Dental Articles and Resources
News and Important InformationMust Watch VIDEO Using Find-A-Code for Medical Billing
Dental Medical Billing University Dental Medical Billing University offers a rigorous academic program with a history of excellence in medical studies. 10/06/21 Dental-Provider Specialty Taxonomy Codes 10/12/21 Staging and Grading Periodontitis 5/04/20 Locating Periodontal Disease in ICD-10-CM 11/4/2020 Dental Implants: Medical Coding and Reimbursement By Christine Taxin
09/21/2020 Important! Podcast on Dental to Medical Billing ******Summary of 2019 Changes to the ADA Dental Form******
ImagesThere are 3 images related to this topic. Code SetsICD-10-CM CodesICD-10-CM Diagnosis Codes CPT CodesCPT® Current Procedural Terminology® Codes CDT CodesCurrent Dental Terminology Codes ICD-10-CM: K00-K14Diseases of oral cavity and salivary glands (K00-K14) ICD-10-CM: M26-M27Dentofacial anomalies [including malocclusion] and other disorders of jaw (M26-M27) ICD-10-CM: S00-S09Injuries to the head (S00-S09) Find-A-Code's Tools & ResourcesClick-A-DexFor quick drill-down and easy code selection. Build-A-CodeStep-by-step coding from all major code sets. NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. Pro Fee CalculatorVerify Medicare Reimbursement and UCR Fees for Professional Services UCR FeesUsual, Customary, and Reasonable Pricing CMS 1500 02/12 Claim Form InstructionsMedical Claim Form Instructions Using Tools in Find-A-Code - Dental to MedicalVideo tutorial of our Dental tools PDGsProvider Documentation Guides Tooth Numbering & The Oral CavityTooth Numbering & the Oral Cavity InnoviHealth Products and ResourcesDentistry ICD-10-CM Cheat Sheet for 2022Dentistry ICD-10-CM Cheat Sheet for 2022 Dentistry Reimbursement Guide for 2022Dentistry Reimbursement Guide for 2022 QPro Medical CertificationsDental Medical Billing and Coding Certifications and Classes ADA Links and ResourcesADAAmerican Dental Association ADA Guide to Dental ProceduresDA Guide to Dental Procedures Reported with Area of the Oral Cavity or Tooth Anatomy (or Both) Diabetes Oral Health TopicsOral Health Topics - Diabetes Evidence-Based DentistryADA Center for Evidence-Based Dentistry Preventive Dental ServicesPreventive Dental Services ADA Dental Claim Form InstructionsADA Dental Claim Form Completion Instructions Additional Links and ResourcesLinks 2 SuccessDental Management and Consulting Service Noridian: Dental ResourcesNoridian JE Part B Dental Resources Drugs and Biologicals Pub-100 Ch 17Drugs and Biologicals Pub-100 Ch 17 Billing Requirements for OPPSBilling Requirements for OPPS Providers with Multiple Service Locations Dental Coding, Billing, and PM TopicsCoding, Billing, and Practice Management Topics ACE - Pace CEU'sWebinars and Instant Exam Access UnitedHealthcare DentalClinical Policies and Coverage Guidelines CMS Measures Inventory ToolCMS Measures Inventory Tool National Standardized Dental Claim UHCUtilization Review Criteria Dental and Medical BillingDental Medical Billing Membership and Online Classes Reimbursement Guide for Oral Appliance Therapy for Obstructive Sleep ApneaManagement of sleep related breathing disorders ADA Quick GuideADA Quick Guide to In-Office Monitoring and Documenting Patient Blood Glucose and HbA1C Level Select the title to see a summary and a link to the full article. October 12th, 2021 Staging and Grading Periodontitis| Published October 12th, 2021 We now understand periodontitis may present itself as a manifestation of systemic diseases in fact; according to DeltaDental, research shows that more than 90 percent of all systemic diseases have oral manifestations, including swollen gums, mouth ulcers, dry mouth, and excessive gum problems. Some of these diseases include:
Diabetes
Leukemia
Oral cancer
Pancreatic cancer
Heart ... October 6th, 2021 Summary of 2019 Changes to the ADA Dental Form| Published October 6th, 2021
In 2019 the ADA revised the ADA Dental claim form to incorporate editorial changes to further its consistency with the 837D. The previous update was in 2012, the changes in 2012 were made to incorporate the capability to report diagnoses codes.
Some of the important changes include Bx# 8 and 15, the description was updated ... October 6th, 2021 Dental-Provider Specialty Taxonomy Codes| Published October 6th, 2021 The National Uniform Billing Guidelines require the use of taxonomy codes for claims submissions on the ADA-Dental claim form and the CMS-1500 Medical Claim form. When reporting the taxonomy code, be sure the provider is contracted with the payer under the taxonomy code being reported. We have listed the general ... August 12th, 2021 Billing Dental Implants under Medical Coverage| Published August 12th, 2021 Implants can be costly to the patient and the provider, and it is crucial to understand how to bill a patient’s medical insurance to ensure there is adequate coverage for the best treatment. Implants are commonly billed in a dental office under a patient’s medical benefits.
