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.
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.
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.
We see a lot of confusion surrounding CDT code D7111 as it relates to the extraction of a primary tooth. Keeping up with CDT codes is always a challenge for dental professionals, but this knowledge is crucial for proper claim submission that will lead to timely reimbursement from insurance companies.
Dilaine's Coding Corner | Dental Coding
Did you know D5875 is a billable service? It is common for a patient with an existing denture or partial denture to have implants placed. The existing denture or partial dentures are modified to fit the implants placed. This may be modification for the denture to be used as an interim during the healing phase following implant placement. The denture may also be modified with the intention of it being the definitive implant/abutment supported denture (e.g., immediate denture modified after implant placement).
Are you capturing all the potential insurance reimbursement when performing implant related services? Accurate reimbursement begins with accurate coding. There are many components associated when restoring dental implants. It is important to document each component, as applicable to ensure the highest possible reimbursement. This article will focus on implants restored with single crowns and retainer crowns associated with fixed partial dentures (bridges).
Are you prescribing Perio Trays™ in your dental practice? Many of you may be prescribing and placing carriers, or trays, for the periodontal patient filled with a medicament developed to decrease harmful, disease causing pathogens. Perio Trays™ by Perio Protect® is the brand we are familiar with for fabricating the custom carriers or trays. Use of the custom lab fabricated carrier is a non-invasive treatment and can reduce the need for more invasive treatments for patients with periodontal disease.
