Brady Billing Offers Medical Billing Training for Dental Offices

As a dentist, there are times when you will need to bill a patient’s medical insurance instead of their dental insurance. When offering treatments like oral appliances for sleep apnea, certain trauma procedures, medically necessary laser treatments or TMD procedures, dental policies do not cover these treatments. You will need to bill the insurance carrier. However, the cross-insurance billing creates many challenges that can lead to rejected insurance claims that delay reimbursement. Brady Billing offers medical billing training for dental offices to help you navigate the process.

How is Medical Billing Different?

Although there are many similarities between billing for dental and medical claims, there are also significant differences. These differences can lead to simple mistakes that cause claims to be rejected, often due to different coding systems.

Unlike billing for dental procedures, medical billing requires procedure codes and the reason behind the procedures due to the patient’s diagnosis. The diagnosis codes are in the form of ICD-9-CM (International Classification of Disease, Ninth Revision—Clinical Modification). However, with the implementation of the newest revision, ICD-10 this further complicates the billing process. Your claims must have at least one diagnostic code to support the performed procedures or the insurance company will not pay the claim.

There must be a medical necessity for the procedure in order for dental-medical cross coding to be effective. Your CDT code set for dental procedures is not enough because they do not report medically necessary dental procedures. With the medical codes set to update yearly, your office must remain current with the changes and the claim submission guidelines to be reimbursed.

Due to the complexity of the cross-billing, many dental offices now choose to outsource for medical insurance billing for dentist. This streamlines the process while saving your office valuable hours of manual labor. However, should you choose to handle the billing in-house, we offer the training you need to successfully bill for medical insurance.

How Can Medical Billing Training Help Me?

If you would like to bill for medical on your own, we offer the training you and your office staff need to help you throughout the process. We offer the comprehensive training needed to bill correctly while understanding how the process works. We understand that your staff’s time is valuable, which is why we offer our services over the phone.

After completing the training, your patients will have their medical benefits pay for their procedures quicker through increased case acceptance. With this advanced training, your dental office can bill for medical procedures with confidence by learning the codes, languages, documentation, and claim-filing requirements. As your staff becomes trained to understand medical billing protocol, you will enhance the reimbursement process while your patients experience fewer out-of-pocket costs.

If you are offering treatments for inflammation and infection, pathology, sleep apnea or TMD appliances, and traumatic injury treatment, Brady Billing provides the comprehensive training needed for medical billing. Contact our office today to learn more about our training opportunities to streamline your practice’s billing process.