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Part 4 and final issue

June 27, 2020September 6, 2020

Medicare Supplement (Medigap) plans may help cover certain out-of-pocket costs that Original Medicare doesn’t cover, such as deductibles, copayments, and/or coinsurance (depending on the specific Medicare Supplement plan). Not all…

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Announcements | Billing | Business | Compliance Tips and Tactics | Informative | Insurance | Medical

Failure to diagnose and failure to refer are common issues seen in dental claims.

June 16, 2020September 6, 2020

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…

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Announcements | Billing | Compliance Tips and Tactics | Informative | Insurance | Medical

Part 2 Medicare information

June 12, 2020September 6, 2020

2018 Medicare Part A costs Medicare Part A helps cover inpatient hospital expenses. As a Medicare beneficiary, you’re generally eligible for premium-free Medicare Part A coverage if you or your…

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Billing | Informative | Insurance | Medical | News

CMS finalizes plan to allow Medicare Advantage plans to expand telehealth benefits

May 27, 2020September 6, 2020

The Trump administration has finalized several changes in Medicare Advantage (MA) and Part D in anticipation of bid submissions on June 1. The Centers for Medicare & Medicaid Services (CMS)…

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Rapid Coronavirus test in office can be billed to Medical
Announcements | Billing | Compliance Tips and Tactics | Informative | Insurance | Introductions | Medical | News

Rapid Coronavirus test in office can be billed to Medical

May 8, 2020September 6, 2020

U0001 – Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel For services beginning February 4, 2020, Medicare has created two HCPCS codes to report testing for this particular strain…

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Advice | Announcements | Billing | Informative | Insurance | Introductions | Medical

How might I get Medicare dental coverage for dental implants?

April 15, 2020September 6, 2020

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…

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Advice | Billing | Informative | Insurance | Medical

New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1

December 29, 2019September 6, 2020

New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1 If you want to get paid you should be reporting MBIs on all of your Medicare claims….

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Announcements | Informative | Insurance | Medical | News

Periodontal Disease Bacteria Linked To Alzheimer’s Disease

December 15, 2019September 6, 2020

Periodontal experts stress the importance of gum health in older adults and other at-risk groups CHICAGO – JANUARY 28, 2019 – A recent study has periodontists, experts in the treatment,…

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Anthem Has Changed Filing Time for filling claims/ Another reason to attend the Las Vegas Meeting
Announcements | Billing | Business | CBCT Scans | Compliance Tips and Tactics | Informative | Insurance | Medical | News

Anthem Has Changed Filing Time for filling claims/ Another reason to attend the Las Vegas Meeting

August 15, 2019September 6, 2020

Anthem has notified doctors and other providers that the timely filing window for professional claims is being shortened to 90 days. “Effective for all commercial and Medicare Advantage Professional Claims…

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Billing | Informative | Insurance | Medical | News

Treating a diabetic patient with medical oral complications may be covered under the patient’s medical plan.

August 6, 2019September 6, 2020

If you or your hygienist is now aware of the Oral connection and the changes being made you should consider sending them to the Insurance Extravaganza which is in Las…

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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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