CDT Dental Coding & Reimbursement Update: Identifying Common Practice Mistakes – Paul Bornstein

SalePage : CDT Dental Coding & Reimbursement Update: Identifying Common Practice Mistakes – Paul Bornstein

Today’s dental practice is at a significant disadvantage if it does not have a good grasp of insurance payments. In current economy, dental professionals must guarantee that they are compensated as fully as possible. Insurance firms employ a variety of methods and procedures that, if not understood, result in unwarranted delays and rejections during the claims processing process. Each workplace has its own set of insurance issues. All offices face the same insurance issues. We will show you how to recognize potential problems and suggest solutions!

Why is this Program Special?

Get your office up and running with the help of an experienced dentist who formerly headed a dental insurance firm and practiced for 30 years.
You will be provided a consultant’s viewpoint on records and billing, allowing you to conduct your own audits, raise your income, and lower your risk.
You will learn risk management and practice management strategies that are useful, realistic, and practical.
You will be provided all of the information you need to properly file claims and appeal denials with acceptable paperwork and narrative.
You will comprehend how insurance companies assess your claims.

With the information in this recording, most offices may immediately increase their income:

Overcome the downturn with LEGAL billing strategies.
Implement tried-and-true patient gathering procedures.
General practice, periodontal, and oral surgical treatments should be correctly billed.
Assist in avoiding rejections.
Other than fraud, identify what insurance companies look for.
Examine the claims procedure through the eyes of the insurance company.
Consider the benefits and drawbacks of taking Medicaid.
Analyze dental contract text to decide the best way to educate the whole dental office, including employees, doctors, and patients.
Create the finest storytelling and documentation possible.
Determine what you must be aware of in order to optimize billing.
Investigate the complexities of the dental insurance business.
Talk about how your office is being observed and how you can avoid billing fraud.

The Dental Agreement

Insurance company rights
Contract trends for today
Changes in the frequency of benefits
The relationship between oral and systemic diseases Avoiding dental fraud PPO participation

Management of Practice

Fees
Patient communication and patient management
Common practice errors are what consultants look for.
The value of self-auditing records
Risk management tips

Avoid Dental Fraud

Staying away from “red flags”
Suspicious claims
Fee discounts
Over-utilization
Accepting Medicaid: Should you or should you not?
Case Studies in Legal Action

Completed Claim Form

How to Examine Claims as a Claims Reviewer
Submission of an accurate X-ray, image, and story

Insurance Techniques

Discover how the insurance company thinks.
Learn how to properly resubmit claims for appeal.
Is it true that insurance companies use delay tactics?
The impact of HIPAA regulations on coding
Communication abilities that are effective
Learn how to take advantage of the EOB.

Coding and billing that works

Tips for keeping your practice viable in a weak economy
Determine your office’s largest revenue loss and how to fix it.
CDT – the most recent updates and modifications
Documentation is required to back up claims.
WILL YOUR RECORDS WITHSTAND AN AUDIT?
Code utilization and maximizing
Electronic claim submission
Which lender should your clinic suggest for outside financing?
What should be included in the proper claim attachments and narratives?
Important hints for submitting a comprehensive claim the first time.

Pay Particular Attention to

Learn how to properly charge periodontal treatments, including the new D4346 Fraud: Prevent billing fraud by following these steps.

COURSE CONTENT