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…
• 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…
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 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…
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…
Working with the smartest people in dentistry is an honor every day. The team that runs the business side of dentistry has done amazing with little to none official training. …
Trauma!!!!What does it take to bill medical is more complex then other billing. You must gather the following information in order to find the correct diagnostic codes. You must look…
Medicare Supplement (Medigap) plans may help cover certain out-of-pocket costs that Original Medicare doesn’t cover, such as deductibles, copayments, and/or coinsurance (depending on the specific Medicare Supplement plan). Not all…
2018 Medicare Advantage (Part C) costs The Medicare Advantage program, also known as Medicare Part C, provides a way to receive your Original Medicare (Part A and Part B) benefits,…
Dental practice claims alleging failure to refer, or failure or delay in diagnosis may arise from a general dentist’s lack of referral to a specialist. On occasion, patients have asserted…