking with the Toothcop, we are going to walk through an actual corporate integrity agreement. If you’re caught in the OIG’s crosshairs, this is just one example of what you might expect.
NOTE: These are NOT confidential and are public documents on the OIG website. Outline of This Episode
* [2:15] A pediatric corporate integrity agreement
* [9:27] Reach out to us for support
* [12:02] Compliance Bootcamp 2021 A pediatric corporate integrity agreement
This CIA was executed in August 2016 with a three-year term (a CIA is typically a five-year term). The CIA stipulated that the dentist and all employees and contractors (including billing) had to establish a compliance program that included:
* Posting a notice in their office that patients could see—within 60 days of the effective date—that provides…
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Apr 20, 2021
The OIG’s Focus on Compliance [CIAs Part II]
In the last episode, we talked about what a corporate integrity agreement is and what compliance programs should look like. In this episode of Talking with the Toothcop, we continue our series on corporate integrity agreements by looking at the OIG’s Focus on Compliance roundtable discussion. If you participate with Medicare or Medicaid, you HAVE to pay attention to this. Outline of This Episode
* [3:23] Corporate Integrity Agreements
* [5:21] The focus on compliance document
* [8:59] The board of directors
* [10:53] The role of the internal audit
* [11:26] Claims review requirements Corporate Integrity Agreements
Just to recap, according to the OIG, a corporate integrity agreement is “Part of the settlement of Federal health care program investigations arising under a variety of civil false claims statutes. Providers or entities agree to the obligations, and in exchange, OIG agrees not to seek their exclusion from participation in Medicare, Medicaid, or other federal…
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Apr 13, 2021
How A Compliance Program Can Save Your Bacon
This episode is the beginning of a series about corporate integrity agreements. One of the important elements that is part of a corporate integrity agreement is implementing a compliance program. Why is it so important to have a compliance program? What should it consist of? How can a compliance program save your practice? Find out in this episode of Talking with the Toothcop! Outline of This Episode
* [2:40] Corporate integrity agreements
* [4:41] Compliance program guidelines
* [6:48] Why you want to implement a compliance program What is a corporate integrity agreement (CIA)?
A corporate integrity agreement addresses a specific issue while attempting to accommodate or recognize the elements of compliance programs. A CIA typically lasts for five years with a certain amount of requirements attached. What are those requirements?
* The organization must hire a compliance officer and appoint a compliance committee
* They have to develop written standards and policies
* Th…
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Apr 6, 2021
The Genius of Protect It Dental Emergency Medical Kits - Scott Sankary
Emergency medical kits are essential for dental practices—but most have a kit thrown under a cabinet that’s stocked with expired medications. Scott Sankary is the Co-Founder at Protect It First Aid & Safety, a company striving to change this unsafe practice. They supply emergency products and monitor expiration dates to keep customers in compliance. What do they offer to dental practices? How is their solution better than their competitors? Find out in this episode of Talking with the Toothcop! Outline of This Episode
* [0:35] Scott Sankary with Protect It Dental
* [5:47] Protect It Dental’s EMK series
* [8:11] How to become a customer
* [14:34] Their subscription-based program
* [21:58] How are they different? Protect It Dental’s Emergency Medical Kits
Protect It Dental is best known in the dental world for their emergency medical kits—their EMKs. The kit itself is made of white metal, weighs approximately 9 pounds, is 15.5” by 6” by 10.5”, and has a handl…
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Mar 30, 2021
Dental Compliance Reminders [Social Media, X-Rays, and Beyond]
Are you cultivating a culture of compliance in your dental practice? Are you careful about what you post on social media? Are you staying on top of X-ray machine maintenance? In this episode of Talking with the Toothcop, Andrea and I dive into some important compliance reminders you need to be mindful of—especially because OSHA is cracking the whip. Outline of This Episode
* [3:21] It’s time to create a culture of safety
* [4:59] A brief social media etiquette guide
* [6:22] OSHA is stepping it up
* [8:14] How to maintain your X-Ray machine
* [12:35] The topic of patient selection
* [15:18] What to do before administering Nitrous OSHA is stepping it up
On March 12th, 2021 OSHA sent out a news release that said they launched a program to protect workers with safety concerns. OSHA is stepping up its enforcement efforts and protecting workers’ rights to a safe work environment.
It’s time to take this stuff seriously and step up your game. Don’t look for loopholes…
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Mar 23, 2021
Handling Infection Control Breaches - India Chance + Michelle Strange
If you fail to follow the infection control protocols that you KNOW will prevent the transmission of disease, you’ll find yourself dealing with an infection control breach. In this episode of Talking with the Toothcop, India Chance, Michelle Strange, Andrea, and I wrap up our conversation on infection control breaches. We talk about posting on social media, the CDC’s steps to evaluate an infection control breach, and things you can easily implement to prevent infections in your dental office. Don’t miss it! Outline of This Episode
* [0:35] Don’t advertise your mistakes on social media
* [8:51] The CDC’s 6 steps to evaluate an infection control breach
* [14:45] Your duty to report extends beyond saving your reputation
* [17:35] Get a fresh perspective on your infection control practices
* [25:16] Why you should implement video cameras in the dental office Do NOT do this on Social Media
Michelle has seen dental professionals advertising their mistakes flippantly on…
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Mar 16, 2021
Preventing Infection Control Breaches - India Chance + Michelle Strange
What qualifies as an infection control breach? What is the easiest way to prevent them? In this episode of Talking with the Toothchop, India Chance and Michelle Strange return for a conversation about infection control breaches. We talk about what they are, why we can’t ignore them, and how we can do our part to prevent them. Outline of This Episode
* [7:05] What is an infection control breach?
* [13:11] Have written protocols in place
* [15:56] The most common infection control breach
* [21:30] Why training + preparation is important What is an infection control breach?
A breach in infection control is when there is a lapse—a failure to break the chain of infection—that impacts patients and employees. You have to recognize that there was a failure and notify those who were affected.
In 2013, the dental board in Oklahoma exposed Dr. W. Scott Harrington for unsafe practices in his dental office. One of his patients contracted HIV from his unhygienic practices and up…
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Mar 9, 2021
The Importance of an Infection Control Coordinator - India Chance + Michelle Strange
Why is the role of an infection control coordinator so important? How do you simplify safety so any dental office can appoint an infection control coordinator and properly train them? In this episode of Talking with the Toothcop, Michelle Strange and India Chance join Andrea and I to talk about the importance of having an infection control coordinator in your dental practice. Outline of This Episode
* [2:17] The importance of an infection prevention coordinator
* [6:27] Who should fill the role of ICC?
