All 3 corp offices (Western Dental, SmileCare and BrightNow) that I had worked for require that the cavity clearance form to be signed the general dentist before I can start putting braces on the patients. If I don’t see this signed form (and it has to be within 6 months), I can’t start ortho tx. And while the patients are in active tx, they are required to bring this signed cavity clearance form in every 6 moths. Without it, I will not see them to tighten their braces. Big corp offices accept all kinds of insurance plans. The charts and the facilities get audited by the insurance companies every year. Therefore, they have to make sure that everything is done correctly….such as proper infection control protocols, weekly pore tests, HIPPA compliance, health hx has to be updated by the patients annually, signed cavity clearance forms every 6 months etc.
In fact, one of the insurance auditors, who audited my private office, recommended me to use all the forms (inform consent, health hx, final debonding form etc) that are used at the big corp offices because these forms are very well written by their top lawyers.
It’s a big misconception that working for a corp is bad. Working for corp as an associate ortho is very different from working there as a general dentist. You have the full automony (tx decisions, supplies that you want to use, days that you want to be off etc)….except for the staff hiring and firing part. It’s not hard to find jobs if you are not picky and are willing to travel. Like I said before, an ortho can see high volume patient in one day and therefore, he/she is only needed at 1 location a few days a month. To get full time work schedule, he/she has to travel to multiple offices. It’s the same for other specialties (endo, pedo, OS, perio) as well.