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Home / Blog - Page 13

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Advice • Billing • Blog • CBCT Scans • Informative • Insurance • Medical

Procedure Coding: When To Use The Modifiers

February 4, 2019
Modifiers are valuable coding tools that explain to payers the specific work that was done by a physician during treatment of a patient. They’re important for representing the medical decision-making…
READ MORE Procedure Coding: When To Use The Modifiers
Advice • Billing • Informative • Insurance • Medical

Orthodontic Billing for Sleep Apnea and TMD

February 3, 2019
Note on Documentation Requirements: Establishment of medical necessity of pediatric orthodontics requires documentation to support the severe handicapping malocclusion and the presence of a qualifying medical condition, and a score…
READ MORE Orthodontic Billing for Sleep Apnea and TMD
Insurance

Medicare On Line Coverage

January 29, 2019
The Centers for Medicare & Medicaid Services has launched a new “What’s Covered” app that allows Original Medicare enrollees and caregivers using mobile devices to determine coverage for specific medical…
READ MORE Medicare On Line Coverage
Business

You could be loosing money by not using Modifiers correctly.

January 14, 2019
Using Modifier 59 CPT Manual defines modifier 59 as a “Distinct Procedural Service“. The 59 modifier is considered the most misused modifier by coders. It is normally used to indicate that…
READ MORE You could be loosing money by not using Modifiers correctly.
Billing • Insurance • Medical

What Diagnosis Codes Should I Use for TMJ Headache Massage for Coverage

December 11, 2018
From our Friends at Find-A-Code: Question: We have been receiving several DDS referrals to our massage therapists who do intra-oral work. The only problem is that the referral from the…
READ MORE What Diagnosis Codes Should I Use for TMJ Headache Massage for Coverage
Billing • Insurance • News

EXPAREL One of the Newest Dental Codes for 2019

November 15, 2018
Arlington, Va. – Dominion National, a leading dental insurer and administrator of dental and vision benefits headquartered in Arlington, Va., announced a new initiative to lead the fight against the…
READ MORE EXPAREL One of the Newest Dental Codes for 2019
Billing • Insurance • Medical • News

Dental vs. medical insurance: Where do the two diverge?

November 12, 2018
Written by Mackenzie Garrity on May 29, 2018 Our industry is moving into more medical billing, just by the fact that dental has not increased their benefits and many services…
READ MORE Dental vs. medical insurance: Where do the two diverge?
Advice • Billing • Business • Informative • Insurance • Technology

Setting up and why with CAQH

October 30, 2018
There are solutions to help you set up Medical Billing in order for them to know who you are.  You are also able to do credentialing with them.
READ MORE Setting up and why with CAQH
Billing • Compliance Tips and Tactics • Insurance • Medical

Physical Status Modifier (For Anesthesia)

October 28, 2018
Many offices are not using the modifier to tell the insurance company the health of the patient.  If you are not receiving payment use the correct modifier for each patient….
READ MORE Physical Status Modifier (For Anesthesia)
Advice • Billing • Compliance Tips and Tactics

Why Federal Truth in Lending is important

October 23, 2018
Federal Truth-in-Lending Act All policies and procedures used in collection must conform with both federal and state law, and any applicable ethical obligations. At the federal level, physicians who want…
READ MORE Why Federal Truth in Lending is important
Billing • CBCT Scans • Informative • Insurance • Medical • News • Technology

Billing Aetna Medical for Ortho

October 11, 2018
This form is used to evaluate the conditions that may or may not qualify patients for coverage of medically necessary orthodontic services. Medically Necessary Orthodontia related to the Pediatric Dental…
READ MORE Billing Aetna Medical for Ortho
Advice • Billing • Business • Informative • Insurance • Medical

Medicare and Dental Coverage

September 20, 2018
Medicare’s dental coverage is limited. If you have Original Medicare (Part A and Part B), you won’t be covered for most dental services and supplies, including: Dental exams Routine cleanings…
READ MORE Medicare and Dental Coverage

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Disclaimer: Although Dental Medical Billing staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Individuals posting in these forums are solely responsible for their posts and are expected to follow all rules and HIPAA privacy requirements. While these forums may contain discussion on various subjects related to health care, none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of Dental Medical Billing University.

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