Coordinating benefits for patients with dual insurance can be challenging and, well, annoying. But you, being a dental professional, need to understand how to handle dual dental insurance coverage. Not only can you help your patients lower their out-of-pocket expenses. You can help your office financially by collecting all available payments.
The new year is rapidly approaching, and that means big changes are ahead for your dental practice.
As a dental biller, it helps to know about the supporting documentation that is necessary to have the smoothest path to payment for the practice. Learning more about this code, including documentation and attachments needed, will help you collect payment as fast as possible.
While procedure codes such as CDT and CPT® become effective beginning with dates of service on January 1 of each calendar year, ICD-10-CM diagnoses codes become effective beginning with dates of service October 1 of each calendar year. The 2022 ICD-10-CM code set effective date is upon us.
For any dental practice, the biggest roadblock to receiving full income is the cumbersome insurance billing process. How to calculate patient financial responsibility? Knowing what you should collect gets even harder when the patient has coverage under multiple plans. That’s when your dental insurance coordination of benefits (COB) knowledge is so valuable.
Are you one of the doctors who discovered your PPO agreement because you were asked to write off a significant amount for a procedure? Maybe you were made aware of the provisions outlined in the manual after a claim denial, an audit or grievance filed by a patient.
Do you treat sleep apnea patients in your dental practice? If you file claims for insurance benefits, you need to know the correct ICD 10 sleep apnea code - yes, this treatment requires a medical code. With dentists consistently adding sleep related services to their procedure mix, the need to properly file a medical claim using the ICD10 sleep apnea code continues to rise as well. An oral appliance to treat sleep related conditions such as obstructive sleep apnea (OSA) and snoring is one of the most common that dentists provide. This article will address how to ensure the correct primary diagnosis code is submitted on the claim.
A patient presents for a crown preparation once the decay is removed the findings are that the decay extends into the pulp. The doctor refers the patient to an endodontist for root canal therapy treatment. The patient is indecisive about whether to proceed with the root canal therapy vs. having the tooth extracted and an implant placed and restored with a crown.
When do you bill insurance for a crown? Is it at the prep or seat?
There are many types of dental insurance plans being sold or provided by employers. It can be very confusing, but it’s extremely important to understand the differences between these plans.