The words “consultation” and “evaluation” may sound similar, but in dental billing, the distinction is vital. Misusing codes often leads to insurance denials and administrative headaches. This blog post explores how to choose the correct code based on the actual scope of service performed, ensuring clinical integrity, accurate documentation, and financial transparency for every patient.
Think the “we don’t take Medicare” verbal disclaimer protects your dental practice? Think again. Since 1990, the Mandatory Filing Law has required dentists to submit claims for all potentially covered services. From inextricably linked procedures to steep financial penalties and legal risks, discover why formal compliance—not avoidance—is the only way to safeguard your practice’s future.
Medicare isn’t just for medical doctors anymore. Since millions of Americans rely on this program, dental professionals must understand its complexities, as well. From the “inextricably linked” services in Part A to the growing dental benefits within Medicare Advantage (Part C), this blog post breaks down the four parts of Medicare and their specific impact on your dental office’s billing practices and patient care.
For many dental teams, Medicaid is a sea of administrative complexity. Our latest blog post breaks down the “how” of Medicaid/CHIP—from managing “payor of last resort” rules and timely filing to handling non-covered services with signed waivers. Learn how to streamline your workflow, navigate no-show regulations, and protect your practice’s bottom line all while serving your community.
You should never let insurance remapping dictate your clinical records. If you’re placing two separate restorations on one tooth, are you billing these fillings correctly? Discover why coding for the actual procedure performed is essential for clinical accuracy, legal documentation, and fee transparency, all while learning how to code and bill for this unique restorative scenario.