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COB Rule / Type of COB (Coordination of benefits): Understanding How Insurance Pays: Coordination of Benefits
Coordination of Benefits takes place when a patient is entitled to benefits from more than one dental plan. Plans will coordinate the benefits to eliminate over-insurance or duplication of benefits. General Coordination of Benefits Rules: It is important to note that...
SRP Claims Are Being Denied More Than Ever: Here’s Exactly What Insurance Carriers Want to See
Over the past year, many dental offices have noticed an increase in denials for Scaling and Root Planing (SRP). The most common reasons? “Insufficient bone loss” “Probing depths do not meet criteria” “Lack of medical necessity” In most cases, these denials are not...
Endodontic Procedure Codes in Dental Billing: A Key Element for Accurate and Efficient Insurance Claims
In the world of dental billing, one of the most crucial components for dental practices is the accurate use of procedure codes. Specifically, for endodontics, the correct use of Endodontic Procedure Codes ensures that treatments such as root canals and other vital...
Why SRP Claims are Denied and What is the Solution?
Claims for periodontal scaling and root planing (D4341 and D4342) are denied more frequently than those for many other procedures, according to the American Dental Association. American Dental Association defines periodontal scaling and root planing (SRP) as “a...
Importance of Proper Verification of Benefits
Imagine this scenario: a patient walks into your dental practice for a routine check-up, assuming their insurance will cover the costs. After their visit, they are left surprised by a hefty bill that their insurance doesn't fully cover. This common situation is the...
Understanding TMJ Disorder and the Dental Procedure Codes for Diagnosis and Treatment
Temporomandibular joint (TMJ), which is a complex joint that connects the lower jaw (mandible) to the temporal bone of the skull in front of each ear. These joints facilitate essential movements for chewing, speaking, and yawning. Temporomandibular joint disorder...
Dental to Medical Billing Cross-Coding: A Guide for Cross Coding
In the dental field, understanding how to navigate cross-coding for dental-to-medical billing can be crucial for practices aiming to provide comprehensive care and maximize reimbursement opportunities. Cross-coding refers to the process of translating dental procedure...
How to Hire a Dental Assistant: A Complete Guide
Understanding how to hire a dental assistant is critical for the smooth operation of any dental practice. The role of a dental assistant goes beyond just assisting with procedures; they are integral in scheduling appointments, preventive dentistry, and overall patient...
Best States for Dentists: A Comprehensive US Guide
Identifying the best states for dentists to practice can be a complex task. Figuring out which states are best for dental professionals to practice necessitates a comprehensive understanding of multiple elements, including wages, job openings, cost of living, dental...