Implants could be considered ... June 29th, 2021 Compliance in the Dental Office or Small Practice| Published June 29th, 2021 If your practice does not already have a compliance program in place, you will want to get started after reading this article. We have uncovered some important findings with the Office of Inspector General (OIG) in dental practices you need to be aware of. A compliance program offers standard procedures to follow, ... December 8th, 2020 Locating Periodontal Disease in ICD-10-CM| Published December 8th, 2020 When coding a diagnosis for periodontal disease, keep in mind there are more options than just chronic or acute. To get started, look at chapter 11, Diseases of the digestive system (K00-K95). Looking at this section a little further, you can see this is where the oral cavity is coded ... December 8th, 2020 CDT and CPT - The Same but Different!| Published December 8th, 2020 Reporting a CPT code for an evaluation of a patient is based on time and if the patient is a new or established patient. Evaluation and Management codes are different than other codes, it is important to understand how they are used, prior to 2021 they were based on a ... September 23rd, 2020 Locating a Diagnosis Code in ICD-10-CM for Dental Offices| Published September 23rd, 2020
Diagnosis codes used to report with procedures are called ICD-10-CM - International Statistical Classification of Diseases. These codes are published annually in October. To find a diagnosis code in ICD-10-CM, it is important to understand how the chapters and sections are set up. Each chapter is broken down into sections and ... September 21st, 2020 Important Podcast on Dental to Medical Billing| Published September 21st, 2020 Be sure and check out this discussion with LaMont Leavitt (CEO of innoviHealth) and Christine Taxin (Adjunct professor at New York University, President of Dental Medical Billing, and Links2Success).
Some of the resources and tools they discuss will help you with your dental coding/billing and education.
Do You Have All the Right ... August 26th, 2020 New and Exciting Changes in the Dental Industry| Published August 26th, 2020 My colleagues and I are nerds for information on all things billable—or not billable—in the worlds of dental and medical insurance. One of the most puzzling challenges for me over the past 15 years of teaching has been to understand why we on the dental side are segregated out of ... August 10th, 2020 Modifier 50 — Four "Must Know" Tips For Getting Paid| Published August 10th, 2020 Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional... July 14th, 2020 Are NCCI Edits and Modifiers Just for Medicare?| Published July 14th, 2020 The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ... June 16th, 2020 Should I Bill Dental or Medical?| Published June 16th, 2020
While you likely find yourself focusing on fewer patients and more on emergency care, it’s a good time to understand how medical billing can allow patients with active infection in the oral cavity to seek the treatment they need.
Forms need to be filled out correctly, and you must carefully follow ... June 2nd, 2020 Changes in Medicare Advantage and Part D| Published June 2nd, 2020 The Centers for Medicare & Medicaid Services finalized several changes in Medicare Advantage and Part D on Friday.
The Trump administration has finalized several changes in Medicare Advantage (MA) and Part D in anticipation of bid submissions on June 1.
The Centers for Medicare & Medicaid Services (CMS) released Friday that includes ... April 14th, 2020 ADA is Asking for HELP with Third-Party Payers for Dentists| Published April 14th, 2020 With these unprecedented and extraordinary circumstances, dentists are facing new challenges with reimbursement with what is allowed and covered under their contractual obligations with their payers. The ADA recognizes the struggles dental providers are facing and is urging third-party payers to adopt new reimbursement procedures and adjust their fee schedules to help ... February 18th, 2020 Documentation Skills that Increase Your Coding| Published February 18th, 2020 - Last Review/Update February 20th, 2020
Evidence-based medicine such as the updated periodontal staging and caries lesions also gives well-defined information about the clinical condition itself. You cannot just look at the codes, you need to check the policy. When I am coding or teaching coding, you need to use clinical indications when working with documentation ... February 4th, 2020 Documenting telephone calls at your dental practice is just as important as documenting patient visits.| Published February 4th, 2020 - Last Review/Update February 12th, 2020
Documenting telephone calls at your dental practice is just as important as documenting patient visits. Similar to other documentation, the common rule when it comes to call documentation is that if it is not documented, it did not happen. Therefore, every clinically relevant telephone call should be documented.
Clinically relevant calls ... January 14th, 2020 Non-Surgical Periodontal Treatment| Published January 14th, 2020 - Last Review/Update January 15th, 2020 AAP treatment guidelines stress that periodontal health should be achieved in the least invasive and most cost-effective manner. This is often accomplished through non-surgical periodontal treatment.Non-surgical periodontal treatment does have its limitations. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health.SCALING AND ROOT PLANINGScaling ... There are more articles. View all articles... View articles for the current specialty by subtopic: Select the webinar title to view a summary and link to the webinar video. January 28th, 2021 New Dental Codes for 2021 and Find-A-Code Dental Tools/ResourcesOutline of Presentation:
- Why Dental coding is changing
- New 2021 Dental Codes
- Why Cross Coding is Not a Choice
- New Dental Tools & Resources in Find-A-Code
Be ready for 2021 with complete understanding of the new dental codes. Understand what codes are not covered under dental, and how to bill with medical codes. ADCA American Dental Association - 2021 Dental Billing and Coding 101Aetna Dental - Medical in Nature Oral Surgery Dental to CPT CrosswalksCapture Billing Medical Services - Commonly Used Medicare Modifiers - GA, GX, GY, GZCGS - Medicare Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolCGS Medicare - Bilateral Surgeries: Claim SubmissionCMS - Medicare Advantage and Part D Final Rule (CMS-4190-F1) Fact SheetCMS - Medicare Part B Clinical Laboratory Fee ScheduleDACE - Tooth decay and diabetes mellitusHHS - Summary of the HIPAA Privacy Rule by HHSNoridian - Allowed Amount ReductionsNoridian - Physician Assistant (PA) Resources Dental Fees
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