Top Ten List of Medically Billable Procedures
ANY traumatic injury to the mouth – all associated oral and dental procedures Exams and consultations when oral cancer screening is done, and in preparation for any other medically billable…
Are you using a form to prove evidence of delivery
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…
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Procedure Coding: When To Use The Modifiers
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…
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Orthodontic Billing for Sleep Apnea and TMD
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…
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Setting up and why with CAQH
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.
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Billing Aetna Medical for Ortho
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…
Medicare and Dental Coverage
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…
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Opioid Prescribing Limitations
ADEA State Update: Opioid Prescribing Limitations In July, Missouri Governor Mike Parson signed legislation that would prohibit prescribers from prescribing more than a seven-day supply of opioids for the treatment…
Medicare Oral Benefits
Theresa Pablos, associate editor at DrBicuspid.com, wrote a great article called, Keep Thinking You Don’t Need To Worry About Medicare. Take a look at it. Why is this important? Daily…