CDT code D4355 is appropriate for the patient who presents with heavy supragingival plaque and calculus preventing comprehensive oral evaluation with a diagnosis from being completed. For this type of patient, an accurate periodontal charting and probing cannot be obtained until the debris is removed from the teeth and healing has occurred. A periodontal charting and probing is necessary to make a diagnosis. D4355 is not intended to be a preliminary procedure prior to perio therapy, a common coding error seen. The intent is to perform a full mouth debridement to enable a comprehensive oral evaluation.
Outsourced dental billing is a variable of your practice that you haven’t been able to dedicate enough time to, whether you are an office manager, a dentist or the owner of the practice. Perhaps you are all three, in which case, you are truly in need of someone else to take care of your billing. You’re spread too thin and you need something you know will make sure you’re collecting what you’ve earned from each patient and dental insurance company. Dental Claim Support (DCS) is an outsourced dental billing company that is focused on lifting the burden of sending all dental claims, posting insurance payments, and researching all claims on your outstanding insurance aging report. Every nitpicky detail about dental billing, every frustration you may have about collecting payments, will be taken care of by an account executive who has spent years helping dental practices around the United States with streamlining their billing process.
Medical and dental coding have many similarities and are not as different as we in the dental profession are led to believe. All healthcare providers render services such as office visits, radiographic imaging services, etc. healthcare providers are also required to document what services are rendered and why a service is needed in a health record. Codes are used to report services rendered to insurance payers for reimbursement determination. We communicate to payers through applying codes to the claim form, whether medical or dental. So yes, it is similar with each code set having a specific purpose. In this article, we will do a deep dive comparing how medical coding and dental coding affect your claim submissions.
Like every place of business, it takes time to perfect the billing process. We all have our own systems and like to do what makes sense to us. While there isn’t an end-all, be-all step-by-step set of rules for billing, there are some common questions that are likely to be asked in the process, one of them being, “how often should my dental office be sending insurance claims?” Whether you are an experienced billing coordinator, just trying to increase your collections percentage, or a brand new practice owner learning the ropes on getting paid by insurance companies, this is an important question to know the answer to!
The medical claim form, in itself, can be a source of confusion and frustration for many dental team members. Claim form submission errors are the most common cause for claim rejections. They’re also the biggest source of frustration and the reason that many dental team members give up on filing claims to medical insurance. At Dental Claim Support, our team of knowledgeable expert medical billing specialists assist our clients with billing dental procedures to the patient’s medical plan successfully on a daily basis. The dental world is changing. Servicing hundreds of providers, we have seen the trends of common dental procedures needing to be billed to medical insurance.
As a dental professional, you're familiar with the periodontal maintenance procedure and CDT code D4910. But applying this code can still be confusing.
8 New Codes Added to CDT 2021, effective now The ADA Code Maintenance Committee approved the following 8 new codes to be included in CDT 2021. These codes were accepted into CDT 2021 under special provision during the annual CMC meeting held on March 11-12, 2021. These codes have been added to CDT 2021 in response to the current pandemic. Currently, at least 25 states have approved dentists and 14 states have approved dental hygienists to administer the SARS-CoV-2 COVID-19 vaccines.
You are in the market for a new dental practice management software. Your modern dental practice is currently utilizing out-of-date and inefficient software that is slow, glitches constantly and all of this makes posting payments a huge pain, plus they aren’t being posted in a timely manner.
You’re a dentist with your own practice, dealing with the after effects of 2020. Your collections percentage is down, and it’s affected the revenue of your business. You’re scared, anxious, considering cutting overhead costs, and possibly unable to perform certain procedures due to lack of revenue. To put it simply, your business is facing its worst case scenario. Learning where the disconnect is between your office, your patient and the insurance company can help you figure out where your money is going and why it isn’t in your pocket where it belongs.
