Frequently Asked Questions
How do patients benefit from ProCure?
How do general dentists benefit from ProCure?
ProCure was the brainchild of general and specialist dentists. General dentists expend considerable resources bringing patients into their offices only to recognize that many don’t go to the specialist when they are referred and some of those never return to the general dentist’s office. With ProCure, general dentists create a revenue even when they refer patients out of their office. ProCure brings the practice of Case Management to dentistry. Learn more about it in our Case Management page.
So let’s list the ways:
- Provide best care for your patients through fluid cooperation with specialists
- Reduce your liability in a big way by referring out specialty procedures
- No more patients lost to the referral black hole – the ProCure Handshake makes the transition easy
- With ProCure, earn an income by managing care for every patient you send out
- Earn this income anywhere you have internet and a device – no operatory required.
How do specialists benefit from ProCure?
Plain and simple: more referrals. Specialists practices grow organically when they can rely on a team of strong referring doctors. Now, specialists have the opportunity to actively engage referring doctors, and, through ProCure, compensate them as Case Managers. How often have you, as an oral surgeon, wondered whether the angulation was right for the general’s restoration plans? Or you, as the endodontist, wondered what purpose the retreat on a lonesome #3 had to do with the rest of the restoration plan? And so on. These are team decisions made easier when communication barriers are removed in ProCure. As we like to say, everybody wins: Patients get the treatment they need from an engaged team, specialist practices grow from referrals and improved collegiality, and general dentists are compensated for their work as case quarterbacks.
What about HIPAA? Are we allowed to share patient information and do we need patient consent?
We comply with HIPAA encryption standards. Further, “the Privacy Rule allows those doctors, nurses, hospitals, laboratory technicians, and other health care providers that are covered entities to use or disclose protected health information, such as X-rays, laboratory and pathology reports, diagnoses, and other medical information for treatment purposes without the patient’s authorization. This includes sharing the information to consult with other providers, including providers who are not covered entities, to treat a different patient, or to refer the patient.” See 45 CFR 164.506.
What is case management?
Case management is a collaborative process between general dentists, specialists, and patients to facilitate the accomplishment of recommended treatment. Case management removes barriers and addresses the reality that life is complex and gets in the way of treatment. General dentists are natural case managers and, with ProCure can do so in a way that generates income.
This is an accepted and valuable part of healthcare, as recognized by CDT Code range D9991- D9994, CPT Code range 99366- 99368. While ProCure services may comply with a number of these codes, most frequently used is D9992 (Dental Case Management – care coordination Assisting in a patient’s decisions regarding the coordination of oral health care services across multiple providers, provider types, specialty areas of treatment, health care settings, health care organizations and payment systems. This is the additional time and resources expended to provide experience or expertise beyond that possessed by the patient).
Who’s on my Cure Team?
Your ProCure Cure Team is made up of verified ProCure doctors. Cure Teams start with the general dentist and grow with the patient’s dental needs. Doctors can be seamlessly added and removed from Cure Teams as time progresses.
What if my specialist isn’t using ProCure?
Easy – send us their name and we’ll call on your behalf to invite any of your healthcare colleagues to join ProCure.
Can my Staff access ProCure?
Like many programs, ProCure is built with both Administrator and User access levels.
Will ProCure work with every PMS (Practice Management Software)?
We’re working on it. Right now, we’re into the most used systems. If you are not on a supported PMS, you can still receive every benefit from ProCure. The only difference is your staff will need to input some information.
Can I use my phone to manage my cases?
You bet. ProCure is compliant with every internet enabled device that can surf the web.
How long is the ProCure contract?
Month-to-month. Use ProCure for as long as it makes sense. We’re confident it’s going to make a lot of sense for your practice.
Is this a paid referral?
No. That’s a bigtime NO. A paid referral would be a direct exchange of money with a doctor for a referral and contrary to your state’s Dental Practice Act. ProCure reimburses general dentists or other qualified personnel for managing the patients case (CDT Code range D9991- D9994, CPT Code range 99366- 99368). ProCure was built on the same case management foundation we’ve seen for years in medicine. The goal is simple: better outcomes through improved use of healthcare resources. Getting the patient in the hands of the doctor most likely to treat them successfully. With ProCure, specialist doctors hire ProCure to provide case management. While ProCure can contract with any knowledgeable professional, the patient is best served when the case is managed by a primary care provider. General dentists are the quarterbacks in these cases. We provide the tools to achieve superior outcomes. See https://www.acmaweb.org/section.aspx?sID=136, https://careexcellence.org/blog/case-manager-roles/, https://www.aaoms.org/images/uploads/pdfs/procedural_coding_guidelines.pdf.
What do I have to do as a Case Manager?
Case management is a ProCure function. Our software streamlines each step and calls out important markers. Whenever there is a change in the patient chart (or at least once per month), a ProCure case manager will receive a notification to review the patient’s chart. The case manager will make note of changes and recommendations if any.
To bill dental insurance under D9992 (Dental Case Management – care coordination) Assisting in a patient’s decisions regarding the coordination of oral health care services across multiple providers, provider types, specialty areas of treatment, health care settings, health care organizations and payment systems. This is the additional time and resources expended to provide experience or expertise beyond that possessed by the patient.
What if I miss my case review deadline?
Another case manager will complete that review. The substitute case manager will receive that months fee. Remember, ProCure has contracted with the specialist to provide case management services and has an obligation to fulfill. Don’t worry, we’ve made case management straightforward and will send you reminders to help make sure you don’t miss the deadline.
How can I invite ProCure to speak or participate in my event?
Contact Gary at [email protected] or 866-365-2011.