The ADA claim form on which dental procedures and charges are filed to the dental insurance carrier, on behalf of the patient, for reimbursement
With over 13,000 tax jurisdictions, compliance with sales and use tax is a financial necessity for dental practices. This blog post breaks all of this down, explains vital CDT codes needed for reporting, and offers tips for a clean audit. Keep your practice’s financial health as bright as your patients’ smiles, and don’t let sales and use tax become a pain in the tooth.
Medicare is no longer optional for dental practices. To stay compliant, dentists must navigate specific enrollment pathways, from Part B participation to formally opting out. This blog breaks down the essentials of Medicare enrollment, the importance of Ordering and Referring status, and how to use Advance Beneficiary Notices (ABN) when routine dental services fall outside traditional coverage.
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.
Understanding dental audits is essential for practice security. This post breaks down the key differences between focused and utilization reviews, offers strategies for responding to record requests, and explains why meticulous clinical documentation is your best defense when faced with an audit. Read on to learn how to ensure your practice remains compliant, protected, and prepared in the event your practice is audited.
Stay ahead in your practice by learning the ins and outs of the TRICARE Dental Program (TDP). This post breaks down essential clinical insights for providers, from the 12-month initial enrollment requirement to specific benefit levels—including $1,500 per person annual maximums. We also demystify TDP coordination of benefits (COB) to ensure your office maximizes reimbursement when patients carry additional private insurance.