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Dental bill format for Logistics

simply trusting that your dental billing is going okay is risking the future of your practice no dentist should have to suffer from low collections because they didn't understand how their dental billing system should work in this video we will walk you through a clear picture of how dental billing works and how to bring in more revenue from both patients and dental insurance claims [Music] dental billing is more than a system to collect money it's the health of your billing system that will make or break your dental practice and understanding the dental billing process is how you improve and maintain that health here dental claim support we have been working since 2012 to understand streamline and optimize the dental billing process for dental offices through this experience we see that some dental teams don't understand the simple question how this process works in this video we will answer the following questions regarding dental billing what is dental billing what is the dental billing process what is dental billing coding what is dental medical billing and finally is dental billing difficult these are commonly asked questions that will help your team bill and collect confidently at your dental practice let's answer those now if you have any questions at all post a comment down below for us so what is dental billing it's simple dental billing is an activity that collects payment for your dental services performed in your dental practice so what is the dental billing process the dental billing process refers to all the steps involved to receive payment from insurance companies and patients for services your practice provides the dental billing process may be broken down into patient billing and insurance claims processing the two main revenue streams for your practice like any process there are clear steps you can follow to move through the dental billing process with ease here's a brief checklist of the steps in the dental billing process number one collecting patient information number two verifying patient insurance coverage number three recording dental treatment and code data number four submitting and tracking claims and any attachments number five resolving problems and outstanding claims number six billing patients number seven posting payments number eight running key reports such as collections and account aging reports now that you have an overview that gives you an idea of what the dental billing process looks like you can see the life cycle of a claim from start to finish understanding this can help you stay on track with how you collect your patient and insurance information and how you work to get your practice paid via insurance claims and patient payments what is dental coding dental coding is the practice of using official cdt and or icd-10-cm procedure codes to report conditions and treatments your care team performs these codes are required for claim reimbursement in order to remain hipaa compliant what you don't know can hurt you when you improperly or inaccurately code a procedure you could be unintentionally committing fraud two code sets most often used in dental billing are cdt and icd-10 cm let's take a look at both of those cdt current dental terminology cdt codes are used when reporting and documenting dental treatment for a patient in other words for any procedure performed on a patient there is a specific cdt code that corresponds to that procedure the current year's cdd code set is the official reference for terms that must be used in claims to third-party payers like insurance companies these codes begin with the letter d followed by four numbers cdt codes are reviewed and updated annually therefore it is imperative that you and your team stay up to date on all the changes to ensure the proper utilization not only for compliance but to ensure you are receiving proper reimbursement icd-10-cm internal classification of disease 10th revision clinical modification similar to cdt codes icd-10-cm are codes used to document and report procedures that are performed by dentists yet medical in nature the difference is that the cms or centers for medicare and medicaid services is responsible for updating the icd-10-cm annually so in the case of a dental office it is used when you are filing a medical insurance claim dental coding is important in the billing process because these codes are used to file claims insurance companies use the cdt and medical codes as a basis to reimburse you for services through your insurance claims and it's important to understand codes correctly because accepting payment while using incorrect codes can be considered fraud even if it happens by a mistake what is dental medical billing dental medical billing refers to the process of billing medical insurance for care provided in your dental practice sometimes the dentist performs treatments that fall under the category of medical care for example a dentist may treat damaged teeth gums and jaw due to accidents or trauma which is considered medical care a biopsy is another common medical treatment dentist can perform insurance claims should go to the medical insurance carrier as primary instead of dental insurance and that's something dental billers need to know as i mentioned you are likely to use icd-10-cm codes when dealing with the procedures that are medical in nature so how do you bill medical insurance for dental treatment the process for filing a dental claim and medical claim has a few differences a medical claim is completed on the cms 1500 form while dental claim is completed on a ada 2019 form a medical claim uses cpt codes while the dental claim uses cdt codes this is a common source of confusion so when in doubt just call the medical and dental insurance companies to confirm which to send to if you don't make a call and you just submit dental when it should be medical you will receive an explanation of benefits back and they'll say medical is primary please submit medical and start the process all over medical insurance oftentimes has a timely filing limit of three to six months instead of the year-long timely filing limits and many dental plans so you'll want to track medical claims especially carefully to avoid denials due to these limits so is dental billing difficult to learn dental billing is definitely complicated to do a good job it's important to understand the whole process and create a smooth workflow the responsibilities involved are not skills that can be learned in a few days the process starts with collecting the necessary patient information and entering it correctly you also need to understand coding and what attachments you must include with your claim in order to be paid every part of the process depends on the previous step many dental practice owners want one person to run the front desk and take care of all the dental billing this is usually a recipe for low collections insurance billing in particular requires a dedicated resource either a person team or service focused on collecting payments efficiently especially from insurance companies this is because dental billing requires expert level knowledge of the following coordination of benefit rules medicare rules how to calculate a patient's payment responsibility calculating write-offs and entering them correctly documentation requirements for specific procedures how to appeal denied claims latest coding updates posting all payments promptly so your cash flow numbers are right how to run reports to show where your billing system needs attention if this feels like a lot it's because it is i don't say that to overwhelm you just to emphasize the importance of having an expert in place that can make sure you are collecting all that you are owed that can help your billing process run smoothly and compliantly now that you understand how dental billing works what the process looks like and how complicated it can get you're ready to attack it and optimize in order to bring in more money and dental claim support can be there for that plan of attack you can schedule a free call with us by hitting this button right here our expert billers can help your team through these complicated cob rules or medical billing we can also help your team streamline their process in order to collect more a good process is the key to high collection low cost and confidence in your cash flow thanks for watching and as always hit that like button subscribe if you're new and hit that bell icon so you don't miss out on any new videos