* [11:41] Teamwork makes the dream work
* [21:00] How to communicate effectively with your team
* [29:21] Do you need an infection control coordinator? Simplifying the role of an infection control coordinator
Let’s face it—the role of an infection control coordinator can be overwhelming. Infection control and OSHA guidelines, rules, and regulations have a lot of nuances. When people are overwhelmed, they tend to do nothing. So India and Michelle created the Level Up Inf…
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Mar 2, 2021
The Compliance Guru of New England - Dr. Lisa Kane
Dr. Lisa Kane is to New England what I am to Texas. She is THE compliance guru. She practiced dentistry for 20 years before switching to consulting. After years of dealing with migraines from leaning over patients, she made the move—which she’s done for the last four years. She’s always loved the business side of dentistry and it was the perfect fit. Outline of This Episode
* [0:21] Dr. Lisa Kane joins the Toothcop
* [3:50] Compliance, education, PHI, & civil rights
* [7:58] What people misunderstand about consultants
* [9:44] What Dr. Lisa Kane offers with consulting
* [12:43] Are peers receptive to her feedback? Compliance, education, PHI, & civil rights
Dr. Kane spends her time opening people’s eyes to regulations they need to follow. Before the COVID pandemic, no one took infection control and OSHA guidelines seriously. In Massachusetts, whatever the CDC says you must follow. In Texas, the state board requires the use of N95 respirators. It’s been hard educa…
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Feb 16, 2021
A Tale of Chemicals and Conduct
We like to provide clients all the materials they need to prepare for the next calendar year. We usually try to get it to them before Christmas, so it’s a sort of Christmas present. One of the things we include in this packet is a blank master chemical list. We’ve been getting a lot of questions about this list, as well as establishing a code of conduct. Listen to this episode to learn about both of them! Outline of This Episode
* [0:40] A compliance Christmas present
* [5:11] Nail down your code of conduct
* [7:29] Maintain a master chemical list
* [9:37] The lowdown on safety data sheets
* [11:10] Check out our live training! Nail down your code of conduct
If you participate with Medicare, Medicaid, Tricare, or other government programs, you need to have a written compliance plan that includes the seven elements of compliance. It’s a supplemental document to your office policies and procedures (employee handbook, SOPs, OSHA policies, HIPAA policies, compliance pol…
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Feb 2, 2021
Needlestick Injuries: Prevention + Protocol
Needlestick injuries have been cropping up again in the last few months. These injuries are considered “occupational hazards” in dentistry—but should they be? Why is it happening? What’s the contributing cause? In this episode of Talking With The Toothcop, Andrea and I talk about this costly “never event” and how to best prevent it. Outline of This Episode
* [0:52] The protocol with needlestick Injuries
* [5:25] Coordinating testing with patients
* [8:20] Annual Sharps Evaluation + Usage
* [10:59] Live OSHA Safety Coordinator Training The high cost of needlestick injuries
The CDC came out with some statistics that said the average needlestick injury costs $700–$750. That’s a load of crap. If you can’t get a negative test from the source patient, the employee must be treated as though an infection occurred. The post-exposure treatment includes taking costly antiviral medications.
If a hygienist slices their fingers open or someone gets poked by a root tip,…
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Jan 26, 2021
Dental Compliance Rules: New in 2021 [Part II]
In this episode of Talking with the Toothcop, we’re sharing a few more important reminders and things to stay on top of in 2021. This includes evaluating X-ray equipment, quarterly water testing, new CE requirements, completing CPR courses, and handling your exclusions monitoring. Why is it so important to stay on top of these things? Find out in this episode! Outline of This Episode
* [2:27] X-ray equipment
* [6:26] Quarterly water testing
* [7:53] Human trafficking CE
* [9:51] CPR courses
* [12:04] Exclusions monitoring Do NOT neglect your X-ray equipment
Texas has some of the most stringent enforcement in the country. X-ray rules were updated in 2019 and effective today. If you have digital X-ray machines, you’re required to have a Quality Assurance/Quality Control (QA/QC) process. That means you need to get out your X-ray manual and do an equipment performance evaluation (EPE).
For 2D technology, you must do this evaluation within 2 weeks of installation and every…
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Jan 19, 2021
Dental Compliance Rules: NEW in 2021
What’s new in 2021? CE requirements are changing, PMP self-query rules are in effect, and e-prescribing has officially kicked off. Andrea and I talk about all of the changes—and where to learn more—in this episode of Talking With The Toothcop. Don't miss it! Outline of This Episode
* [0:21] The first episode of 2021!
* [2:26] PMP Self-query
* [4:20] Check patient history
* [6:04] E-prescribing rules
* [9:07] NEW CE requirements PMP Self Query
According to Rule 111.2, if you have a DEA registration (or multiple) you’re required to check your prescriber history at least once a year in the PMP platform. Login and enter the dates you wish to check. You don’t need to document it—the state automatically records that you’ve checked. If you don’t, you may end up in front of the state board for lack of compliance. In Andrea’s words, “Check yourself before you wreck yourself.” Diligently check patient history
As of March 1st, 2020 every time you prescribe a co…
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Dec 15, 2020
How a Dental Consultant Can Transform Your Dental Practice - Tonya Burns
If COVID has taught us anything, it’s given us clarity. The first thing you should question for 2021 is “What do you want?” Dentists are realizing that “I might” or “I should” needs to turn into a solid plan. Do you want to recover losses? Do you want to grow? Do you want to slow down?
Sometimes the best way to implement goals is to have someone come alongside you to help you through the process. That’s where Tonya Burns comes in. Tonya is a consultant working exclusively with pediatric dental practices. Her mission is to empower dental practices to reach success—whatever that looks like for them. Listen to this episode of Talking with the Toothcop to learn more! Outline of This Episode
* [2:20] Tonya Burns: Pediatric Dental Consultant
* [3:41] Tonya is MORE than a consultant
* [6:33] How to implement goals in your practice
* [12:32] What years of consulting have taught us
* [29:41] Implementing automation in dentistry
* [37:49] Tracking metrics with cli…
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Nov 17, 2020
Dentistry Rules + Regulation Changes in Texas
Texas has rolled out some regulations and rule changes that dentists need to stay on top of. From controlled substance CE changes and equipment performance evaluations to medical emergency preparedness training and sedation inspections—we cover it all in this episode of Talking with the Toothcop. Don’t miss it! Outline of This Episode
* [0:21] A trip down memory lane
* [4:41] Controlled Substance CE changes
* [13:57] Controlled Substances: EPCS + patient query
* [19:11] The Human Trafficking Course requirement
* [21:30] X-ray equipment performance evaluations
* [25:02] Step-wedge test + medical emergency preparedness training
* [27:30] What dentists are getting busted for in sedation inspections
* [34:17] Mail Bag: Does your office need to use respirators?
* [37:13] Georgetown Dental’s violations Changes to Controlled Substances Regulations
A lot of controlled Substance CE changes came out in 2016. Some dentists still aren’t in compliance with these rules.…
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Nov 3, 2020
Dental Chart Auditing [Why It’s SO Important]
Why do you need to monitor and audit your charting? Why is verifying that your billing is done correctly so important? Because your life and your livelihood depend on it. An ongoing evaluation process is so important to a successful compliance program. Are your standards and procedures accurate? Is your compliance program working? Are claims being submitted properly?
