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.
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.