Why Understanding Medical Billing for Dental Procedures Can Help Your Practice
Everyone needs to have access to efficient dental care. Dental practices can bill medical insurance for medically necessary care and treatment. Medical insurance reimburses procedures that dentists perform to be medically necessary and are accurately coded as medical procedures – that’s where medical billing comes into place.
Dental procedures are done to treat many different conditions of the teeth, jaws, gums, or anything that involves a dental practitioner working on your mouth. That includes fillings, tooth extractions, surgery or treatments for gums, aligning teeth or jaws, dental implants, dental surgery due to injury or cancer, and many more.
Oral health dramatically impacts general health, it’s relevant, and it matters more than we might realize. You’ll be surprised to learn how oral health plays a vital role in our overall physical health.
A healthy mouth can be a great advantage and asset. Our teeth are essential for chewing, they also help us digest our food, and good oral health will lend itself to a nice smile. In today’s day and age where appearance matter more and more for social media and the like this is exactly why more and more patients seek the best dental care possible.
Most of the time, many dentists struggle to handle their office administrative work, revenue, and dealing with patients who cannot fully pay for the treatments they need or need to have performed.
Medical insurance reimburses procedures that dentists perform to be medically necessary and are accurately coded as medical procedures. Medically necessary treatments are given when the patient is medically compromised by a problem that the dental experts treat.
Billing medical insurance for dental surgery that is medically necessary can help both patients and dentists.
Patients can maximize their health insurance benefits. A well-structured medical billing process can take along advantages and significant benefits to their access to dental care.
Today, many dentists are relying on dental billing services to collect maximum reimbursements from the payers. In fact, with declining reimbursement rates, practices need to make the most of both the patient’s medical and dental insurance to receive maximum reimbursement for a dental procedure.
But to the bill, medical insurance for dental procedures isn’t always easy
It’s a more complicated process.
That is why more and more dental practitioners who want to focus on patient care consider coordinating and tying up with agencies or companies for insurance to manage their financing arrangement and ensure timely billing. Healthcare service providers like dentists need medical billing companies to perform and accomplish the task.
Medical Billing in Dental Practice Plays an Important Role in Documentation and Reimbursement
Here are the essential details you have to know in medical billing for dental procedures.
Medical Billing in Documentation
There has to be a strict and efficient documentation process in your practice. This is the only means a dental office can function without facing any legal trouble or giving a chance to liabilities to emerge. If necessary official papers, billing statements, and actual receipts aren’t documented appropriately, the dental practice may come in under serious questioning regarding its finances. This is why most dental providers emphasize recording everything in detail and ensuring each step is considered. Remember that any law institutes its decisions based on the information that’s made available.
Billing and coding should be prepared at the time of service and wholly based on the correct and current CDT, CPT, and ICD-10 codes. Harmony in dental billing depends mainly on having a proper understanding of the various code sets.
- CDT (Current Dental Terminology) code supports constant, consistent, and accurate documentation of services delivered.
- CPT (Current Procedural Terminology) code or Level I code is upheld by the American Medical Association and reports medical procedures and services to payers.
- ICD (International Classification of Diseases)-10 codes are diagnostic codes used to group and identify diseases, disorders, and symptoms. Diagnostic coding involves converting verbal descriptors of diseases, illnesses, and injuries into standardized codes in claims for services.
Medical Billing in Reimbursement
You have to provide the medical insurance company a complete description of the service you’ve provided. Not only a simple one but a flawless, legitimate, and accurate recordings, and that it should be qualified for reimbursement by the patient’s medical insurer.
As a dentist, you’ll see that many of the treatments you give and perform each day are medical treatments in certain circumstances. Inform yourself and your staff about medical billing for dental procedures, help more of your patients afford their necessary therapies, and access the best possible dental care.
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