All of these questions are important to answer. So in this episode of Talking with the Toothcop, Andrea and I walk through the OIG standards for record monitoring and chart auditing. We share some important definitions, my auditing process, and other things that are important to track and monitor. Don’t miss it! Outline of This Episode
* [1:37] Recap of the last episode
* [4:03] The OIG Auditing and monitoring procedures
* [11:38] Avoid a Corporate Integrity Agreement (CIA)
* [13:08] The definition of an overpayment
* [13:56] Understanding the False Claims Act
* [15:00] Proper charting review and noting
*…
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Oct 20, 2020
The 7 Must-Have Elements of a Dental Compliance Program
Years ago, the federal judiciary realized that federal judges needed sentencing guidelines for healthcare fraud. In the process, they issued compliance guidelines for different healthcare industries. Each incorporates the seven elements of compliance to combat healthcare fraud. The ramifications of violating the false claims act are tremendous. So what do you need to do to protect your dental practice? What are the seven elements that need to be incorporated into compliance programs? Listen to this episode of Talking with the Toothcop to find out! Outline of This Episode
* [10:22] The evolution of compliance programs
* [12:27] The 7 elements of compliance programs
* [16:21] #1: Implement written policies and procedures
* [21:50] #2: Designate a compliance officer
* [24:53] #3: Provide effective compliance training
* [30:16] #4: Develop effective lines of communication
* [36:08] #5: Conduct internal monitoring and auditing
* [43:38] #6: Enforce standards through discipl…
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Oct 6, 2020
The DEA and Dentistry [Need-to-Know Updates]
Did you know that October is the National Substance Abuse Prevention Month? In keeping with that theme, this episode of Talking with the Toothcop is all about drug regulatory issues and updates, schedule II drug monitoring, and substance abuse prevention. We share some helpful resources and DEA regulation updates—don’t miss it! Outline of This Episode
* [1:33] DEA drug regulatory changes
* [3:53] Medicare consolidating credentialing in TX
* [4:28] Electronic 222 forms for schedule II drugs
* [6:36] Why you NEED to keep inventory
* [9:34] The topic of background checks
* [12:27] Substance Abuse Prevention Month
* [13:32] Controlling patient information
* [14:42] Annual DEA CE now required
* [15:17] How to check a patient’s drug history
* [21:36] The Professional Recovery Network The DEA is making bank
The DEA is raising their fees. Effective 10/1/2020, the DEA registration fee is going from $721 to $888 per registration. For those of you that have multiple p…
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Sep 22, 2020
Sedation Inspections + EPCS + Continuing Education: What You Need to Know
Every five years, Texas conducts inspections of any practice that uses sedation. Some practices have recently undergone their initial inspections. From what I’ve heard, most have gone pretty well. Some are getting busted for things they consider nit-picky—like missing information on their preoperative checklist—but that the state board takes seriously. So in this episode of Talking with the Toothcop, Andrea and I chat about preoperative checklist requirements, the Electronic Prescribing of Controlled Substances (EPCS), as well as continuing education requirements. These are things you NEED to stay on top of—so don’t miss it! Outline of This Episode
* [4:10] Texas: Updates regarding sedation
* [10:34] Physical examination subsection C
* [13:09] Anesthesia-specific examination subsection B
* [13:48] Special pre-op considerations: pediatric or high-risk
* [15:25] Rules on equipment and use
* [16:24] EPCS: Electronic Prescribing of Controlled Substances
* [29:48] C…
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Sep 10, 2020
Dental Unit Waterlines: The Good, Bad, and the Ugly - Mike Rust + Kellie Thimmes
Water is the lifeline of your dental practice. If your dental unit waterlines are covered in biofilm, you’re in trouble. How do you test your water lines properly? How do you treat your systems? What do you do if you don’t have a closed system? With the heightened awareness of spreading germs due to the Coronavirus crisis, it’s more important than ever to be mindful of prevention in your practice. In this episode of Talking with the Toothcop, Dwight and I chat with Mike Rust and Kellie Thimmes from ProEdge Dental about what dentists can—and should be doing—to prevent infections. Outline of This Episode
* [0:21] Mike Rust + Kellie Thimmes on the Toothcop
* [1:19] What people don’t know about Kellie + Mike
* [4:27] How to test your water lines properly
* [11:40] The CDC will revise dental infection control guidelines
* [20:40] Indicators that a dental office does or doesn’t care
* [28:28] Where does the problem originate?
* [31:58] Pro Edge’s new Flow-Cyto…
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Aug 25, 2020
HIPAA Security Compliance: WHY it’s So Important
HIPAA security compliance isn’t talked about often in the dental community. But the Office for Civil Rights (OCR) can and are investigating dental offices. If you’re not properly or adequately protecting your patient’s protected health information (PHI) you’re at risk of a hefty fine. In this episode of Talking With The Toothcop, I talk about the HIPAA security rule, business associate agreements, and how a data breach can impact your practice. Outline of This Episode
* [1:20] HIPAA Security Compliance
* [4:43] The HIPAA Security Rule
* [9:00] Consistently work toward compliance
* [10:13] The Business Associate agreement
* [14:57] Have adequate cyber insurance in place
* [17:38] Will OCR hit practices harder because of COVID? HIPAA Security Compliance: What a breach looks like
I received an email from OCR (AKA the HIPAA Police) titled: “Small healthcare provider fails to implement multiple HIPAA security rule requirements.” So I opened it. Essentially, Metro…
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Aug 7, 2020
We Tackle Coronavirus Dental Compliance Questions - Dwight Shreve
In this episode of Talking with the Toothcop, Dwight Shreve joins Andrea and I to cover some of the most-asked questions that have accumulated during the Coronavirus pandemic. We talk about face masks and respirators and how to use them properly. We also talk about addressing issues in your practice and the proper procedure if a staff member is diagnosed with COVID-19. If you have unanswered questions swirling around in your head, don’t miss this episode!
Dwight Shreve worked at Crosstex for a couple of years as a Sales Manager and Infection Prevention Advisor. Now Dwight is an Independent Consultant with us at Dental Compliance Specialists. He has a passion for supporting patients and helping to make sure their needs are being met. Outline of This Episode
* [0:21] Andrea and I are joined by Dwight Shreve
* [1:58] Lockdown in Texas has been lifted
* [3:20] What is a face mask anyway?
* [7:02] Guidelines to follow in dentistry
* [12:17] Respirator Medical Evaluation Quest…
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Jun 30, 2020
Conflict Resolution Strategies for Dentists
The impact of the Coronavirus is leading to heightened emotions and increased tension. I’ve been fielding a lot of phone calls from dentists who’ve had patients test positive for COVID-19—after they’d been seen in office. Some dentists have had staff who have been exposed or are testing positive for the virus. Dental practices are immersed in chaos and navigating through conflict has been difficult. Some dental offices function like one big dysfunctional family. So in this episode of Talking with the Toothcop, Andrea and I will cover some conflict resolution strategies to keep your practice running as smoothly as possible. Outline of This Episode
* [0:21] Conflict resolution strategies for dentists
* [2:29] Find someone in your corner
* [6:03] Communication is the key to overcome conflict
* [17:04] Consider each point of view as valid
* [20:36] How COVID-19 has impacted the dental industry
* [20:36] Limit your exposure to minimize your impact
* [23:47] Reference…
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May 14, 2020
From Cop to Tax Consultant: How Craig Cody Serves the Dental Niche
Are you looking for a tax consultant for your dental practice? Do you understand the necessity of tax planning and preparation for your business? Even better—are you aware of the tax savings you’re missing out on? Tax Consultant Craig Cody joins us to talk about financial planning & taxes.
Craig Cody is a Certified Public Accountant (CPA) and the President & Founder of Craig Cody & Company. He was formerly a cop with the NYPD and ended his career as a Lieutenant after 17 years on the force. Listen to this episode for some expert advice—and maybe a few cop stories. Outline of This Episode
* [2:33] From law enforcement to tax consultant
* [5:03] Strategies to manage tax savings
* [12:02] What can a CPA do for you?
