Image of CDT Dental Coding & Reimbursement Update: Identifying Common Practice
Digital Seminar

CDT Dental Coding & Reimbursement Update: Identifying Common Practice Mistakes


Faculty:
Paul Bornstein
Duration:
5 Hours 55 Minutes
Format:
Audio and Video
Copyright :
Feb 28, 2019
Product Code:
POS020165
Media Type:
Digital Seminar - Also available: Live Webcast  2


Description

Without a thorough understanding of insurance reimbursement, today’s dental office is at a serious disadvantage. In this economy, dental professionals need to ensure 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 the potential problems and offer possible solutions!

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.

Most Offices Can Immediately Increase Income with the Information in this Recording:

  • 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.

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


Dentists

PESI, Inc. is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 10/1/2015 to 9/30/2021. It is offered for 6.0 self-study credit hours. Provider ID# 217543.


Nurses/Nurse Practitioners/Clinical Nurse Specialists - ANCC (Self-Study)

PESI, Inc. is accredited as a  provider of continuing nursing education by the American Nurses Credentialing Center’s  Commission on Accreditation.

Nurses completing these self-study materials will earn 6.0 contact hours. Expires: .


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

Paul Bornstein Related seminars and products: 1

DMD


Paul Bornstein, DMD, has reviewed thousands of claims, helped draft contracts, and developed fraud detection guidelines as chief dental consultant for a national insurance company.  In addition, Dr. Bornstein has over 30 years of dental practice experience.  He served as an instructor and assistant professor for Tufts School of Dental Medicine and as a member of the diagnostic department for the Harvard School of Dental Medicine.  

Dr. Bornstein has acted as an expert for the defense in multiple fraud cases at both the state and federal levels. He has lectured in 47 states including the Yankee Dental Conference, the Greater New York Meeting, and the Big Apple Dental Meeting on dental insurance, fraud, and HIPAA. Dr. Bornstein is a published author with articles in Dental Economics and Dental Practice Report and in recent years he has been a contributor for the ADA publication Coding Companion.  He is a member of the American Dental Association and the American Association of Dental Consultants.  

Dr. Bornstein’s seminar is based on his unique experience of being on both sides of the claim form.  Participants can expect to receive the most current and accurate information available on optimizing insurance reimbursement.

Speaker Disclosures:

Financial: Paul Bornstein is the owner of Dental Office Consultants. He receives a speaking honorarium from PESI, Inc.

Non-financial: Paul Bornstein is a member of the American Dental Association; and the American Association of Dental Consultants.


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD or CD recording from our product store.


Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  1. Identify what you need to be aware of to maximize billing.
  2. Examine the intricacies of the dental insurance world.
  3. Discuss how your office is being watched and how to avoid billing fraud.

Outline

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
Avoid Dental Fraud
  • Avoiding “red flags”
  • 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 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
  • WILL YOUR RECORDS SURVIVE AN AUDIT?
  • 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 including the new D4346
  • Fraud: Prevent fraud from occurring in your billing

Target Audience

  • Dentists & Practice Owners
  • Front Office Personnel
  • Office Managers
  • Schedulers
  • Treatment Coordinators
  • Insurance Billing and Collection Personnel
  • Dental Hygienists
  • Dental Assistants

Reviews

5
4
3
2
1

Overall:      4.8

Total Reviews: 36

Comments

Katie M

"Great Presenter, I learned alot"

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