Got Cracked Teeth? Must-Have Documentation to get Claims Paid Estela Vargas, CRDH _________ Patients don’t like pain, especially when chewing. Going out to a nice dinner can be ruined when a sharp, piercing pain accompanies a bite of your favorite meal. A trip to the dentist reveals a cracked tooth and the accompanying “cracked tooth
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Change Healthcare Cyber Attack Cyber Attack Affects Change Healthcare Impact on Dental Practices Dear Dentists and Dental Practices, We’re reaching out to inform you of a recent cyber attack that has affected Change Healthcare, a major healthcare technology company in the United States. This incident has broader implications, particularly for dental, medical, and pharmaceutical organizations.
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Estela Vargas, CRDH, CEO Remote Sourcing Simply stated, when you sign a contract to be within the network of the insurance companies’ selected providers (in-network), there are rules for consistency and regulations to follow. You have greater control over what you charge if you are outside the organization, not contracted (out-of-network). You can operate more
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Estela Vargas, CRDH, CEO Remote Sourcing D0396 (New)3D Printing of a 3D Dental Surface Scan To obtain a physical model D1301 (New) Immunization Counseling A review of a patient’s vaccine and medical history, and discussion of the vaccine benefits, risks, and consequences of not getting the vaccine D2335 (Revised) Resin-based composite-four or more surfaces (anterior)
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Estela Vargas, CRDH, CEO Remote Sourcing Across my pipeline of questions from dentists and their teams, I get several inquiries about claims for bone replacement grafts(D7953). Is it lucky that some get paid, and others don’t? No, luck is not in the equation. What is in the equation is good clinical charting and supporting documentation
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Estela Vargas, CRDH, CEO Remote Sourcing A common question asked of me is, “How do I get core buildups covered? We are frustrated with so many claim denials for this service.” The short answer is proper clinical evidence of the need and adequate execution of the procedure as described by the ADA CDT current code
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Important News— The ADA announces new Dental Claim Form in 2024 Estela Vargas, CRDH, CEO Remote Sourcing The American Dental Association(ADA) has announced that as of January 1, 2024, a new dental claim form will be available to submit claims to dental payers. Will dental payers still accept the 2019 claim? In most instances, the
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Estela Vargas, CRDH, CEO Remote Sourcing From the ADA, the CDT Code D1351 is described as- Sealant per tooth, mechanically and /or chemically prepared enamel surface sealed to prevent decay. The enamel surface is not carious when the sealant is applied. According to the Center for Disease Control, once applied, sealants protect against 80% of
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Estela Vargas, CRDH, CEO Remote Sourcing Simply said, coding correctly for dental procedures is cash in your pocket. For many years dental practices did not use the code D4355 because of confusion over the circumstances necessary to bill and what insurance will pay. Patients wanted to avoid getting a bill for a denied procedure, and
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Estela Vargas, CRDH, CEO Remote Sourcing The ADA Code Maintenance Committee at its March, 2023 meeting approved four new codes(numbers not available yet) that reflect ADA policy on the role of dentistry in the treatment of sleep apnea, along with 10 other additions and two revisions to the CDT Code that will go into effect on Jan.
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