Maintaining Defined Scopes of Practice There are specific Medical and Dental Licensing Laws and Practice Acts, which dictate the scope of practice for physicians and dentists (http://www.aasmnet.org/resources/pdf/AADSMJointOSApolicy.pdf). As per individual state law, laws only a licensed physician can make a …
How might I get Medicare dental coverage for dental implants? Maybe you’re still wondering, “Does Medicare pay for dental implants – ever?” If you want to get Medicare dental coverage for dental implants and routine services, you might want to …
Dental carriers are now requiring that any service that COULD be payable by any medical carrier, including Medicare; be submitted to medical first. Will you be able to bill medical when required? Learn when and how to SUCCESSFULLY bill medical …
What are we waiting for? Most dentists are afraid to make the all-important choice to treat or not treat when it comes to a pregnant woman. Science has shown us the importance of treating women even before they become pregnant …
When teaching at NYU Dental students wrote small books for notes, directly after joining the world of dentistry in a practice they started to use text messages as Dr. Studley would say!!! Are you writing a text message that leaves …
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 am planning to report the excision to the patient’s medical …
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 specific condition or problem, or to determine whether to accept …
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 supplier’s files for 7 years (starting from the DOS). Suppliers, …
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 (MDM) a physician must demonstrate in order to bill, and …
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 of 42 points or greater on the Modified Salzmann Index. …