Coding Lesions and Soft Tissue Excisions
by Christine Woolstenhulme, QCC, QMCS, CPC, CMRS There are several considerations to be aware of before assigning a code for lesions and soft tissue excisions. The code selection will be…
Reimbursement Tips! Always check your payer’s policy for any special documentation or billing instructions. The Payer should tell you what is required for reimbursement.
• Private payers often require pre-authorization for any unlisted procedure.• Some payers have specific documentation criteria, depending on the type of procedure provided (e.g., an op note to support an…
Dental Medical Billing Bone Grafts, Sinus Lifts and more!
There is a lack of covered benefit covering Bone Grafts, Socket Preservations and Sinus Lifts. If you are charging the patient your fee, Close more cases with the approval from…
Medicare Advantage Information
Medicare Advantage plans, also known as Medicare Part C, are offered by private companies that contract with Medicare to provide Part A (hospital insurance) and Part B (medical insurance) benefits…
Delta changed how you can supply a medical necessity. No longer can you write any letter of medical necessity without a copy of the clinical notes saved in your computer system or paper chart.
Delta will be followed by other plans so step up your clinical documentation. No longer are the days you will be able to Text Message Clinical Notes and have someone…
Happy New Year To All !
Wishing all our members the best of a Great New Year, helping thier practices earn the income to allow all of them to recieve a raise. Wishing all members to…
Starting the New Year make sure you are not just asking if insurance is the same, take time to ask for their new cards! You may be suprised to find many patients have new plans. Employers are increasingly integrating their health benefits to achieve cost savings, according to a new report from Anthem.
Anthem has surveyed employers on their interest in integrated benefits biennially since 2014, and, in the latest report, it found that 56% of the 300 polled employers said they are actively…
What is a CPT® code?
When you first start medical billing the change from using CDT codes to CPT is different. There are very few codes in dental that translate to one code. So when…
As Charles Darwin said of evolution, “It is not the strongest or the most intelligent who will survive but those who can best manage change.”
Understanding the changes in dental insurance plans
Are the following Chart Notes Good or Bad?
Are your clinical records good, bad or ugly? I audit lots and lots of dental records. I like the challenges of auditing detailed records, as I have to pay close…
Would you just jump down this waterfall?
Why the Net Collection Rate is the Key to a Healthy Dental or Practice Healthy collections mean a healthy practice. If you’re writing off too many balances or writing off…
Billing Errors
The dentist always has full responsibility for ensuring that dental claims have been completed accurately, correctly and at the time the patient received treatment. Bill only for the treatment provided…