* [14:20] Dentists should NOT double as bookkeepers
* [16:05] Craig and I share a cop story or two
* [22:30] Connect with Craig Cody & Company From law enforcement to tax consultant
Craig was an Economics major in college, but after 3 years he left to join…
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Apr 28, 2020
The Impact of COVID-19 on the Future of Dental Practices - Mike Rust & India Chance
Many dental practices have been sitting closed, deemed non-essential businesses during the coronavirus crisis. Or they’ve only seen patients on an emergency basis. States will soon slowly start reopening businesses. But that begs the question—how will this crisis change dental practices? Will there be new standards put in place? Will infection control finally get the attention it deserves? Mike Rust with ProEdge Dental and India Chance with Learn2Prevent join me to talk through the implications for dentistry in this episode of Talking with the Toothcop. Outline of This Episode
* [0:22] OSHA regulations: respiratory protection program
* [4:02] Pent up demand for dental services coming?
* [6:13] Interim guidelines for dentists
* [8:57] Upcoming concerns dental practices face
* [12:22] When will dental offices start opening?
* [18:50] Aerosols have ALWAYS been a problem
* [28:27] Why is their resistance to change?
* [32:45] Who is closing their practices?
* [38:43]…
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Apr 24, 2020
Critical Incident Stress Management: What You NEED to Know
Critical Incident Stress Management. Unless you’re in the military or a first responder, you’re likely not familiar with this terminology. It is a protocol developed specifically for dealing with traumatic events. I’ve shared many times that I was a cop before becoming the Toothcop. But what many don’t know is that I was also a chaplain. I was trained to help fellow first-responders through physical and psychological trauma.
In this episode of Talking with the Toothcop, Andrea and I talk about grief and the grieving process. We talk about critical incidents and how to recognize the signs and symptoms that you’re dealing with psychological trauma. We also share some stress-management strategies and resources for yourself and your team to work through critical incident stress. Outline of This Episode
* [0:22] Critical Incident Stress Management
* [9:06] Grief: experiencing psychological trauma
* [13:35] We must move through the 5 stages of grief
* [16:41] The pandemic…
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Apr 7, 2020
The Importance of Sterilization Processes - Steven Kovach
Sterilization processes are always important in dental practices to protect your staff and your customers. During the Coronavirus pandemic, everyone is especially concerned about proper procedure. You have to follow Instructions for Use (IFUs) and properly sanitize and sterilize your instruments. In this episode of Talking with the Toothcop, Stephen Kovach—whom I am now referring to as the “Godfather of Infection Control”—joins Andrea and myself to chat about the importance of sterilization processes.
Stephen Kovach is Educator Emeritus at Healthmark Industries and has been in the medical field since 1975—now celebrating his 45th year in Healthcare. He is a member of IAHCSMM orthopedic council for loaner instrumentation and a voting member on various AAMI committees. He’s published numerous articles varying in subject matter from perfusion to the importance of cleaning surgical instruments. Outline of This Episode
* [0:22] Stephen Kovach joins Andrea and I
* [2:14] St…
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Mar 19, 2020
We Live in Interesting Times
Today I talk with my good friend and compliance colleague India Chance.
This podcast is a way to update you on the rapidly changing situation in Dentistry as it relates to the Coronavirus.
We are updating you on the changes and how to access information to help your practice.
If you need help with compliance or have questions about infection control call us at 817-755-0035
www.dentalcompliance.com
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Mar 17, 2020
Thriving in Times of Trouble...Time to get to Work!
We can all agree, things are going badly right now. Times are tough. This podcast is a group effort- an attempt to help you re-focus your efforts and turn this downturn into a profitable time for your business.
Our think tank Duane Tinker- AKA: "The Tooth Cop" CEO of Dental Compliance Specialists, Andrea Baysinger, Chief Client Happiness Officer and co-host extraordinaire and Jacque Tinker, COO of Dental Compliance Officer put their heads together to bring you a message of hope and help in this difficult time.
Here is a quick a dirty list of things you can do to put your practice in a good place come the end of this mess we are facing now. Check it out.
This is a fun one guys!
OUTLINE OF THE EPISODE:
* [7:05] Review and update OSHA safety plan and written infection control plans. Understand the difference between them
* [7:45] Update compliance Training- Take our 4-hour Infection Control CE. Bone up and take the time to update annual compliance training. Your staff can complet…
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Mar 17, 2020
How to Cultivate Leadership in Dentistry - Steve Dove and Bryan Crawford
Leadership in dentistry is severely lacking in this day and age. I’m not talking about governing bodies—but dentists who are true leaders in their field and practice. Steve Dove, DDS, and Bryan Crawford join me to have a raw and real discussion about cultivating leadership, our heart for dentistry, and our shared vision of growing leaders in the industry.
Disclaimer: we recorded this at the Voices of Dentistry Conference. Outline of This Episode
* [0:21] Steve Dove, DDS and Bryan Crawford join the Toothcop!
* [4:42] Why an ounce of prevention is worth it
* [10:37] Budget for compliance and prevention
* [13:45] Steve points out that we live in a numb society
* [16:10] Dentists need to be passionate about people
* [18:18] Why Steve and Bryan are launching a leadership podcast
* [20:15] Cultivate a heart for people—empower and equip them
* [21:18] Where to follow the ‘Dental Leadership Academy’ podcast Where does leadership in dentistry begin?
In our discuss…
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Mar 3, 2020
Why You Should Offer a Dental Membership in Your Practice - Jordon Comstock
Have you considered adding a dental membership plan to your practice? Have you looked at the pros and cons but just haven’t pulled the trigger? My guest today, Jordon Comstock, has simplified the process by creating BoomCloud—Dental Membership Software. In this episode of Talking with the Toothcop we talk about why a dental membership plan is worth it, having systems in place, and the BoomCloud interface.
Both Jordon’s parents were in the dental industry and he started as a lab tech. Most of his immediate and extended family are in dentistry. He grew up surrounded by the struggles of dental offices and sought to create a plan to help simplify their business—but amplify their results. The software he created helps dentists easily manage a membership plan. Listen to this episode for details! Outline of This Episode
* [1:10] Jordan’s history in the dental industry
* [6:18] The benefits of a membership program
* [10:25] Solving the access to care issue
* [12:09] Regulat…
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Feb 18, 2020
A Deep-Dive into Infection Prevention and Control: Because Safety Never Takes a Holiday
While it’s a phrase straight from the mouth of Paul Blart: Mall Cop, it holds true. Safety never takes a holiday, and the safety of your staff and patients should be first and foremost in your mind. Dental professionals need to be educated on proper procedures for cleaning and sterilizing the tools that they’re using every day so they’re not exposing people to pathogens.
