Advice | Billing | Business | Compliance Tips and Tactics

Documentation/Patient Records

Dental records are especially important when submitting dental benefit claims or responding to lawsuits. While the dental record could be viewed as a form of insurance for your practice, make…

Advice

Provider Documentation Training “STOP Using Text Messages”

Doctors you have learned how to document in school, and then started to text message. Have your team learn how they can help you.

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

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…

Advice | Billing | Informative | Insurance | Medical

Orthodontic Billing for Sleep Apnea and TMD

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…

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

Billing Aetna Medical for Ortho

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…

Appealing a claim, don’t be afraid to know what you are talking about.
Advice | Billing

Appealing a claim, don’t be afraid to know what you are talking about.

Some strategies to use for ensuring a peer review are the following: Provide the treating physician’s background and specialty credentials. Follow this with a request for the credentials of the…