change the categories for insurance estimates to those an OMS office uses -
I would like to see the estimate categories under insurance profiles changed to those we in an OMS office use, such as Simple Exts/ Surgical Exts, Implants, Bone Grafts, etc as insurances do break these down differently - instead of having only one field for "ORAL SURGERY". I don't know too many OMS practices that need a breakdown for AMALGAMS, COMPOSITES, etc. Basically the oral surgery category needs to be broken down more.....
We added the ability to add “Exceptions” in 16.1, this should allow you to specify the coverage percentages on a per code basis.
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EAA commented
Any chance you could look at this yet? This has been under review for 7 years??? Kind of shows us how serious you are about your customers.
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EAA commented
Seriously? Still nothing? I honestly thing we need to have a discussion with AAOMS about their backing and supporting this software because it has not lived up to the expectations of our office at all.
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Susan Haruki commented
Reports Subcommittee, please consider this request, as it is one of the most frustrating problems wit the OMSVision software and affects our workflow and ability to calculate and collect the correct copayment amount from patients on a DAILY basis. We would truly appreciate OMSVision's moving forward in correcting this problem. Dentrix is able to deal effectively with the issue of customizing ADA categories. Henry Schein Practice Solutions, as part of the Dentrix family, should be able to offer a solution to our request. Please kindly address this issue. Thank you.
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Jill Hirt commented
We have been asking for this enhancement since the beginning of 2011??!!?? It is obviously something that needs to be addressed. Other dental software has this capability, why not OMS Vision??
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Katie commented
Another possibility would be to categorize the codes the way the ADA has categorized them. I believe the codes are classified in 12 different categories. There should also be the capability to 'hide' unused fields. I understand there may be multi-specialty practices using all categories but for most OMS offices only a few of the categories are used.
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EAA commented
We are seriously looking at other software vendors now due to the lack of consideration from this company -- and mainly because of the poor function capability of the estimating portion of the program. We can do a better estimate without the program. To have asked for something so simple for over 5 years now and for others to also have expressed concerns, only to be ignored is totally unacceptable in my book.
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lucy commented
I totally agree!!!!!
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EAA commented
Thank you Teresa --- It just seems like a simple solution. And yes, for an OMS practice software, you'd think the developers would have figured this out by now.
Yes...so frustrating -
Teresa Brookshire commented
I have asked for this since we purchased this program 10+ years ago. I do monthly reporting as well and have had to go through all of my codes and put them in inappropriate categories. How many implants and related procedures did we do total? Simple, look under "Fixed Prosthetics". No, this isn't how it should be and for it to be an oral surgery program this should have been fixed years ago. The tabulated report is useless for an oral surgery practice and one that would be the most vital.
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EAA commented
Why is this feature NOT being considered and/or changed by now? It is just so frustrating.
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SusanH commented
Please consider this enhancement request! One way to program this would be to allow, in the Preferences section, allow a user to rename the categories. After the category has been renamed, it is very simple to assign a procedure to that category. For example, our local Delta often pays 100% for exams, 70% for PA films, and 100% for panoramic films. Since those are all normally assigned to the "Diagnostic/Preventive" category, the estimates for PA films are off and need to be manually changed. We have used "Composite" for PA films and changed the category of D0220 and D02230 to "Composites" allowing us to list coverage at 70%. This is a workaround, but it is hard to remember that PA films are programmed as "Composites". Allowing offices to rename the categories would be extremely helpful. We have also encountered problems where surgical extractions are paid at 100%, but impacted teeth are covered at 70%. The military insurance covers 80% for consults, 60% for GA, and 50% for IV sedation. Since it all falls under "Adjunctive", there is no way to specify the different coverages. The Dentrix dental program owned by Henry Schein allows users to specify procedure code ranges. I found that to be extremely helpful. Thank you for considering this request.
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Liz Fettig commented
I currently know of an oral surgeon looking to start his own practice and wanted my input in systems. There are features I do like about OMS Vision, but the ability to use the estimator accurately is one of my offices' biggest frustrations. My Financial Co-Ordinators still need to double check everything because we cannot rely on the estimator to function as desired.
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Liz Armstrong commented
2 1/2 years later this is still under review. Why sell a program to the Oral & Maxillofacial Specialty that is not truly 100% geared for the OMS needs. We would truly like to rely on the estimator.
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Jennifer Meredith commented
I definitely agree with this point. We would like to rely more heavily on the software to estimate the patient's portion accurately, but often find ourselves having to manually modify the percentages prior to presentation. For example, bone grafting may be non-covered, while extractions are covered at 80% and sedation is covered at 50%.
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DeAnna commented
I agree and it also needs to consider limitations such as the below:
1) MetLife only covers D9220 with 2 or more surgical extractions or 3 or more simple extractions in more than one quadrant.
2) Delta Dental covers D9220 with 1 or more surgical extractions
3) Also you should have an option for the individual if they have roll over monies
4) I am in a state that when the patient maxes out their dental benefits the fees return to our UCR fees with the exception of MetLife, Guardian, DD of CA, GA and a few others. Give us a check box under profiles to turn UCR feature on or off when the patient maxes out their dental benefits. Then we wouldn't have to spend 5-10 minutes on each case fixing the clinical tab to reflect the correct estimated co-payment.The medical profiles:
1) Need to have a co-payment section. Not just a dectuibles section.
2) Have a profile box that allows you check-off if plans that have 3rd molar coverage, orthognatic coverage, biopsy coverage, etc.
3) You should not be able to suppress line descriptions
4) All profiles should be able to bundle not just the UHC ones -
Susan Haruki commented
A good example of the ability to create categories and add certain procedures to categories can be found in the Dentrix dental software, also owned by Henry Schein. The procedure categories can be user defined. One can also create ranges of codes. An example is a panoramic film v. PA film. The Delta Dental of Hawaii often pays for D0220 at 70%, while covering D0330 at 100%. Because both codes are found in the "Diagnostic" category, it can only be programmed as covered at either 100% or 70%. Dentrix allows a user to make multiple Diagnostic categories and assign different coverages. This is done in the Coverage Table in Dentrix. Simply allowing us to rename the "Amalgam" or "Composite" category and then assign specific procedure codes to that category would be very helpful. For example, we currently use "Fixed Prosthetics" for implant coverage.
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Jeffrey Carter commented
This is greatly needed. The medical industry does not break down codes with %-ages of coverages. Most are RVU based now. However, for reporting purposes, OMS should intoduce "procedures sections" and allow the user to define them ie TMJ, orthoognathic, trauma implants This needs to be set up at the code level to enter a CPT code into a procedure section.
etc.