Healthcare is now the most attacked sector in the U.S. for cybercrime, and dental practices are a growing target. Your patient files contain a uniquely valuable combination of personal, financial, and medical data while your IT defenses are typically far leaner than a...
The WVDA is aware of the new memo from Liberty regarding potential denial of claims POST-procedure. We are seeking further guidance from WV Medicaid.
Members have contacted the WVDA seeking further direction related to the Skygen/MCO audit findings. Background: Skygen performed audits that included SDF overpayment determinations Medicaid invalidated the findings specifically about SDF due to a lack of policy...
Patient lawsuit alleges Delta Dental misrepresents out-of-network coverage A class-action lawsuit filed by patients insured by Delta Dental alleges the insurer misrepresents its out-of-network coverage. The lawsuit, which was filed Dec. 31, 2025, in the U.S. District...
ADA Releases Medicaid Financial Sustainability Toolkit Providing dental care to Medicaid beneficiaries can be professionally fulfilling for many dentists. However, the ADA recognizes that dentists and their teams are making a substantial commitment by treating...
Hannah Armentrout is the Bento representative for West Virginia. She is located in Harrison County and is the point person for our state's dental community. Please contact her at harmentrout@bento.net or (617) 307-7150
Although the SDF-specific findings from Medicaid audits have been resolved, it is time for audited dentists to address the additional findings. The following message is from Medicaid: Any overpayments identified for reasons other than (or in addition to) a missing...
Liberty payment processing services transition to ECHO/Optum Effective December 9, 2025, all provider payments will be managed through ECHO/Optum. For any questions or concerns related to payments, please contact the ECHO/Optum Customer Service line directly: ...
NOT the same as the Skygen/Health Plan SDF clawback audits Liberty Dental is performing targeted audits for quality assurance purposes. Quality assurance is required by their state Medicaid contract. There are two ways a dentist is selected for an audit. The first...