The Michigan Medical Billers Association is providing a special presentation with Christine Taxin, of Links2Success, who is well known for guiding dental providers on what and how to bill dental procedures medically.
Sometimes one of the most difficult parts of performing dental surgery is helping your patients figure out how they are going to pay for it. You see a deteriorating oral health situation that can impact their whole-body health, but they’re focused on the cost of the procedure. Unless you can find a way to help them pay, you are not going to be able to solve their problems.
Christine Taxin is going to educate us billers on how medical billing for dental surgery can make it easier for the patients to afford treatment. Dental insurance often has low benefit caps. Meanwhile, if a surgery is medically necessary, medical insurance may reimburse up to 70 percent of the cost. When you add medical billing capabilities to your office, life gets easier for your patients. However, making the switch means changing how you think about medical necessity and how you document it.
To receive reimbursement from medical insurers, you need to make a case that proves that dental surgery is necessary for the patient. To make your case, you need to explain your decision process in terms a medical insurer can understand using ICD-10 codes and CPT codes. These codes may appear like the CDT codes that you are familiar with, but they are more detailed and take time to learn.
To succeed in your medical billing claims, you need to document correctly, update your Medical History Forms, learn what the top 10 procedures are that need pre-authorization, and the proper way to fill out the claim. If done correctly, this can result in a higher payment to the provider.
You will need to learn how to use a SOAP form to have each part of the team help explain their role:
Objective: Assistant, Hygiene, and Doctor
Assessment: Doctor will review all tests, CBCT and/or x-rays to confirm type of procedure
The objective of this presentation includes determining the primary and secondary (supportive) diagnoses, surgical pre-authorization, medical necessity letter writing, the process of choosing the best codes and the tricks of the trade to fill out the claim form. All these plus other helpful tips to help your office bill for the highest reimbursement through medical insurance. Biopsies, TMJ, sleep apnea, implants and DME products are just a few of the other procedures provided by dental professionals that should also be billed through medical insurance as well.
Finally, remember that medical billing is both an art and science. Forms need to be filled out correctly and you must carefully follow each insurer’s rules and processes. On the other hand, within those rules, you need to learn how to paint a compelling picture of medical necessity.
Date of presentation: Wednesday, April 27, 2022
Time: 12pm to 1pm
To register for the event, please visit:
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If you are a dental provider, this is one presentation you cannot afford to miss!
Michelle has worked for Oral and Maxillofacial surgeon D Gary Wolford DDS since 1996. She started in the office as his receptionist and through the years has worked to become the surgical scheduler, referral specialist and insurance credentialing liaison. In 2014, she became the office insurance biller/coder and one year later the office manager as well. Michelle has been a part of the Michigan Medical Billers Association for over 8 years! In 2017, she completed the CMRS course and during the 2020 COVID shutdown completed the CMCS course. Michelle looks forward to serving the members of MMBA as the East Michigan Co-Chair!
I would like to introduce myself, My name is Lisa!
I am a mother to three grown children all with children of their own. I have been employed by Genesys for 22 years now. I started my career as a Medical Assistant, then worked my way into billing and credentialing within our revenue cycle department. I decided I needed more of a challenge and decided coding would be the challenge I was looking for. Boy, I was not wrong! I love the learning aspect that this field offers me! My hobbies include powerlifting which helps keep me active not only my body but allows my mind time to rest. I am so glad to become a part of the MMBA, and be able to assist, learn, and grow with those around me.