Discover how new PPO-to-PPO relationships are reshaping participation—and why yesterday’s strategies may be costing you today. Learn why leased networks create hidden RCM pitfalls that lead to delayed claims, denials, and unexpected write-offs. Understand how payer “shenanigans” and inconsistent rules across states can leave your staff misinformed and your practice exposed. See why umbrella plans...

Learn all the changes in coding that you need to know. This webinar is FREE for members. Sign up today. IMPORTANT: after checkout, your order confirmation will contain a link to register for the webinar on Zoom. You must also register there to access the live webinar. Your order confirmation is provided in three (3)...

Follow a multifaceted approach for submitting appeals to include all relevant parties in the appeals process. Recognize that appeals for insurance claims can vary significantly depending on the nature of the treatment. Provide customized appeal letters for trauma, congenital conditions, or medical necessity, particularly with a provider's referral, to clarify each case's specifics for the...

Medical plans rely not only on provider notes, but also on the objective evidence produced by diagnostic tests to substantiatethe provider's clinical reasoning for treatment. The following diagnostic tools are commonly used to support accurate diagnosisand treatment planning: Including test results as part of the clinical documentation provides insurance companies with clear evidence as to...

Demonstrating medical necessity is a fundamental aspect of claim submission. All claims must be accompanied by documentation that clearly establishes the need for the procedures performed, aligning with payer requirements and increasing the likelihood of reimbursement. primary procedure as well. All records must be legible, relevant, and comprehensive enough to validate the services that are...

This section is divided into two comprehensive courses to guide dental professionals through the complexities of dental-medical billing. The curriculum is designed to provide a thorough understanding of cross-coding procedures and the documentation required for successful claims submission. Radiology Documentation and Medical Billing Oral radiology and CBCT scans are now standard procedures in dental offices....

Understanding and obtaining pre-authorization and pre-verification is essential before beginning any treatment. These stepsconfirm that the planned procedures align with the payer's requirements and significantly reduce the likelihood of claim denial. Building Effective Billing Systems Achieving success in medical billing depends on establishing systems that identify and correct errors before they result in costly issues....

Brenda Lopez is a dental hygienist and orofacial myofunctional therapist based in the Austin, TX area. She actively participates in Oral Biotech's Cooperative and serves on the dental hygiene board of the Oral Cancer Foundation. Brenda is passionate about enhancing professional's airway screenings and raising awareness about the benefits of myofunctional therapy to both  professionals...

Hands-on Dental 2 Medical Billing Orlando, FL | July 24-25 | 8:00 AM - 5:00 PM This insightful course, as taught by renowned speaker and CEO of Links2Success, Christine Taxin, is suggested for Dentists & Teams. $1,500for the first attendee $950 for each additional Learn How To Properly Bill Medical Codes For Your Dental Practice...

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