Professional Review Process. Any instance where there is a possible violation of Professional Requirements; the issue will first be referred to the State Dental Director and Chief Dental Officer for review. If it is deemed that there is insufficient evidence, Provider will be notified that no action is required. If it is deemed that there is sufficient evidence that the Provider has failed to fulfill the Professional Requirements, Provider will be given written notice and thirty (30) days to rectify the situation. In the event that the Chief Dental Officer determines that there is potential risk to Members due to the violation, Avesis shall have the right to immediately terminate the Provider with cause as set forth in Section K of this Agreement. If Provider does not successfully rectify the situation, termination will occur as referenced in Section K.
Professional Review Process. In general, the clinical process will be used; however, by mutual agreement of the staff member and administrator, other appraisal strategies may be used. The clinical process includes a written individualized plan, annual review of the progress toward this plan, an observation sequence that is based, in part, on the classroom observations. Specific steps of the review process are outlined below.
Professional Review Process. Any instance where there is a possible violation of Professional Requirements, the issue will first be referred to the State Dental Director and Chief Dental Officer for review. If it is deemed that there is Insufficient evidence, Provider will be notified that no action is required. If it is deemed that there is sufficient evidence that the Provider has failed to fulfill the Professional Requirements, Provider will be given written notice and a thirty (30) days grace period to rectify the situation. In the event the Chief Dental Officer determines there is potential risk to Members due to due this violation, Avesis shall have the right to immediately terminate the Provider with cause, K (2). If Provider does not successfully rectify the situation, termination will occur as referenced in Section K (2). Claim disputes will be referred to the Avesis Chief Dental Officer and if not settled shall fall under Sections O (4) or Sections O (12).
