Dental vs Medical Policy Criteria

by  Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
June 7th, 2016

How do I determine if treatment falls under Medical or Dental Coverage?
Any coverage weather considered medical or dental benefits is always determined by the condition that is being diagnosed and treated whether the service is provided by a dentist or a medical doctor.
Anytime you are seeing a new patient or a new problem is it important to consult with the payer to determine coverage prior to treatment.

To help your understanding of what is covered under Dental benefits vs what may be covered under Medical benefits, take a look at Regence's coverage criteria: 

REGENCE MEDICAL POLICY CRITERIA

References:

Dental vs Medical Policy Criteria. (2016, June 7). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/dental-vs-medical-policy-criteria-29583.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)


Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


contact

innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Email:
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.