CMG4 - Taking Advantage of Medicare’s New Dental Provisions: Improving Quality Care by Integrating Medical and Dental Services

Session Description: Starting January 1, 2025, the Centers for Medicare & Medicaid Services (CMS) implemented a new policy under the Physician Fee Schedule (PFS) allowing FQHCs to bill Medicare for dental care furnished on the same day as medical care, provided they are inextricably linked Medicare-covered services. This new policy presents an opportunity for health centers to improve comprehensive and preventative whole patient care by integrating dental and medical care services by improving outcomes for over 6 million patients receiving dental care services at FQHCs and maximizing reimbursement

In this session, we will break down the details of the new policy, identify which dental care services are eligible, and provide practical guidance for FQHCs to implement this new approach. Experts will share best practices for integrating dental and medical care teams, designing workflows for coordinated care, and navigating the billing process. Participants will leave with a clear understanding of how to implement the new policy to boost revenue and improve patient outcomes.