Over the course of this next quarter, I’m dispatching to different dental offices that we work with to conduct a series of experiments. The goal is to find out if the most stringent infection control procedures that we utilize are doing enough. If they aren’t, then it’s time to make some changes to our checklists and procedures as well as in the dental industry as a whole. Outline of This Episode
* [1:30] Infection prevention and control and my upcoming project
* [11:09] The importance of sterilizing your equipment
* [17:59] Learn how to read and follow IFUs
* [26:36] Addressing lack of formal in…
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Feb 4, 2020
Dental Compliance Q&A: The Toothcop Tackles YOUR Questions
In this special Q&A episode of Talking with the Toothcop, Jacque and I will tackle questions we’ve been receiving from listeners. We want to preface this episode by saying that we never intend to promote our business with this podcast. First and foremost, we want to focus on educating the dental community about compliance. However, we’ve received so many questions about what we do that we thought we’d address them all in this episode! Listen to hear how I became The Toothcop, what exactly it is that we do, and some specific things to watch out for in your office. Outline of This Episode
* [0:21] Answering Listener questions
* [1:45] How Duane got started in Dental Compliance
* [5:05] Starting a business that didn’t exist
* [8:30] The chief nerd at Dental Compliance Specialists
* [10:00] The business at the beginning
* [12:58] Building relationships with dental offices
* [19:11] Do everything we tell you to do
* [28:54] How to get your staff on board
* [35:59…
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Jan 21, 2020
How to Simplify Dental Insurance Billing - Colleen Huff
Dental insurance billing is something many dental offices struggle with because it can be so complex. When do you bill? What rates do you bill? What if the patient has two insurance coverages?How do you keep your office organized and implement a system? It’s a lot to remember. Colleen Huff joins me in this episode of Talking with the Toothcop to answer some of those questions—and help you simplify the process.
Colleen Huff has been everything from a bookkeeper to a scheduling coordinator, with extensive experience managing practices. In her management role, she saw a severe lack of training—to the point dental offices were engaging in illegal billing practices and didn’t know it. So she started educating others on proper practice. Colleen has been a dental insurance coach for the last 17 years. Outline of This Episode
* [0:20] Colleen Huff’s background
* [5:05] Can you simplify the dental billing process?
* [15:45] The biggest mistake dental offices make
* [19:20] A…
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Jan 7, 2020
How to Utilize Instructions for Use in Infection Control
How to Utilize Instructions for Use in Infection ControlInstructions for Use (IFUs) should be included with any and every medical device that you use in your practice. Learning how to properly use and follow IFUs will aid in proper infection control. As we are rolling into 2020, improvement in infection control in dentistry is at the forefront of my mind. So in this episode of Talking with the Toothcop we’re going to cover how to properly clean and disinfect medical devices (and how to reference the IFUs). Check it out! Outline of This Episode
* [0:20] Welcome to 2020!
* [4:55] Infection control and room for improvement
* [6:30] Policy to practice book from OSAP takeaways
* [7:45] Properly use IFU’s (Instruction for Use)
* [13:30] You need written policies and procedures for infection control
* [17:45] Enzyme solution and critical water
* [22:55] Proper care of hinged instruments
* [24:45] Spot-testing in dental offices
* [26:30] Infection control testing coming…
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Dec 17, 2019
It’s Time to Start Preventing Airborne Diseases in Dentistry - Michelle Strange
Airborne diseases in dentistry are unfortunately prevalent but preventable. Protecting yourself, your staff, and your patients from aerosols should be a priority in your practice. We are all up-in-arms about bloodborne pathogens and do everything in our power to prevent them, but we neglect airborne diseases. That needs to change! Michelle Strange joins me in this episode of Talking with the Toothcop to start the conversation.
Michelle has been in the dental industry since 2000, and a licensed hygienist since 2005. At one point, she was an OSHA Compliance Manager and Director of Clinical Education at O2 Nose Filters. She left private practice 5 years ago and is now an Educational Consultant for TePe Oral Hygiene Products. Michelle also co-hosts a podcast, “A Tale of Two Hygienists”. Outline of This Episode
* [0:20] I introduce my guest, Michelle Strange.
* [3:05] Research on dental aerosols
* [4:05] The conversation about airborne diseases
* [6:40] Personal Protective Eq…
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Dec 4, 2019
Navigating the New Era of Dental Billing - Leslie Icenogle
Dental billing is an ever-changing process. As a dental provider, how do you stay on top of changing regulations and coding? Do you outsource your billing? Leslie Icenogle joins me today to talk about medical billing for dentistry and where it overlaps with dental billing. We also chat about outsourcing your billing and continuing education for your staff.
Leslie got her start in pediatric dentistry over 30 years ago and has worked in oral surgery for 32 years. She has extensive experience dealing with medical billing and started teaching dental practices how to integrate medical billing. After a couple of years of being asked to take on the work herself, Insurance Billing Outsourcing was born. Outline of This Episode
* [0:30] Leslie Icenogle’s background in dentistry
* [3:05] ICD-10 Diagnosis in Dentistry
* [8:00] SOAP notes: subjective, objective, assessment, and plan
* [10:45] How do you make the process easier?
* [13:50] Compliance and cash flow go hand-in-hand
* [1…
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Nov 5, 2019
The Toothcop’s Security Measures to Protect Your Practice
What are some of the security measures you need to have in place to protect your practice? In today’s day and age, security breaches can come from many different directions. In this episode of Talking with the Toothcop, Andrea and I will lay out some ways you can protect your business. From security breaches to controlled substance regulations—we’ve got you covered. Outline of This Episode
* [0:20] Cyber Ransom Attacks
* [4:55] What does a breach mean for you?
* [8:30] Prepare for potential breaches.
* [13:20] HIPAA security and privacy officer
* [14:40] Bootcamp will cover liability and compliance
* [17:50] How to prepare for and handle “Never Events”
* [23:10] Controlled substance rules and regulations
* [27:15] Change in DEA regulations
* [28:10] Controlled substance storage
* [30:30] Stop over-prescribing antibiotics Cyber attacks are the real deal
It’s a new era, and cyberattacks are becoming more prevalent. A hacker will infect your system with…
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Oct 15, 2019
Be Prepared to Handle Medical Emergencies in the Dental Office
Everyone lives by the mantra that medical emergencies in the dental office will “never happen to us”. Patients certainly don’t think about that when they schedule a dentist appointment. But it is your job as a provider to be prepared for the unthinkable. Failure to plan is a plan to fail. There is risk in what you do whether you think about it or not. We cover medical emergencies in detail in this episode of Talking with the Toothcop—be sure to listen! Outline of This Episode
* [1:30] Preparing for Medical Emergencies
* [6:00] Do scenario training until you don’t fail
* [7:55] Combating opiate abuse in the dental office
* [13:50] Use your intuition and don’t make stupid decisions
* [17:15] Sedation Rules: Pre Anesthesia Checklist
* [21:20] Opioid addiction resources for Texas
* [24:10] Tracking claim denials and implementing systems
* [26:00] Learn proper administration of emergency medications
* [35:50] Why do we do what we do?
* [39:00] DEA Registrati…
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Oct 1, 2019
The Importance of Dental Policies and Procedures
Today’s episode of Talking with the Toothcop is all about the fascinating topic of staying up-to-date with your equipment evaluations and dental policies and procedures. Yes, I think compliance IS fascinating! Andrea and I cover everything from blood-borne pathogens to X-Ray equipment—don’t miss this important episode. Outline of This Episode
* [0:23] What Andrea and I are going to cover
* [3:20] X-Ray law updates in Texas
* [7:05] Written policies and procedures
* [15:50] HIPAA and monitoring PHI
* [35:25] Hepatitis B Prevention and vaccination
* [37:05] Minimizing exposure & safety protocols
* [41:20] 75 Hard update
* [45:00] PPE provided at no cost
* [50:00] You can’t always see your enemy
* [53:50] Provide proper post-exposure care
* [56:45] Sterilization of single-use items Dental policies, procedures, and prevention!
