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…

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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…