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Billing | CBCT Scans | Insurance | Introductions | Medical

Question from an office! Send your questions in!!!!

March 11, 2019September 6, 2020

Question: Our surgeon recently performed excision of infected bone in the mandibular arch caused due to an infected tooth. He also performed the extraction of the affected tooth. Since I…

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Top Ten List of Medically Billable Procedures
Billing | Informative | Medical

Top Ten List of Medically Billable Procedures

March 11, 2019September 6, 2020

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…

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Billing Consultations
Billing | Business | Compliance Tips and Tactics | Insurance | Medical | News

Billing Consultations

February 25, 2019September 6, 2020

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…

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Are you using a form to prove evidence of delivery
Billing | Compliance Tips and Tactics | Informative | Insurance | Medical

Are you using a form to prove evidence of delivery

February 19, 2019September 6, 2020

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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Advice | Billing | Blog | CBCT Scans | Informative | Insurance | Medical

Procedure Coding: When To Use The Modifiers

February 4, 2019September 6, 2020

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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Advice | Billing | Informative | Insurance | Medical

Orthodontic Billing for Sleep Apnea and TMD

February 3, 2019September 6, 2020

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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What Diagnosis Codes Should I Use for TMJ Headache Massage for Coverage
Billing | Insurance | Medical

What Diagnosis Codes Should I Use for TMJ Headache Massage for Coverage

December 11, 2018September 6, 2020

From our Friends at Find-A-Code: Question: We have been receiving several DDS referrals to our massage therapists who do intra-oral work. The only problem is that the referral from the…

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Billing | Insurance | Medical | News

Dental vs. medical insurance: Where do the two diverge?

November 12, 2018September 6, 2020

Written by Mackenzie Garrity on May 29, 2018 Our industry is moving into more medical billing, just by the fact that dental has not increased their benefits and many services…

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Billing | Compliance Tips and Tactics | Insurance | Medical

Physical Status Modifier (For Anesthesia)

October 28, 2018September 6, 2020

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….

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Billing Aetna Medical for Ortho
Billing | CBCT Scans | Informative | Insurance | Medical | News | Technology

Billing Aetna Medical for Ortho

October 11, 2018September 6, 2020

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…

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Disclaimer: Although Dental Medical Billing staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Individuals posting in these forums are solely responsible for their posts and are expected to follow all rules and HIPAA privacy requirements. While these forums may contain discussion on various subjects related to health care, none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of Dental Medical Billing University.

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