CrossCoding: Medical Billing in Dentistry Course Description
Learn how to get paid by medical insurance in a dental practice from start-to-finish. Billing medical insurance for dental has many benefits, and every dental practice can do it!
Join us for the renowned CE course that has helped thousands of dental practices increase their case acceptance and revenue by obtaining medical reimbursement.
You should be taking advantage of cross coding and dental-to-medical billing if you provide these services:
11 CE Credits
Rose Nierman, RDH
Rose Nierman’s Cross Coding seminar has helped thousands of dental practitioners implement medical billing for dental sleep medicine, TMD, oral surgeries, and more.
By Billing Medical Insurance in Dentistry, You Can:
- Differentiate your practice
- Attain higher case acceptance
- Increase revenue
Nierman Practice Management has been the national leader and innovator in helping dental practices attains these goals for over 27 years.
- How to integrate medical billing into your dental office for sleep apnea, TMJ, implants, oral surgery, bone grafts, CT scans, and more.
- The importance of documentation and records, why they are vital for reimbursement.
- Verifying benefits, pre-authorizing patients’ medical insurance benefits.
- Searching for medical policies online.
- Using CPT, ICD and HCPCS codes, including the new ICD-10 diagnosis codes in effect October 1st, 2015.
- How to complete the CMS-1500 medical claim form.
- The pros and cons to being “in-network” or “out-of-network”, using “GAP” exceptions.
What Makes This Dental-Medical Cross Coding Course Special
- Receive medical reimbursement for services you already provide.
- Ethical Billing – Learn what NOT to do from Cross-Coding Pioneer Rose Nierman.
- Get updated on the October 1, 2015 ICD-10 Transition, Medicare, and private carrier policies.
Rose Nierman has more experience teaching dental practices the correct and most efficient ways to implement a successful medical billing protocol than any other group. In fact, her name has become synonymous with cross-coding & medical billing in dentistry.
Ms. Nierman pioneered the cross-coding field in dentistry in 1988 by writing the first manual and software for cross-coding, and sharing her knowledge across the country to dental practices seeking to bill medical insurance for TMJ treatment.
Since that time, Nierman Practice Management has become a major resource for dental practices offering medically necessary services.
Ms. Nierman stays on the cutting edge of current medical billing knowledge, and presents the most ethical protocols for billing. From her 30+ years of experience in the dental-medical billing field, she is a wealth of knowledge, and her warm-hearted, energetic speaking style makes medical billing fun!
Expand For Schedule
|DAY 1||DAY 2|
|7:30am||Breakfast & Registration||7:30am||Breakfast|
|8:00am||Welcome, Overview of Medical Billing in Dentistry||8:00am||Reading EOB’s, Appeals|
|8:45am||What Procedures can be Billed to Medical Insurance?||9:00am||Medical Billing in Dentistry Learning Games|
|9:00am||Dental vs. Medical Insurance, ICD and CPT codes, Claim Examples||10:15am||Hands on with the Medical Claim Form|
|10:15am||Fees for Medical Insurance Claims||11:00am||Day 2 Q&A. In-depth Case Examples, Attendee Specific Cases|
|10:30am||Verification of Benefits & Pre-Authorizations||12:00pm||Optional: DentalWriter Hands on Training|
|10:45am||Requesting In-Network Benefits as an Out-of-Network Provider|
|11:00am||Getting to Know The New Medical Claim Form|
|1:00pm||ICD-10 Codes & Letters of Medical Necessity|
|1:30pm||Biling for Specific Treatments – Implants, Oral Surgeries, TMD, Sleep Apnea, Exams, Panorex, Dental CT Scans, Botox for Bruxism, Accidents|
|4:00pm||Day 1 Q&A|
Advanced Cross Coding: Medical Billing in Dentistry Level 2
The Advanced Cross Coding: Medical Billing in Dentistry Level 2 Course is a 1-Day course tailored for attendees that have completed the Unlocking the Code course and have begun submitting medical claims in their dental office.
There is less time spent on the basics and more sessions discussing different scenarios, strategies, case studies, and best practices for successfully receiving medical reimbursement for a variety of dental procedures.
Agenda for Advanced Cross Coding: Medical Billing in Dentistry Level 2
Expand For Schedule
|7:30am||Breakfast & Registration|
|8:00am||Introduction & Overview|
|8:15am||2018 updated medical policies for:
Dental Sleep Medicine
Temporomandibular joint disorder (TMD)
Infant tongue tie
Laser services – frenectomy, mucositis, soft and hard tissue
Systemic effects of oral disease
Effects of cancer or medical treatment
|10:30am||Codes and modifiers for best practices and reimbursement
Current coding guidelines for Cone Beam (CBCT), tomography, panorex
|1:00pm||Update Medicare & commercial carrier medical policies
Fees reimbursed for typical medically necessary services
Medicare documentation guidelines for sleep apnea appliances
|2:45pm||Preauthorization with expanded GAP or out-of-network exceptions
Medical claim form – current fields
Comprehensive narratives for medical necessity
Advanced accident claims reviewed
Balance billing and write offs – medical insurance
Surviving an insurance audit
In Detail – The Benefits of Medical Billing for Dentists
What are the benefits of dental medical cross coding? And why does it seem like more and more dental practices are accepting and billing medical insurance? What’s in it for them?
Increased Case Acceptance – By billing the patient’s medical insurance, you are making your treatment easily obtainable to your patients. Patients who have a consultation for a procedure may opt against moving forward because of cost of treatment. What if you could verify that the patient’s medical insurance would cover a majority of the treatment, significantly lowering their out-of-pocket cost? They are much more likely to move forward with treatment knowing they are covered.
Shift Towards Dentists as Oral-Systemic Health Providers – Within the last decade, dentistry has become increasingly involved in the patient’s overall health and wellness. Many dental practices now provide nutrition counseling, oral cancer screening, headache and orofacial pain treatment. It just so happens the fastest growing field in dentistry, dental sleep medicine (sleep apnea dentistry), is commonly covered under medical insurance. Learning medical billing for dentists can help complete your oral-system health practice.
Standing Out From the Crowd- With over 200,000 dentists in the U.S.alone, it seems like there is now a dental practice on every street corner. How do you maintain an edge over your peers? You are perhaps the most qualified, experienced, and friendly dental practice in your city, but if a patient has to pay out-of-pocket for a service the dentist next-door will bill to medical insurance, the patient may choose them instead.
You should attend this course if you are interested in the following:
|Medical Billing for Dentists||Dental Sleep Billing||Implants and Oral Surgery Billing|
|TMJ Treatment Billing||Sleep Apnea Medical Billing||Botox for Bruxism Billing|
Nierman Practice Management is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
Nierman Practice Management designates this activity for 7-11 continuing education credits.
Refund and Cancellation Policies:
All cancellations are to be made in writing. Registrations may be refunded at 100% if cancelled within the first 7 days of registration. An assessment fee of 30% will be taken for cancellations 8 days after registration if prior to 21 days before the course. An assessment fee of 50% will be taken for cancellations that are 21 days before the course or less. Attendees can transfer their registration to another course without penalty up until 10 days prior to course. Within 10 days of course, a 20% penalty to transfers will be applied.