Provider Training Seminar Descriptions

Basic and EDI

A Provider Relations Representative conducts the three (4) hour Basic Seminar and each attendee may receive three (4) Continuing Education credits by completing this seminar. This seminar provides a description of general program policies and procedures for dentists, hygienists, and staff new to the Medi-Cal Dental Program. The seminar topics are as follows:

  • Medi-Cal Dental Program enrollment requirements.
  • How to apply for Direct Deposit.
  • What to do if using a Billing Intermediary.
  • How to access the Point of Service (POS) Network.
  • Discuss commonly billed procedure codes and how to complete forms for billing.
  • Discuss beneficiary eligibility.
  • How to request First Level Appeals.
  • How to process claims for California Children's Services (CCS), Genetically Handicapped Persons Program (GHPP), and hospital cases.
  • How Medi-Cal/Medicare crossover codes and other support services are used within the Medi-Cal Dental Program.
  • Classes contain National Provider Identifier (NPI) and an Electronic Data Interchange (EDI) overview.

Advanced

A dental consultant conducts the four (4) hour Advanced Seminar and each attendee may receive four (4) units of Continuing Education by completing this seminar. This seminar includes an in-depth description of general program policies and procedures for dentists, hygienists, and staff new to the Medi-Cal Dental Program. The seminar topics are as follows:

  • Medi-Cal Dental Program enrollment requirements.
  • Medi-Cal Dental Program procedure codes and radiograph requirements.
  • Beneficiary eligibility.
  • Medi-Cal/Medicare Crossover Codes.
  • Pre-paid Health Plan claims.
  • Discuss commonly billed procedures such as Periodontics, Endodontics, Oral Surgery, Crowns, and Prosthodontics.
  • Viewing of treatment slides.

Ortho

A Provider Relations Representative conducts the three (4) hour Ortho Seminar and each attendee may receive three (4) Continuing Education credits by completing this seminar. This seminar provides a description of general program policies and procedures for dentists, hygienists, and staff new to the Medi-Cal Dental Program. The seminar topics are as follows:

  • Designed for Denti-Cal providers who limit their practices to orthodontics only.
  • Comprehensive information on certification, enrollment, billing procedures, and criteria.
  • Program procedures and policies specific to the provision of the Medi-Cal Orthodontic services.

Workshop

The Workshop is six (6) hours long and offers six (6) Continuing Education credits upon completion. This workshop provides the inexperienced billing staff a "hands-on" opportunity to learn about the Medi-Cal Dental Program. The workshop topics are as follows:

  • Understanding the Medi-Cal Dental Program enrollment, certification, criteria and policies and procedures.
  • How to complete and submit claims and Treatment Authorization Requests (TARs).
  • Direct Deposit participation.
  • The Automated Eligibility Verification System (AEVS).
  • How to bill for commonly used procedure codes and complete other miscellaneous forms.
  • How to provide beneficiary services for California Children's Services (CCS), Genetically Handicapped Persons Program (GHPP), hospital cases, and processing claims.
  • Health Insurance Portability and Accountability Act (HIPAA).
  • Other support services.