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…
Understanding the changes in dental insurance plans
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…
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…
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…