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Failure to diagnose and failure to refer are common issues seen in dental claims.

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…

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Part 2 Medicare information

2018 Medicare Part A costs Medicare Part A helps cover inpatient hospital expenses. As a Medicare beneficiary, you’re generally eligible for premium-free Medicare Part A coverage if you or your…

Rapid Coronavirus test in office can be billed to Medical
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Rapid Coronavirus test in office can be billed to Medical

U0001 – Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel For services beginning February 4, 2020, Medicare has created two HCPCS codes to report testing for this particular strain…

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Updated ADA Guide to Billing an additional fee to cover PPE

The safety of patients, dentists and dental team members has been and always will be the American Dental Association’s (ADA) utmost concern. The ADA has issued interim recommendations aligning with…

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Documentation/Patient Records

Dental records are especially important when submitting dental benefit claims or responding to lawsuits. While the dental record could be viewed as a form of insurance for your practice, make…

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Tip: Documentation skills don’t have to be hard.

Evidence based medicine such as the updated periodontal staging and caries lesions also gives well defined information about the clinical condition itself. You cannot just look at the codes, you…

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Documenting telephone calls at your dental practice is just as important as documenting patient visits.

Documenting telephone calls at your dental practice is just as important as documenting patient visits. Similar to other documentation, the common rule when it comes to call documentation is that…

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To report suspected child abuse or neglect, call ChildLine toll-free at 800-932-0313.

Attention to the dental world: We must be part of our children’s care and report when needed. If you are seeing children with a lot of decay or refusal of…

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Non-Surgical Periodontal Treatment

Have you learned how to use the updated Periodontal Stages? One of the updated guidelines you may want to incorporate: Non-Surgical Periodontal Treatment You can bill Medical with the correct…

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Dental Coding Audits! Why are you waiting for a letter or call, stop it before!

Dental practices should periodically audit their coding to minimize compliance risks and optimize revenue. Many private payers including Medicaid’s Special Investigative Units (SIU’s) and the Department of Justice have had…