The whole reason you have written policies and procedures is to protect yourself, your staff, and your patients. In theory—really…
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Sep 17, 2019
How to Inspect and Maintain Your Nitrous Oxide Equipment - Stephan Nugent
Do you know how to properly care for your nitrous oxide equipment? Are you properly following instructions for use (IFU) documents when cleaning your Accutron? Knowing how to properly care for your equipment—and therefore your patients—is important for their longevity and functionality.
Here to chat with me today is Steve Nugent from Professional Sales Associates. One of his specialties is Accutron nitrous oxide products. He reached out to me about a recent episode I did to give me some feedback and I’m so glad he did. He’s got some insightful tips on protecting your equipment. Be sure to listen to this important episode of Talking with the Toothcop! Outline of This Episode
* [0:22] I welcome my guest Stephan Nugent to the podcast
* [4:45] Centrally plumbed and portable nitrous oxide manifolds
* [7:20] Inspection of equipment—follow the instructions for use!
* [11:35] Disinfecting Flowmeters
* [16:00] Don’t let complacency seep into your office
* [19:30] Maint…
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Sep 3, 2019
Why HIPAA Compliance with Technology is important - Nancy Sabino
HIPAA Compliance—protecting your client’s information—NEEDS to be an important practice in your dental office. This topic is just as pressing as protecting the health of your patients and staff. Managed Service Providers (MSP) are a great way to help you maintain HIPAA compliance. In this episode of Talking with the Toothcop, I talk with Nancy Sabino of SabinoCompTech about technology and protecting patient information.
Nancy and her husband founded SabinoCompTech in 2008 out of a desire to help people. They primarily focus on Medical and Oral Healthcare—so she KNOWS the ins and outs of the dental industry. They focus on the “Awesome IT Way” and providing excellent care to their businesses. Listen for some great advice on keeping your dental practice HIPAA compliant. What is a Managed Service Provider (MSP)?
I’m going to be honest—you should know what an MSP is, but if you don’t, it’s easily described as an “outsourced IT department”. They offer technical sup…
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Aug 20, 2019
Implementing Internal Compliance Standards for Often Overlooked Procedures
You’re probably listening to this podcast because you know the importance of compliance standards in the dental practice. We want to control the cleanliness of our tools, limit the spread of bacteria and illnesses, and offer our clients the best environment. Just as important as quality control is HIPAA compliance with your electronic devices, records audits—and so much more. This important episode of Talking with the Toothcop will cover these often overlooked procedures. Outline of This Episode
* [2:16] Mobile devices and cybersecurity
* [7:20] Claims and Record Audits
* [13:35] Mitigating workplace violence
* [22:50] Policy on service animals Mobile devices and cybersecurity
You want to make sure that any device used in your office—whether it’s a phone, tablet, or computer—is properly equipped to protect client information. Also, your staff needs to be properly trained to be HIPAA compliant and procedures must be in place. Set it up so that you don’t save patie…
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Aug 6, 2019
The Importance of Compliance and Risk Management in your Dental Practice - Linda Harvey
Compliance and risk management in your dental practice should be of the utmost importance. We have a responsibility to our patients to maintain their health and safety. Though it can often overlooked, it plays a crucial role in your practice. Your brand becomes worthless if you don’t have a standard of excellence in place. Linda Harvey is joining me today on Talking with the Toothcop to talk about all things dental compliance.
Linda is equally as passionate as I am about compliance. She’s been in the industry for over 20 years, starting her career as a dental hygienist. After finishing her master’s degree, she worked in medicine and gained risk management experience. She founded the Linda Harvey group as a resource for both medical and dental compliance. In 2014, she founded the Institute for Dental Compliance and Risk Management. Though technically a competitor in the space, Linda is also a colleague and a friend and I highly value her insight in the field. Outline of This Epis…
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Jul 16, 2019
Infection Control in Dentistry: Tools to Keep Yourself and Your Patients Healthy
The topic of infection control in dentistry is important and should be at the forefront of your mind when it comes to patient care. It’s definitely something I’m passionate about! That’s why this episode is devoted to different resources you can use to ensure you and your patient are protected. I came across many of these at the recent Organization for Safety, Asepsis and Prevention (OSAP) conference. I’m excited to share them with you! Infection control in dentistry starts by testing your equipment often
Something that is always emphasized at the yearly OSAP conference is the importance of cleaning your tools as often as possible. The last thing you want is for a patient to get sick on your watch! Something we include on our personal checklist is testing your autoclave and making sure it is functioning correctly. You need to make sure the machine to clean your tools is operating properly at all times.
The Ultrasonic machine’s job is to automatically scrub your instruments,…
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Jul 2, 2019
Exploring the 75 Hard Challenge and Why You Need to Protect Your Integrity!
Your integrity is a critical aspect of your reputation as a dental professional - are yourself doing everything you can to protect it? If you don’t stay proactive when it comes to protecting your integrity, your business could be in danger!
On this episode, Andrea and I discuss our experience with the 75 Hard Challenge and what it takes for dentists like you to protect your integrity. You’ll want to pay extra attention to this episode - it’s full of content I know you’ll find helpful! The 75 Hard Challenge
I’ll be honest - over the last couple of years; I’ve let my health slide. I’ve been so consumed with the dental compliance space that my attention to my health has taken a back seat. Recently - I’ve been starting to think about my health and a podcast I listened to really helped me see what I can do to get back on track. Andrea and I have started the 75 Hard Challenge - here is what it entails:
* Pick a diet to follow and stick with it - no cheat days.
* Drink…
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Jun 18, 2019
How to Protect Yourself from Dental Embezzlement and other Types of Fraud - William Hiltz
Do you ever find yourself fascinated and terrified by a case of dental embezzlement? I’ll admit it - I find those type of stories so gripping! I wonder what the dentist could have done to prevent the fraud or I wonder how they didn’t see it coming. If you’ve ever wondered if your dental practice is really protected from dental embezzlement or other types of fraud - this is the episode for you!
On this episode - you’ll hear from my guest, William Hiltz. William is an expert in embezzlement detection, investigation, and remediation. He is also a published author and speaker on the subject of embezzlement in healthcare. William currently serves as the CEO and Founder of Hiltz and Associates. Set the tone from the top!
Whatever policy and controls you put in place at your dental office - they mean nothing if you don’t follow those standards yourself! Remember that old saying - money see, monkey do? It turns out that humans aren’t that different. You can’t have one policy fo…
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Jun 4, 2019
Why You Need to Track Expired Medical Equipment and Expired Drugs
Let’s face it - expired medical equipment and expired drugs are NOT the sexiest of topics to cover, but it is SO important. On this episode - Andrea and I talk about expired equipment, expired drugs, why you need to have written policies and procedures, the danger of getting too comfortable sedating a patient, and much more. You don’t have to struggle to find the right resources on these topics - we’ve got you covered. There is a ton of helpful information, Andrea, and I cover - grab pen and paper - you are going to need it! Keeping track of expired medical equipment and expired drugs
I know - keeping track of expired medical equipment and expired drugs is a chore. You might even be tempted to think that expired medical equipment and expired drugs are covered by your spreadsheet or list - think again! Time and time again, I discover the most dental offices that assume their expired dates are covered by their processes are actually wrong. Don’t let an assumption get your office…
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May 21, 2019
Why You Need Legal Representation When Self-Reporting Patient Deaths and Hospitalizations - Laura Diamond
Do you really need legal representation shortly after a patient death or hospitalization? While it’s a scenario that no dentist ever wants to face over the course of their career you need to have a plan in place. Here to help you understand what you can expect and how to prepare for dealing with a patient death or hospitalization is Laura Diamond.
