Paul Bornstein – CDT Dental Coding & Reimbursement Update

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Paul Bornstein – CDT Dental Coding & Reimbursement Update

The Dental Contract

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

Management of Practice

• Fees
• Communication with patients and management of patients
• What consultants look out for – Common practice errors
• Self-worth is important-Auditing records
• Risk management tips

Avoid Dental Fraud

• Avoiding “red flags”
• Suspicious claims
• Fee discounts
• It’s Over-utilization
• Accepting Medicaid: Should you/shouldn’t you?
• Here are some examples of a course of action

The Complete Claim Form

• How to approach claims like a claims examiner
• Correct X-Photo, narrative, and ray

Strategies for Insurance

• Discover how insurance companies think
• How to properly resubmit appeal claims
• The truth about insurance company stall techniques – Is it true?
• HIPAA laws have an impact on code
• Effective communication skills
• Learn how to make the EOB work for you

Effective Coding Billing

• Here are some tips to help you keep your practice afloat during a down economy
• Find the largest loss in income for your office, and learn how to fix it.
• CDT The latest additions and changes
• Supporting evidence is required
• WILL YOUR RECORDS STAND UP IN AN AUDIT?
• Correct usage and maximization
• Electronic claim filing
• Outside financing – Which lender should your practice recommend to you?
• Correct claim attachments and narratives. What should they include?
• Important tips to make sure you submit a complete claim the first time.

Attention to Special Areas

• Learn how to correctly bill periodontal services, including the D4346

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Description:

Without a thorough understanding of insurance reimbursement, today’s dental office is at a serious disadvantage. Dental professionals must ensure they get reimbursed properly in this economic environment. There are many strategies and tactics used by insurance companies that can cause delays or rejections in claims processing. Each office has different insurance needs. Each office has common insurance issues. We will help you recognize the potential problems and provide possible solutions.

This is why this program is unique:

• An experienced dentist who managed a dental insurance company for over 30 years can help you get your practice up and running.
• 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.
• Practical, practical, and realistic risk management and management tips will be provided.
• You will receive all the information necessary to properly file claims and challenge denials using appropriate documentation and narrative.
• This will help you understand how insurance companies assess your claims.

With the information in this recording, most offices can increase their income immediately.

• Take control of a down economy and maximize your billing with legal strategies
• To improve patient collections, use proven strategies.
• Be sure to bill for all general, periodontal, or oral surgery services.
• Prevent rejections
• Identify the main criteria insurance companies look at other than fraud.
• Assess the claims process from the insurance company’s perspective.
• Take a look at the pros and con’s of accepting Medicaid.
• Analyze the language of dental contracts to find the best ways to teach the entire dental team, including staff and doctors.
• Make the best stories and documentation.

 Here’s what you’ll get in Paul Bornstein – CDT Dental Coding & Reimbursement Update

Paul Bornstein – CDT Dental Coding & Reimbursement Update Sample