Dental Consultant

A FORUM FOR DENTAL CONSULTANTS AND PRACTICING DENTISTS Would you like to share a question and answers with the group? Email the questions to dentalconsultant@dental.zzn.com

Monday, March 07, 2005

Get paid by insurance companies faster.

Wherever we lecture throughout the country, offices are constantly asking us how they can get paid faster by insurance companies. The best answer for all situations is : File your claims electronically.

What are some advantages:

1) The claims are checked for mistakes along the submission process and you are notifed usually within 48 hours when you can immediately correct and refile. Not 3-4 weeks later.

2) Some companies can notify you of a patient's eligibility in real time.

3) You are notified when the insurance company receives the claims. The clearing house will give you a tracking number for your claim as soon as it arrives (Usually 24-48 hours after submission).

4) You actually save money in mailing and manual claim preparation costs.

5) Companies will accept electronic attachments: no more sending in hard copy x-rays or periodontal charting.

For more information, including a calculator that lets you determine how much you'll save, based on the number of claims you submit, contact NDEDIC (National Dental EDI Council) by CLICKING HERE.

For more information on practice management and dealing with dental insurance in your office, CLICK HERE. or EMAIL US BY CLICKING HERE

If you would like to post a subject and start a discussion, EMAIL US BY CLICKING HERE

Thursday, March 03, 2005

Are you coding your dental claims correctly?

Probably one of the most frustrating things we find when assisting dentists with their dental insurance problems is the fact that many offices do not code their procedures correctly. And because of this, they are sometimes missing out on potential benefits and possibly mis-reporting work performed. Are you aware of the difference between a multi-surface restoration and a crown-buildup and when each should be used? How about the difference between types of exams? Were you aware that CDT-2005 has a procedure code that can be used for Valplast partials?

Make sure the insurance coordinator (and the doctor) understand the nuances of the different codes. Take courses (or contact us) for information on correct coding.

Because if you're not coding correctly, you may not be getting paid correctly.

For more information on practice management and dealing with dental insurance in your office, CLICK HERE. or EMAIL US BY CLICKING HERE

If you would like to post a subject and start a discussion, EMAIL US BY CLICKING HERE

Saturday, February 26, 2005

ADA Speaks Out About Insurance Plans

The latest issue of the Journal of the American Dental Association has an interesting article that discusses the different types of dental insurance plans/networks with questions practitioners should ask before "signing up".

For more information on practice management and dealing with dental insurance in your office, CLICK HERE. or EMAIL US BY CLICKING HERE

If you would like to post a subject and start a discussion, EMAIL US BY CLICKING HERE

Sunday, February 13, 2005

Evaluating Dental Insurance Plans

When you're approached by a carrier to become a member of their dental network and accept their benefit schedule, what factors do you evaluate when making a decision? Do you consider how many subscribers in their area and do they quote contracts or actual potential patients? Do you ask how many other doctors are participating in your area to size up the competition? How about the number of your current patients that are in the program? If the fee schedule is less than your actual charges, if you join, you will probably be limited to those fees rather than your regular ones. Of course, if you decide not to participate, you run the risk of losing those patients to a neighboring dentist who does.

The procedures on the fee schedule are important too. If only basic, preventive, diagnostic and simple restorative are covered, you might be able to continue to charge your regular fees for the higher end procedures such as fixed/removable prosthetics or implants. And do you have ability to compare fee schedules for various plans based on benefits and frequency? You might be better off participating with a plan that has a high preventative benefit than one that is high on the low frequency procedures but low on the treatment you render often. Contact The Huskin Group to properly evaluate your present and future dental insurance participation.

For more information on practice management and dealing with dental insurance in your office, CLICK HERE.


If you would like to post a subject and start a discussion, EMAIL US BY CLICKING HERE

Thursday, February 10, 2005

Is Dentistry a pain in your.......neck? back? wrist?

The number of dentists and office personnel suffering from back,neck and carpel tunnel conditions is increasing. Many professionals have had to give up their practice, or at least cut back, because of these disabiities. An interesting discussion on this topic can be found by CLICKING HERE.

For more information on practice management and dealing with dental insurance in your office, CLICK HERE.


If you would like to post a subject and start a discussion, EMAIL US BY CLICKING HERE

Tuesday, October 26, 2004

CDT-2005

Our office had trouble adapting to CDT-4. Now I hear that there is a new set of codes coming out. Will there be any suprises in the new codeset?

TJ - Ca.