Health insurance companies use authorization as a utilization management strategy. Authorizations in medical billing require an evaluation of the medical necessity and cost-of-care implications of specific treatments, tests, and drugs before providers administer them....
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Using CDT, CPT and ICD-10 Codes – What Dental Practices Should Know
As dentists dedicate their efforts to patient care, it's crucial to also focus on the financial aspects of their practice. An often encountered challenge in dental practices involves accurately...
5 Common Foot Problems of the Elderly & Applicable ICD-10 Codes
Foot problems or foot disorders are common concerns for older people. Reports suggest that foot pain affects approximately one in four older people. As people age, their feet lose cushioning and the...
Common and Serious Coding Mistakes to Watch Out For
Knowing the basics of CPT and ICD 10 coding, modifier use and payer guidelines is essential for physicians to get paid for the services they provide. Errors in CPT and ICD -10 coding can not only...
CMS expands Coverage for Phone Assessment and Management Services
There’s good news for psychologists and other qualified healthcare professionals who provide phone consultations. During the COVID-19 public health emergency, the Centers for Medicaid and Medicare...
Dental Sleep Medicine Billing Guidelines for Oral Appliance Therapy
Obstructive sleep apnea (OSA) is a condition now commonly addressed by dentists. This breathing disorder can be defined as either a decrease or complete cessation of airflow during sleep. According...
ICD-10 Codes to Document Lobar Pneumonia this COVID-19 Season
Pneumonia refers to an infection that inflames the air sacs in one or both lungs whereas Lobar pneumonia refers to a form of pneumonia that affects a specific lobe or lobes of the lung. Pneumonia is...
The Alternate Benefit Clause – A Key Determinant of Dental Insurance Coverage
Understanding their dental insurance plan is critical for patients to make importance choices about their dental treatment. Dentists recommend the best treatment for patients based on their needs...
CDT Codes to Report the Services Provided by a Dental Hygienist
Dental hygienists are oral health professionals responsible for preventing and treating oral diseases. These licensed healthcare professionals typically work under the supervision of dentists in...
Why Does “D2950” Dental Core Buildup Code Face More Claim Denials?
The D2950 dental code is used to describe a "Core Buildup, Including Any Pins" in dental procedures. D2950 - Core Buildup, Including Any Pins A core buildup is necessary to provide a stable...
All about Teledentistry – Learn the Billing and Coding Guidelines
This could be the most relevant topic we are discussing amid this COVID-19 outbreak. Now, as most dental offices are closed, dentists can use telehealth systems to continue to serve their patients....