One of the biggest changes you can make is medical billing for dentistry, and particularly, billing Medicare. However, there is so much confusion around it. We will clear up the key points to getting set up with Medicare and the key points to billing Medicare for dentistry.
Cancer treatment often will impact other areas of health. Oral health is one such area that should be monitored throughout treatment to ensure that any side effects are identified and treated quickly. Understanding dental care before, during, and after chemotherapy and radiation treatment will also guide you through the medical billing for dentistry.
What is one of the hardest jobs of a dental practice? I’ll give you a clue: They have their hands in surgery, hygiene, lab, exams, post-op appointments, and admin. They are kind of like a one-person show with many different skills rolled into one. One of the hardest jobs of a dental practice is that of a dental assistant. And, in my view, dental assistants play the star, hero, victim, and even the detective of the dental practice. This makes them well-suited for an integral role in medical billing for dentistry. Here are the five areas where dental assistants and medical billers for dentistry can work together: 1. Investigator Assistants are the avenue through exams because the information they obtain
Do you look good in orange How about black and white stripes? We laugh now, but are you sure that your medical billing for dentistry is compliant with regulations? When it comes to billing medical insurance for dentistry, what you don’t know CAN hurt you! Don’t get complacent with learning and applying the rules to your billing. I am not saying you have to agree with the rules, I sure don’t. Regardless of how you feel, you should want to safeguard your doctor, practice and honestly, yourself. So, here are some billing principles to make sure you are in compliance: 1. No writing off co-payments or deductibles. Now, in dentistry, how many times have you heard…we will do your treatment
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
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”
“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
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
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,