Laura is an administrative and healthcare law attorney with experience representing healthcare providers in administrative proceedings. She is a partner in the firm of Dalrymple, Shellhorse, Ellis & Diamond, LLP. Laura’s practice focuses on assisting individuals and businesses in defending their occupational licenses.
She represents clients at the agency level (complaint, investigation, and informal settlement conference) as well as before the State Office of Administrative Hearings (SOAH). Ms. Diamond advises dentists, nurses (RN, LVN), physicians, respiratory therapists, radiologic technicians, psychologists, and mental health provide…
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May 6, 2019
How to Secure Patient Information, Control Designated Agents, Use Electronic Records and More!
Is your dental office using the best methods for securing patient information? When was the last time you reviewed your process and made an update? On this episode, Andrea and I jump into an important conversation about securing patient information, controlling designated agents, electronic record-keeping, and much more. If you are ready to up your game and make sure your office is ready for any dental compliance issue, have pen and paper ready, you don’t want to miss a minute of this informative episode! Using designated agents properly.
I get it, you want to delegate as many roles and responsibilities as possible in your dental office but how do you make sure you are following the right guidelines? Do you have a process in place when it comes to designated agents? There are a lot of different aspects of controlling your designated agents that you need to consider and it can vary from state to state. Listen to this episode as Andrea, and I discuss this critical topic and make sure…
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Apr 15, 2019
Why You Need to Know Your Patient’s Medical History
Let’s face it; you never can be too careful when it comes to writing prescriptions and taking into account all the details of your patient's medical history. Are the processes and procedures at your dental office up to date?
On this episode, you’ll hear from Andrea and I as we discuss codes of conduct, firewall, and antivirus protection, reviewing medical history, and much more. If you want to make sure your practice is operating at the top of dental compliance, you’ve come to the right place! Have pen and paper ready; you don’t want to miss a minute of this helpful and informative episode. Don’t skimp on network security.
While technology and computer networks might not be in your wheelhouse, when it comes to protecting patient data, you can’t skimp. Time and time again, I hear that staying in compliance is a difficult thing to do, and I get it, but you’ve got to prioritize certain aspects like network security. Don’t try to get by with a “Free” version of anti-v…
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Apr 2, 2019
Safety Data Sheets, Safe Injection Practices, and More!
We’ve got a whole line up of super sexy topics to cover, from safety data sheets and safe injection practices to radiology infection control and more! While these may not be the most exciting topics, you know that proper attention to important subjects like these is what differentiates an excellent dental office from an average one. What are you waiting for? Have pen and paper ready for this detailed and informative episode of Talking with the Toothcop, you don’t want to miss it! Safety Data Sheets
What are safety data sheets and when are you required to use them? If you’ve been unsure of how to utilize and safety data sheets or why they are a tool you need to have available in your office, this is the episode for you! A safety data sheet, material safety data sheet, or product safety data sheet is a document that lists information relating to occupational safety and health for the use of various substances and products. As a shorthand, think of it this way, you need to fill out…
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Mar 19, 2019
How To Keep Your Patients Safe with Dental Waterline Maintenance - Mike Rust and Monica Boldt
When was the last time you addressed dental waterline maintenance at your office? Are you aware of the increased challenges that many dental offices are facing when it comes to waterline maintenance? On this episode, you’ll hear from Mike Rust and Monica Boldt from ProEdge Dental Water Labs.
ProEdge serves dedicated dental professionals by offering assurance with highly trusted waterline testing, expert consultation, and product solutions for your dental practice. They’ve been testing dental water for over fifteen years with over 160,000 tests, but more importantly, their dental water experts have helped thousands of practices achieve safe water.
In our conversation, Mike and Monica talk about why testing water lines are so important, how R2A helps make water safe, what causes biofilm to grow, upcoming changes to state regulations, how to order a waterline test, and much more. Don’t miss a minute of this helpful and informative episode! Why dental waterline maintenance is so im…
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Mar 5, 2019
How to Protect Your Business Reputation and Serve Patients with Disabilities
Have you ever been tempted to respond to patients who had a negative experience and have taken to the internet to tarnish your business reputation? Did you give in to the temptation? What is the best approach in these type of situations? On this episode, you’ll hear about how to respond to negative feedback online, when to use patient consent forms for pictures, how to best serve patients with disabilities, and much more. If you have struggled with how to respond to less than positive feedback online, you don’t want to miss this episode! Don’t let yourself get dragged into an online argument.
If you spend very much time on the internet, you are likely familiar with review sites like Yelp. These type of sites can be helpful but often play to our worst instincts to blast others and complain without fear of facing the consequences. What should you do when you see negative public reviews or comments about your business? Should you engage and counter their argument or just let it rol…
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Feb 19, 2019
Why And How To Create A Safety Culture In Your Dental Practice
Every year fines are levied against well-meaning, hard-working individuals in dental practices all across the country. Nobody wants to do things that put their staff members or patients at risk, yet these safety infractions keep happening. Why? It’s not because rules and regulations change, it’s because the practices that ensure safety in the dental office slip over time. It’s an issue of not effectively creating a safety culture.
On this episode, I’m chatting with Andrea about the most recent years of OSHA violations, going item by item through the violations to point out how and why they happened. We wrap up with some tips and strategies about how you can create something bigger than a commitment to enforcing the rules - you can and should create a safety culture among your team. It's way more powerful. There’s not a Dentist alive who wants to put people at risk
Nobody would even suggest that Dentists are overlooking safety issues because they don’t care. Every Dentist…
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Feb 5, 2019
The Most Common Dental Regulatory Compliance Mistakes - And The Cost Of Making Them
We like to have fun on these podcast episodes - which you’ll hear in this recording - but dental regulatory compliance is not a laughing matter. Tens of thousands of dollars in fines are levied against practices regularly for a variety of infractions and omissions. We thought it would be beneficial to share the most common mistakes we see when we do our compliance consults in client dental offices - so that’s what we recording on this episode.
Listen to hear OSHA and HIPAA regulatory requirements and how dental offices around the country are missing vital points of compliance. Much of it is tedious, but it’s all the law - and the fines are hefty if you don't comply. Be sure you listen. A “BAA” - Business Associate Agreement is required in many cases to protect patient information
Every dental office out there works with other service providers. “BAA”s or “Business Associate Agreements” need to be in place for every service provider your office works with.
