Elevating Your Coding and Insurance Skills, by Tidewater Dental Consulting

150 N. Mosely,Wichita KS 67202

15 September, 2022

Description

This code set must be used correctly to report procedures on dental claims for reimbursement. We will delve into some of the more complex areas of CDT to help you with your coding conundrums. This will include the implant services section, one of the most confusing sections of CDT. There are many types of implant restorative procedures. Are you coding for all that you do, receiving maximum reimbursement? Rules and regulations affecting the dental practice is ever-changing. This course will update you on recent changes and how your practice is affected. How often have you questioned a patient credit? Inaccurate PPO adjustments can result in loss of practice revenue. Coordination of benefits (COB) plays a role in inaccurate patient credits. We will learn hands on how to navigate COB commercial PPO plans and federal plans when the doctor is in-network with one or more of the plans. Medicare Advantage plans are sold by commercial payers. Dental practices have patients presenting with Medicare Advantage dental benefits. Understanding Medicare rules and the type of plans can be confusing. Who is primary, who is secondary, can I file a claim and much more will be addressed as it pertains to Medicare plans. Learning Objectives At the end of this course you will: ● Demonstrate how to document for specificity ● Select codes for more complex treatment plans ● Demonstrate how to properly calculate the provider PPO write off and the patient’s portion when COB exists, ● Apply the basic rules of Medicare and Medicare Advantage Plans in your practice ● Gain an understanding of PPO contract provisions including optional services