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…
TM TREATMENT AND THIRD PARTY INSURANCE COVERAGE Minnesota, in 1987, became the first state to adopt legislation requiring health insurance policies issued within the state to include coverage for the…
Anthem has notified doctors and other providers that the timely filing window for professional claims is being shortened to 90 days. “Effective for all commercial and Medicare Advantage Professional Claims…
Question: What do I do when a Medicare patient refuses to sign an ABN? Answer: That depends on whether the patient is still demanding to have/receive the service/supply. If they…
When teaching at NYU Dental students wrote small books for notes, directly after joining the world of dentistry in a practice they started to use text messages as Dr. Studley…
A consultation, as defined by the CPT manual, is a evaluation and management service provided at the request of another physician or appropriate source to either recommend care for a…
Proof of Delivery 42 CFR 424.57(c)(12) requires suppliers to maintain proof of delivery (POD) documentation in their files. POD documentation, as well as claims documentation, must be maintained in the…
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….
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…