HIPAA def…
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Sep 30, 2018
Successfully Bring Dental Specialists into Your Practice and Learn From Complete Specialty Solutions - Santosh Patel
On this episode of Talking With the Tooth Cop, I interview Santosh Patel, founder and president of Complete Specialty Solutions, a business dedicated to bringing high-quality dental specialists into your practice with as few logistical nightmares as possible. Throughout this episode, he explains the benefits of bringing in outside dental specialists and how you can leverage their expertise in your community. We discuss how to keep patients safe and protect their privacy while incorporating traveling specialists, as well as why relationship building is key throughout the whole process. It’s an episode not to be missed - listen now. Complete Specialty Solutions offers practical services for independent dental professionals
Many patients are unable to access the specialty care they need, particularly in smaller towns and rural areas. Santosh explains that the idea for CSS came from his background in hospital management, and his desire to inject great healthcare practices and organizati…
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Aug 7, 2018
7 Reasons Why You Need to be Successfully Keeping Dental Records & Completing Audits
Successfully keeping dental records goes beyond preventing lawsuits and insurance headaches. It’s necessary to provide excellent patient care and operate the best practice for your patients and staff alike. Auditing is required by many regulatory agencies, and having proper audit records could prevent malpractice lawsuits and other issues. On this episode of Talking With the Tooth Cop, I explain 7 main reasons why you must be excellent in the way you’re keeping dental records. I also outline 3 main types of audits and explain why YOU, the dentist, must justify every decision you make regarding patient care. It’s an episode packed with need-to-know information that can’t be missed, so be sure to listen. 7 reasons why you need to evaluate how you’re keeping dental records
Keeping accurate dental records is the best way to protect your patients, your practice, and yourself. To comply with regulations, minimize risk, and continually improve on the way you practice dentistry, con…
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Jun 26, 2018
Here’s Your Need-to-Know Information on 3 New Rules for Nitrous Oxide Delivery
The Texas State Board of Dental Examiners has released new regulations regarding nitrous oxide delivery. These regulations are going to change the way your practice handles routine business, and you need to be aware of them. On this episode of Talking With the Tooth Cop, I outline the new 3 main rules, what requirements have not changed, and why your office needs to take these changes seriously. Note that these rules apply to all levels of nitrous oxide delivery and sedation and they are applicable for patients of all ages. It’s a complicated subject with many details, so to get the full story listen to this podcast episode. These requirements have not changed, even after implementation of the new regulations
Even with the new regulations, a few staples of dental care have not changed. You must employ qualified, trained staff who can identify problems and emergencies in your practice. Evaluating patients prior to sedation, utilizing consultations if necessary, and having written, ex…
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Jun 19, 2018
Follow These Tips to Protect Your Practice and Keep Data Secure - CentriServe IT Dental Solutions
Keeping data secure is essential for operating an efficient 21st century dental practice. On this episode of Talking With the Tooth Cop I speak with 3 top professionals from CentriServe IT Dental Solutions - Matt Stafford, Jack Wiley, and Jared Galovich. You don’t want to miss their insights on the importance of keeping data secure, how to train team members accordingly, and the best way to spend your security budget dollars. Be sure to listen! Why do dental professionals need to worry about keeping data secure?
Dental professionals need to worry about keeping data secure because practices contain sensitive information that must be kept confidential. You are ultimately responsible for the data you collect on your patients, and you also need to protect your practice and team members. Keeping data secure is accomplished through a variety of steps, all of which are covered in full detail on this episode. Remember, the easiest way to handle a data breach is to prevent it from happening…
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Mar 27, 2018
Management vs Leadership in Dentistry and the Best Practices for Business Success - Chuck Blakeman
Featured on this episode of Talking With the Tooth Cop is author, business coach, and mentor Chuck Blakeman. Throughout the interview, Chuck and I discuss the critical differences between management and leadership, how to avoid falling into the trap of always planning and never executing, and Chuck shares the two most important business words you’ve never heard of. He draws on his 35 years of experience and multiple best-selling books to give you the greatest knowledge in the dental industry, and it’s a conversation you don’t want to miss. Doing business should not be a 30 year grind! And why money is not the ultimate motivator
Contrary to the “old guard” mindset that doing business has to involve 30 long years of doing work you don’t actually enjoy, business doesn’t have to be that way! Chuck urges listeners of this episode of Talking With the Tooth Cop to consider the question, “what motivates me to get out of bed and come to work?” The answer to this question is v…
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Jan 31, 2018
Creating Systems for Excellent Pediatric Dentistry Practice Management with Tonya Burns
It can be challenging to balance all of the aspects of pediatric dentistry practices. Patients, employees, industry trends, insurance requirements, and countless other areas all demand your full attention. That’s why people like Tonya Burns, owner of Complete Dental Practice Consulting are such assets in the pediatric dentistry industry. In this episode of Talking with the Tooth Cop, I ask Tonya to share her knowledge of pediatric dentistry management systems. She covers four main areas of focus: the key systems for running an efficient practice, how to be a high-volume practice without feeling like a clinic, the art of putting patients at ease starting with the first phone call, and how to take Medicaid insurance and still have a productive practice. Your practice will benefit greatly from hearing her insights, so don’t miss this episode! The key systems for running an efficient, fast-paced practice
Identifying systems to implement in your practice to ensure positive workflow is…
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Nov 7, 2017
Why Good Dental Records are Essential and How to Audit Them
On this episode of Talking with the Tooth Cop, I explain seven of the most important things to look for in your dental records. I also describe different types of audits that can be used to ensure efficient and effective record-keeping practices as well as explain why all of these processes are critical in your dental practice. Keeping proper records goes beyond preventing lawsuits and insurance headaches. It enters into the realm of ensuring adequate patient care and doing your best to operate the best practice for your patients and staff alike. Be sure to catch the full episode for all the details! Why you need to ensure exceptional dental records via auditing
In my experience, I have learned that unfortunately, most schools do not teach the critical skill of writing good records. In a constantly changing regulatory environment, stellar recordkeeping provides an invaluable layer of security to your practice. Even though it’s easy to become complacent in mundane office-keeping task…
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Oct 10, 2017
Customer Service in Dentistry: The Key to Long-term Success - Dr. David Moffet
In any environment where people are being served, customer service is of primary importance. Dental practice customer service needs to be a huge priority for every dental office because there is already a built-in “fear factor” of sorts that has to be overcome. My guest today is Dr. David Moffet, my long-time friend who is a Dentist and dental practice consultant who has literally made it his business to learn and teach excellent customer service in dentistry. This conversation is fun and filled with all kinds of insights about what it takes to be the dental practice of choice for your existing patients, making them your advocates to new patients. Find out more by listening. Customer service in dentistry is all about the experience your patients have.
Everybody seems able to recount a horror story about a visit to the dentist. Sometimes they are laughable and entertaining, but in the end, you don’t want them to be about YOUR practice, do you? Customer service in dentistry is all…
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Oct 10, 2017
Compliance Coaching for Busy Dental Professionals: This is Talking With The Toothcop - Zero episode
It’s pretty exciting to me to be bringing you this first episode of my new podcast, “Talking With the Toothcop.” I’ve been wanting to do this for a long time and finally decided it was time to get moving. You’ve happened upon the “zero episode” where I explain a bit of who I am, why I’m doing this podcast in the first place, and what you can expect from it week to week. Dental compliance is something all you busy dental professionals know is important but don’t have the time to learn inside and out. That’s why I’m here. I’m the toothcop. Compliance has a lot to do with whether your dental practice is successful or not.
All you dental pros out there know that building a successful dental practice isn’t as simple as graduating from dental school and turning on your "open" sign. You’ve got a lot of regulatory hoops to jump through in order to set up shop efficiently and in a way that isn’t going to get you into trouble. You could do the work to learn it all…
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