Coding Lesions and Soft Tissue Excisions
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Coding Lesions and Soft Tissue Excisions

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…

Reimbursement Tips! Always check your payer’s policy for any special documentation or billing instructions. The Payer should tell you what is required for reimbursement.
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Reimbursement Tips! Always check your payer’s policy for any special documentation or billing instructions. The Payer should tell you what is required for reimbursement.

• 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…

Dental Medical Billing Bone Grafts, Sinus Lifts and more!
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Dental Medical Billing Bone Grafts, Sinus Lifts and more!

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…

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As Charles Darwin said of evolution, “It is not the strongest or the most intelligent who will survive but those who can best manage change.”

Understanding the changes in dental insurance plans

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Billing Trauma Takes More Information

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…

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Part 4 and final issue

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…

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Part 3 Medicare

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,…

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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…

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Dental Code for PPE and Medical Code if providing medical treatment

The American Dental Association (ADA) recently issued guidance for dentists billing for PPE. The ADA has also provided a list of insurers that provide reimbursement (from $7 to $20) for…