Help is on the way!

September 17th, 2019 - Christine Taxin
Categories:   Dental   Oral and Maxillofacial Surgery  

Dental carriers are starting to deny coverage for treatment considered a medical necessity! Dental offices are just charging the patient for those services or patients are refusing the treatment. Have you considered why that service should be full fee for the patient when they have coverage under their medical insurance? Dental offices who have NEVER had to consider billing medical insurance are faced with the prospect of either being able to bill medical (correctly) or telling their patients that they will not assist them in getting the benefits, and possibly care, they deserve. 

Have you received dental insurance EOBS that say you need to bill medical for services that you have always billed to them? Well, regulations and policies that you must follow to ensure correct billing and protect your practice have changed. Do not forget the dental world can change the contracts you have had and never really ask you to read them. Of course, the choice is yours, but will you be able to keep your patients happy when less treatments are covered under their dental plan?
We are available to help you. Join us at dentalmedicalbilling.com use DMBTrial for a free month of learning the changes.

If your office treats any of the following procedures, you will need to understand the changes in the billing systems for Oral Physicians.
Traumatic injuries (falls, auto accidents, sports injuries, fights)
TMD treatment
Sleep apnea
Medically necessary orthodontics
Excisions and biopsies
Periodontal issues due to medical conditions such as diabetes, use of medications, pregnant women.

These conditions will include the use of implants, CBCT Scans, x-rays, extractions, appliance therapy, and periodontal issues.

We can provide you with all the training you need including hygiene training to have your hygiene department grow beyond your dreams. We know that some of us are working with teams that have had no official training on billing so we can help them become certified coders through our relationship with medical billing groups who will administer the tests after training with us so your biller has the ability to move your practice to the next level.

###

Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.


Latest articles:  (any category)

Artificial Intelligence in Healthcare - A Medical Coder's Perspective
December 26th, 2023 - Aimee Wilcox
We constantly hear how AI is creeping into every aspect of healthcare but what does that mean for medical coders and how can we better understand the language used in the codeset? Will AI take my place or will I learn with it and become an integral part of the process that uses AI to enhance my abilities? 
Specialization: Your Advantage as a Medical Coding Contractor
December 22nd, 2023 - Find-A-Code
Medical coding contractors offer a valuable service to healthcare providers who would rather outsource coding and billing rather than handling things in-house. Some contractors are better than others, but there is one thing they all have in common: the need to present some sort of value proposition in order to land new clients. As a contractor, your value proposition is the advantage you offer. And that advantage is specialization.
ICD-10-CM Coding of Chronic Obstructive Pulmonary Disease (COPD)
December 19th, 2023 - Aimee Wilcox
Chronic respiratory disease is on the top 10 chronic disease list published by the National Institutes of Health (NIH). Although it is a chronic condition, it may be stable for some time and then suddenly become exacerbated and even impacted by another acute respiratory illness, such as bronchitis, RSV, or COVID-19. Understanding the nuances associated with the condition and how to properly assign ICD-10-CM codes is beneficial.
Changes to COVID-19 Vaccines Strike Again
December 12th, 2023 - Aimee Wilcox
According to the FDA, CDC, and other alphabet soup entities, the old COVID-19 vaccines are no longer able to treat the variants experienced today so new vaccines have been given the emergency use authorization to take the place of the old vaccines. No sooner was the updated 2024 CPT codebook published when 50 of the codes in it were deleted, some of which were being newly added for 2024.
Updated ICD-10-CM Codes for Appendicitis
November 14th, 2023 - Aimee Wilcox
With approximately 250,000 cases of acute appendicitis diagnosed annually in the United States, coding updates were made to ensure high-specificity coding could be achieved when reporting these diagnoses. While appendicitis almost equally affects both men and women, the type of appendicitis varies, as dose the risk of infection, sepsis, and perforation.
COVID Vaccine Coding Changes as of November 1, 2023
October 26th, 2023 - Wyn Staheli
COVID vaccine changes due to the end of the PHE as of November 1, 2023 are addressed in this article.
Medicare Guidance Changes for E/M Services
October 11th, 2023 - Wyn Staheli
2023 brought quite a few changes to Evaluation and management (E/M) services. The significant revisions as noted in the CPT codebook were welcome changes to bring other E/M services more in line with the changes that took place with Office or Other Outpatient Services a few years ago. As part of CMS’ Medicare Learning Network, the “Evaluation and Management Services Guide” publication was finally updated as of August 2023 to include the changes that took place in 2023. If you take a look at the new publication (see references below),....



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association