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.
Are restrictive PPO fee schedules dictating your clinical standards? This post empowers dental teams to move beyond reimbursement limits by offering optional services as a path to superior care. Learn how to help patients choose to invest in their dental health, regardless of insurance caps, and present high-quality optional services with confidence.
Are you seeing an increase in denials or downgrades for periodontal services in your dental practice? While the criteria for staging and grading periodontal cases has not changed, many dental insurance companies have added to their list of requirements or criteria that must be met before they will pay a claim. Practice Booster’s Dr. Greg Grobmyer discusses recent changes to dental insurance companies’ claims requirements for scaling and root planing (SRP) and other periodontal procedures.