CDT Dental Coding & Reimbursement Update: Identifying Common Practice Mistakes – Paul Bornstein

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CDT Dental Coding & Reimbursement Update: Identifying Common Practice Mistakes – Paul Bornstein

Without a thorough understanding of insurance reimbursement, today’s dental office is at a serious disadvantage. In this economy, dental professionals need to ensure that they are getting reimbursed as adequately as they can. Insurance companies use various tactics and strategies that, unless understood, will cause unnecessary delays and rejections during claims processing. Each office has unique insurance problems. All offices have common insurance problems. We will teach you how to be aware of the potential problems and offer possible solutions!

Why this Program is Unique:

• Get your practice up to speed with an experienced dentist who ran a dental insurance company and practiced for 30 years.
• You will be given a consultant’s perspective on records and billing, so you can do your own audits, increase your income, and decrease your risk.
• You will obtain helpful, realistic, and practical risk management and practice management tips.
• You will be given the information you need to file claims correctly and challenge denials with appropriate documentation and narrative.
• You will understand how insurance companies evaluate your claims.

Most Offices Can Immediately Increase Income with the Information in this Recording:

• Overcome a down economy with LEGAL ways to maximize billing.
• Implement proven strategies to improve patient collections.
• Bill properly for general practice, periodontal, and oral surgery services.
• Help prevent rejections.
• Identify what insurance companies look for other than fraud.
• Assess the claims process from the insurance company’s perspective.
• Examine the pros and cons of accepting Medicaid.
• Analyze dental contract language and determine how to best educate the entire dental practice, including the staff, doctor, and patients.
• Formulate the best narratives and documentation.

1. Identify what you need to be aware of to maximize billing.
2. Examine the intricacies of the dental insurance world.
3. Discuss how your office is being watched and how to avoid billing fraud.

The Dental Contract

• Insurance carrier rights
• Trends in today’s contracts
  • Changes in benefit frequency
  • Oral-systemic disease link
  • Avoiding dental fraud
  • PPO participation

Practice Management

• Fees
• Patient communication and managing the patient
• What consultants look for – common practice mistakes
• The importance of self-auditing records
• Risk management tips

Avoid Dental Fraud

• Avoiding “red flags”
• Suspicious claims
• Fee discounts
• Over-utilization
• Accepting Medicaid: Should you/shouldn’t you?
• Examples of legal action

The Complete Claim Form

• How to look at claims like a claims reviewer
• Correct X-ray, photograph, and narrative submission

Insurance Strategies

• Learn how the insurance company thinks
• Learn to correctly resubmit claims for appeal
• The truth about insurance company stall tactics – Are they real?
• Effect of the HIPAA laws on coding
• Effective communication skills
• Discover how to use the EOB to your advantage

Effective Coding and Billing

• Tips you can use to keep your practice afloat in a down economy
• Identify the biggest loss of income for your office and how to correct it
• CDT – the latest additions and revisions
• Documentation needed to support claims
• WILL YOUR RECORDS SURVIVE AN AUDIT?
• Correct use and maximization of codes
• Electronic claim filing
• Outside financing – Which lender should your practice recommend?
• The correct claim attachments and narratives – What needs to be included?
• Important tips to ensure a complete claim – the first time you submit it

Special Areas of Attention

• Learn to bill periodontal services correctly including the new D4346
• Fraud: Prevent fraud from occurring in your billing
  

  Frequently Asked Questions:

  1. Innovative Business Model:
     • Embrace the reality of a genuine business! Our approach involves forming a group buy, where we collectively share the costs among members. Using these funds, we purchase sought-after courses from sale pages and make them accessible to individuals facing financial constraints. Despite potential reservations from the authors, our customers appreciate the affordability and accessibility we provide.
  2. The Legal Landscape: Yes and No:
     • The legality of our operations falls into a gray area. While we lack explicit approval from the course authors for resale, there’s a technicality at play. When procuring the course, the author didn’t specify any restrictions on resale. This legal nuance presents both an opportunity for us and a boon for those seeking budget-friendly access.
  3. Quality Assurance: Unveiling the Real Deal:
     • Delving into the heart of the matter – quality. Acquiring the course directly from the sale page ensures that all documents and materials are identical to those obtained through conventional means. However, our differentiator lies in going beyond personal study; we take an extra step by reselling. It’s important to note that we are not the official course providers, meaning certain premium services aren’t included in our package:
       • No coaching calls or scheduled sessions with the author.
       • No access to the author’s private Facebook group or web portal.
       • No entry to the author’s exclusive membership forum.
       • No direct email support from the author or their team.

     We operate independently, aiming to bridge the affordability gap without the additional services offered by official course channels. Your understanding of our unique approach is greatly appreciated.

  Refund is acceptable:

  • Firstly, item is not as explained
  • Secondly, Item do not work the way it should.
  • Thirdly, and most importantly, support extension can not be used.

  Thank you for choosing us! We’re so happy that you feel comfortable enough with us to forward your business here.