Updated with the latest information on the CDT code changes!

This one-day workshop is packed with common sense methods and ideas to increase practice revenue, decrease your risk, and decrease stress!

• Examine the latest CDT code changes
• Understand the codes that will maximize your profit
• Discover WHAT YOU SHOULD HAVE BILLED FOR BUT DIDN'T! Identify "LOST REVENUE."
• Assess WHAT YOU DID BILL FOR AND SHOULD NOT HAVE! Avoid billing FRAUD!

Most current information will be covered

Maximizing Reimbursement

Without a thorough understanding of insurance reimbursement, today's dental office is at a serious disadvantage. In this economy, dental professionals need to ensuring that they are getting reimbursed as adequately as they can. Insurance companies use various tactics and strategies that, unless understood, will cause unnecessary delays and rejections during claims processing. Each office has unique insurance problems. All offices have common insurance problems. We will teach you how to be aware of potential problems and offer possible solutions! 

Most Offices Can Immediately Increase Income with the Information in this Seminar -- Learn How to:

• Overcome a down economy with LEGAL ways to maximize billing
• Implement proven strategies to improve patient collections
• Bill properly for general practice, periodontal, and oral surgery services
• Help prevent rejections
• Identify what insurance companies look for other than fraud
• Assess the claims process from the insurance company's perspective
• Examine the pros and cons of accepting Medicaid
• Analyze dental contract language and determine how to best educate the entire dental practice, including the staff, doctor, and patients
• Formulate the best narratives and documentation

Why this program is unique

• Get your practice up to speed with an experienced dentist, who ran a dental insurance company and practiced for 30 years
• You will be given a consultant's perspective on records and billing, so you can do your own audits, increase your income, and decrease your risk
• You will obtain helpful, realistic, and practical risk management and practice management tips
• You will be given the information you need to file claims correctly and challenge denials with appropriate documentation and narrative
• You will understand how insurance companies evaluate your claims

Course Content

THE DENTAL CONTRACT

         Insurance carrier rights

         Trends in today's contracts

            -           changes in benefit frequency

            -           oral-systemic disease link

            -           avoiding dental fraud

            -           PPO participation

PRACTICE MANAGEMENT

         Fees

         Patient communication and managing the patient

         What consultants look for—common practice mistakes

         The importance of self-auditing records

         Risk management tips

AVOIDING DENTAL FRAUD

         Avoiding "red flags"

         Bundling and unbundling

         Suspicious claims

         Fee discounts

         Over-utilization

         Accepting Medicaid: Should you/shouldn't you?

         Examples of legal action

THE COMPLETE CLAIM FORM

         How to look at claims like a claims reviewer

         Correct x-ray, photograph, and narrative submission

INSURANCE STRATEGIES

         Learn how the insurance company thinks

         Learn to prevent denials

         Learn to correctly resubmit claims for appeal

         The truth about insurance company stall tactics—Are they real?

         Effect of the HIPAA laws on coding

         Effective communication skills

         Discover how to use the EOB to your advantage

EFFECTIVE CODING AND BILLING

         Tips you can use to keep your practice afloat in a down economy

         Identify the biggest loss of income for your office and how to correct it

         CDT—the latest additions and revisions

         Documentation needed to support claims

         Correct use and maximization of codes

         Electronic claim filing

         Outside financing—Which lender should your practice recommend?

         The correct claim attachments and narratives—What needs to be included?

         Important tips to ensure a complete claim—the first time you submit it

SPECIAL AREAS OF ATTENTION

         Learn to bill periodontal services correctly

         Fraud: Prevent fraud from occurring in your billing