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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…

Read More What Diagnosis Codes Should I Use for TMJ Headache Massage for CoverageContinue

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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Setting up and why with CAQH
Advice | Billing | Business | Informative | Insurance | Technology

Setting up and why with CAQH

October 30, 2018September 6, 2020

There are solutions to help you set up Medical Billing in order for them to know who you are.  You are also able to do credentialing with them.

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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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Medicare and Dental Coverage
Advice | Billing | Business | Informative | Insurance | Medical

Medicare and Dental Coverage

September 20, 2018September 6, 2020

Medicare’s dental coverage is limited. If you have Original Medicare (Part A and Part B), you won’t be covered for most dental services and supplies, including: Dental exams Routine cleanings…

Read More Medicare and Dental CoverageContinue

Advice | Billing | Medical

Accidents! Yes that is Medical Billing

June 20, 2018September 6, 2020

Most dentists don’t realize how frequently they see patients who have had an accident or trauma affect their dental health. Of course we are all familiar with the frantic calls…

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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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