Dental carriers are starting to deny coverage for treatment considered a medical necessity! Dental offices are just charging the patient for those services or patients are refusing the treatment. Have you considered why that service should be full fee for the patient when they have coverage under the medical? Dental offices who have NEVER had to consider billing medical insurance are faced with the prospect of either being able to bill medical (correctly) or telling their patients that they will not assist them in getting the benefits, and possibly care, they deserve.
Have you received dental insurance EOBS that say you need to bill medical for services that you have always billed to them? Well regulations, and policies that you must follow to ensure correct billing and protect your practice have changed. Do not forget the dental world can change the contracts you have had and never really ask you to read them. Dental offices who have NEVER had to consider billing medical insurance are faced with the prospect of either being able to bill medical (correctly) or telling their patients that they will not assist them in getting the benefits, and possibly care, they deserve. Of course, the choice is yours, but will you be able to keep your patients happy when less treatments are covered under their dental plan.
Understanding when medical is applicable becomes we are available to help you. Join us at dentalmedicalbilling.com use DMBTrial for a free month learning the changes.
If your office treats any of the following procedures, you will need to understand the changes in the billing systems for Oral Physicians.
Traumatic injuries ( falls, auto accidents, sports injuries, fights)
Medically necessary orthodontics
Excisions and biopsies
Periodontal issues due to medical conditions such as diabetes, use of medications, pregnant women.
These conditions will include the use of implants, CBCT Scans, x-rays, extractions, appliance therapy, and periodontal issues.
We can provide you with all the training you need including hygiene training to have your hygiene department grow beyond your dreams. We know that some of us are working with teams you have had no official training on billing so we can help them become certified coders thru our relationship with Medical billing groups who will administer the tests after training with us so your biller has the ability to move your practice to the next level.