Dental Benefits Associate (DBA) Designation

Course Overview

Oral health provides a window into an individual’s overall health. In fact, routine checkups and cleanings, which are 100% covered by most dental plans, can lower the risk of serious health problems. To learn more about how dental coverage works and why it makes it possible for more people to live healthier lives, earn your Dental Benefits Associate (DBA) designation.

To earn your DBA, complete these required courses:

  • Dental Beenfits, Part A: An Overview of Dental Benefits and Dental Plans
  • Dental Benefits, Part B: Dental Benefits: A Closer Look at Plan Types and Management
  • Fraud, Part I (Introduction)
  • Health Insurance Advanced Studies, Part A

Learning Objectives

Earning this career-driving designation will demonstrate to your organization that you’ve gained a deeper understanding of dental benefits, plan design, eligibility, and regulations impacting dental insurance coverage, to help you do your job even better.

Module 1: An Overview of Dental Benefits and Dental Plans

Gain a foundational understanding of how dental coverage works

Examine the areas where dental plans and medical insurance are similar and how they differ

Identify different types of dental plans

Review coverage inclusions and exclusions

Consider the legal requirements and methods for detecting and deterring fraud

Understand the industry's regulatory environment

Explore network building and how dental plans are marketed

Learn relevant terms, case scenarios, and key concepts

Module 2: Dental Benefits, Part B: Dental Benefits: A Closer Look at Plan Types and Management

Explore a range of models used in the delivery of dental benefits

Master the rules of dental plan design

Identify dental plans' varying organizational types, including PPOs and HMOs

Take a closer look at the impact of cost drivers

Examine how dental insurance products are priced, marketed, and sold

Review best practices for health plan management and evaluation

Become well-versed in quality standards, utilization, and performance measures

Open case histories that provide real world insights

Module 3: Fraud, Part I (Introduction)

Explore the methods investigators use to uncover and deter fraud against the health care and health insurance industries

Compare the different ways fraud schemes work and where they often occur

Understand how to identify fraudulent practice

Focus on investigative methods at the organizational level, among health care consumers, and in other arenas where fraud can occur

Navigate the legal, regulatory, and compliance issues impacting anti-fraud efforts

Examine relevant terms, case scenarios, and key concepts

Module 4: Health Insurance Advanced Studies, Part A

Explore the impact of court decisions on healthcare reform, including the Supreme Court

Assess the different ways Americans obtain their health insurance coverage

Discover how and why some health insurance providers leverage alternate organizational structures

Gain a deeper understanding of what health insurance exchanges are and how they operate in a post-reform environment

Explore the concepts behind accountable care organizations (ACOs) and their role in bending the cost curve

Analyze how Medicare Part D enables significant portions of the senior population to obtain prescription drug coverage

See how the Affordable Care Act (ACA) has impacted Medicare Part D's out-of-pocket costs

Acquire new planning tools for fraud detection and deterrence

Take a closer look at the interplay of the ACA and recent court decisions that had an impact on Medicaid expansion

Price: $1,695

This Course includes:

   Text-based content

   12 Months