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3 Key Steps To Get Your Medical Claims Paid Faster

Remember tug of war? Your team pulling as hard as possible to make the dangling middle string cross the line before the other team out-maneuvers you resulting in your teams’ demise! Medical insurance billing for dentistry can also feel like that, except the scene is that the cause of your patients’ oral difficulties stem from their medical condition and/or medication use… Maybe there was an injury and the oral cavity sustained trauma? Or, maybe intervention is required prior to surgery or chemotherapy treatment? Yet, when you bill medical insurance, there is a tug of war with you on one side and the insurance company on the other! Here are some tips to reduce the “pull” to get your claims paid

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The Hidden Gem in your Practice Is Medical Billing for Dentistry

Trying to increase production can be very difficult because of coupon practices. But, there’s another route that allows you to provide high-quality care for your patients while maximizing your production. This includes these four simple steps: Steps To Maximise Production Treating Conditions That Have High Returns Billing Medical. Using Teamwork to Ensure Medical Billing Success. Knowing Specific Verbiage for Medical Necessity. Allowing the Medical Doctor Into the Mining Scene. 1. Conditions That Have High Returns Billing Medical Total health is greatly affected by and connected to oral health. So, think of all the medical conditions that affect the body on a larger scale but have symptoms that need to be treated in the head and neck. These are the “diamonds”

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Medical Billing for Dentistry – The Change is Coming

“Dental carriers are now requiring that any service that could be payable by any medical carrier, including Medicare; be submitted to medical first.” National Provider Compliance Corporation (NPCC), Medical billing for dentistry in 2019 Change is coming for dentistry! If you think it isn’t, you are in for a rude awakening. According to the National Provider Compliance Corporation (NPCC), “Dental carriers are now requiring that any service that could be payable by any medical carrier, including Medicare; be submitted to medical first.” Delta Dental is already providing education that medical diagnosing will be part of your dental claim form. Also, the CDT Companion Guide highly references diagnosis codes for dentistry. With that in mind, would you want to access larger

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Billing Medical Insurance: Claim Disputes & Challenges

When we ask offices why they do not bill medical insurance the reasons range from “it’s too hard” to “I don’t have time.” However, medical billing will help your patients make the most of their benefits and strengthen your practice with a new revenue stream and increased case acceptance. According to a national study, 65% of medical claims are never challenged! Here are a few tips for billing medical insurance and insurance company policies you need to know. Aetna   Claim reconsideration – this takes place prior to a formal appeal.  Issues that would warrant reconsideration are not limited to: Provider contract issues Claim payment policies Processing errors (them thinking this is for dental issues) Things to remember: Reconsiderations must be

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Billing medical insurance in dentistry

Medical Billing in Dentistry: Coding – Speaking Their Language

Last Updated: 01/07/20 ICD-10 Codes International Classification of Disease 10th Edition DIAGNOSIS CODE Learn More CPT Codes Current Procedure Terminology PROCEDURE CODE Learn More Modifiers & Qualifiers Additional Information to Explain the Procedure ADDITIONAL INFO Learn More Medical coding is made up of 3 categories. These universal coding categories are intended to explain both what and why for any medical procedure or encounter.  If done correctly, the codes themselves replace the need for a narrative. I like to look at the Why, before the What. Why do I believe this procedure has Medical Necessity?  If the patient is suffering from certain health conditions i.e., Diabetes, Heart Failure, Pregnancy, Sleep Apnea, Acid Reflux or Infection or certain symptoms i.e., Dry Mouth,

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Billing Medicare For Dentistry & The Types of Providers

Medicare Care For Dentistry Billing Medicare for dentistry can seem overwhelming. However, in order to help you here is some guidance that might help you make your decision and show you the potential of it in your practice. So which type is right for you? Participating Provider When billing Medicare for dentistry as a participating provider you do accept Medicare and you always take the assignment of benefits. This means you agree to the Medicare-approved amount for health care services as full payment. This does not include the deductible or co-pay. Medicare will process the claim and pay you directly for covered services. The patient is responsible for paying the 20% co-insurance for all Medicare-covered services. ABN (Advanced Beneficiary Notification)

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Medical Billing Plan For Dental Office

What You Need To Know About Implementing Medical Billing for Dentistry

Medical billing for dentistry is an investment with a big payoff. There is a learning curve but it’s worth it. Medical billing is not one of those things that you can decide “we are implementing this tomorrow” and expect to be successful right out of the gate. That would be nice, but it takes some learning, practice, and patience to integrate medical billing into your practice.  It takes an investment in team training, education, and the right tools for the job. Add a dash of patience and perseverance and you will start to reap the rewards of an added revenue source and your patients will appreciate you helping them to maximize their coverage.  There are common stumbling blocks that we

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Crystal May

Co-Founder & COO
Dental Sleep Medicine & Medical Billing

Laurie Owens

Director of Medical Billing Education
Medical Billing

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