The American Dental Association gives specific definitions for various procedures, which dentists must follow when billing dental procedures. One of the most narrowly defined procedures is a core buildup. The circumstances in which dentists are allowed to report core buildups are laid out in great detail here but can be summarized into three major categories.
Red Light Non-negotiable billing errors that could trigger an audit or nullify your contract with an insurer in addition to non-payment include:
Yellow Light Practices which insurance companies may not cover or may require additional justification such as:
Green Light Dental Billing Best Practices to Ensure Reimbursement:
If the above guidelines seem confusing, our specialized endodontic dental billing professionals can help. Give SB Dental Billing Solutions a call to find out more.
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AuthorSB Dental Solution Archives
October 2024
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