Meeting Archive:
A Carriers Perspective on Compliance Audits and Utilization Management

Details
Date: Tue, Mar 20, 2018
Time: 12:00 PM CDT
Duration: 1 hour
Host(s): Dennis McHugh
 Presenter Information
Dr. Linda Vidone
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Dr. Vidone is Vice President of Clinical Management and Senior Dental Director at Delta Dental of Massachusetts. Dr. Vidone has 20 years of dental experience that includes clinical private practice, dental school faculty as well as the dental benefits industry.

 

Dr. Vidone is a board certified dental consltant and a hands-on leader in the dental insurance industry setting clinical policies and performing routine claim review, while staying abreast of innovations in oral health care. She shares her unique knowledge of being on both sides of the claim form while lecturing nationwide on all aspects of dental benefits, dental coding and claim accuracy.

A graduate of Boston University School of Dental Medicine, holding a DMD and CAGS in General Dentistry and Periodontology. She serves as Chair of the Certification Committee, and is president elect of the American Association of Dental Consultants. She also maintains a private practice in periodontology in Brookline, Massachusetts.


Dennis McHugh
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Dennis McHugh is the manager, third party payer advocacy for the American Dental Association and works in the Practice Institute’s Center for Dental Benefits, Coding and Quality (CDBCQ).  CDBCQ is the ADA agency responsible for promoting resources and informaton on dental benefit plans to employers and member dentists.  In addition, CDBCQ responds to requests and helps resolve problems from member dentists regarding concerns with third party payers and the Code.  He has been with the ADA for 17 years and prior to that spent 7 years working for the American Association of Orthodontists. 


Dr. Christopher Bulnes
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Dr. Christopher M. Bulnes is a general dentist in Tampa, Florida. He received a Bachelor of Science degree in Chemistry from the University of South Florida in Tampa and his Doctor of Dental Medicine degree and a certificate in Advanced Education of General Dentistry from Southern Illinois University in Alton, Illinois.  Chris is an ADA Council on Dental Benefit Programs member and serves as Vice-Chair.

 

Dr. Bulnes has held every line officer position in the Hillsborough County (FL) Dental Association and West Coast District (FL) Dental Association.  Chris serves as an Alternate Trustee to the Florida Dental Association (FDA) and as a Delegate to the ADA 17th District Delegation.  He continues to serve as Co-Chair for FDA’s Mission of Mercy. Chris and his wife Kelsey have three children.  Outside interests include spending time with his family, traveling, coaching his children, golf, long distance running and triathlons.


Nick Messuri
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Nick Messuri is vice president and deputy general counsel for fraud prevention and recovery at Delta Dental of Massachusetts. He oversees a team of investigators and manages a national anti-fraud and abuse program for Medicaid, Medicare Advantage and commercial membership.

Previously Mr. Messuri was director of fraud prevention and recovery at Tufts Health Plan where his division was recognized as a national enforcement leader by Americas Health Insurance Plans.

He is past president of the National Association of Medicaid Fraud Control Units and past chair of the National Association of Attorneys General Multi-State False Claims Act Committee. Currently he is a board member and chair elect to the National Health Care Anti-Fraud Association
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Dr. Cynthia Olenwine
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Dr. Cynthia Olenwine received her doctor of dental medicine degree from Temple University School of Dentistry.  Following graduation she completed a general practice residency at Muhlenberg Hospital, Bethlehem, Pennsylvania.  She is an attending dentist in the general practice residency program at St. Luke’s University Hospital Health network.  She started in dentistry as a dental hygienist, expanded functions dental assistant and an office manager.  Dr. Olenwine has a keen knowledge of office management and the business of dentistry.  She currently is on the ADA Council on Dental Benefit Programs and also the Code Maintenance Committee.