Confusion abounds in regards to what is the definition of “medical necessity” when filing dental insurance claims. If the insurance company wants a medical necessity explanation for any type of treatment whether medical or dental, they have a right to ask for it before paying...
Claim that finally got paid!! It only took 16 months By Kimberly Scharfenberg Both Becky Osgood and myself worked on getting this paid. On 9/29/15 a claim for BU's for teeth number 6,7,8,9,10,11 and crowns for teeth number 7 and 10 was sent to Delta Dental. On 11/17/15...
What will you and I give for Christmas this year? Let us in our lives give to our Lord and Savior the gift of gratitude by living His teachings and following in His footsteps. Thomas S. Monson The holiday season is a wonderful time of year for...
D2980 is a "crown" repair to a prosthetic not a filling in a natural tooth surface. It is to repair a material failure as in fracture. It would be any part of the crown. If a filling is needed to repair decay below the crown's...
By: Belle DuCharme, RDA, CDPMA Dental Assistants are highly valued and necessary to the successful dental practice; just try to operate without one for a day. Licensing and certification of dental assistants not only helps increase their recognition and pay but also improves the efficiency and...
When patients are in the chair, the treatment plan option sheet is prepared on the computer software by the dental assistant or the dental hygienist at the direction of the dentist. Many times the dentist will enter the treatment. This information is used to generate...
A 2012 PricewaterhouseCoopers survey found that nearly 90% of people ages 18 to 24 would trust health care information found via social media and shared with friends. This doesn’t preclude older generations, as 56% of those ages 45 to 64 would do the same. ...
Waiver of copayment(coinsurance) a BIG NO! from the ADA (American Dental Association) “The “ADA Principles of Ethics and Code of Professional Conduct” discusses copay forgiveness in section 5.B. 5.B. REPRESENTATION OF FEES. Dentists shall not represent the fees being charged for providing care in a false...
Technology today is requiring many patients to access your website and can contact your practice via email to set up appointments and to get relevant information. The email communication between multiple providers involved in a patient’s care has become standard for most of practices. Being...
When a new patient calls your office and wants to make an appointment, one of the questions asked is whether or not dental insurance will be considered as part of the payment of services. The focus is on whether or not there are dental...
By Jesse Worden, Account Manager We have a patient who is dual-covered under his own policy with Dental Select and a spouse’s policy with Select Health. Doctor is in-network with both carriers. I spotted the apparent error in policy order (Select Health was lister as primary...
By: James Anderson, DMD, CEO eAssist Dental Solutions "We wanted, as all great businesses do, to create, to contribute, and we dared to say so aloud. When you make something, when you improve something, when you deliver something, when you add some new thing or service...
