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Dental-Medical Cross Coding
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Dental-Medical Cross Coding Questions
It used to be so easy . . . Dental practices filed dental claims and patients were thankful.

Times have changed . . .Patients today expect their dental provider to file their dental claims and are learning that many dental procedures can be filed with their medical plans.  In addition, more and more dental and medical carriers are accepting that there is a medical side to those dental procedures and many dental plans are delaying payment till claims are filed with the patient’s medical plan first.  Such savvy patients will soon expect that their dental practices will file with both plans.  Do you know how?  How would you answer the following questions?
  • What do you do when you receive a pending claim notification from your patient’s dental plan that tells you the nature of the claim is medical and you must first file with the patient’s medical plan?
  • Do you know which dental procedures can be submitted to a medical plan?
Once you have decided to complete a medical claim form for your patient, you will need to know the answers to many other questions, some of which are the following:
  • How will you prove the required medical necessity of a procedure that you submit to your patient’s medical plan?
  • What did you code incorrectly when you receive a notice from the patient’s medical plan that states your code is invalid, and how do you correct it?
  • Where can you find the codes that provide the required information for trauma claims?
  • Where will you indicate what tooth or quadrant was involved in the procedure, as there is no field on the medical claim form that asks for that information?
  • How would you indicate if your procedure was bilateral?
If you are unsure of the answers to these questions or have questions yourself on dental-medical cross coding, then you’ve come to the right place.  The Art of Practice Management provides the expertise for dental-medical cross coding training.  Through a choice or combination of the following services and products you will find the tools to learn cross coding:
  • “CrossWalking – A Guide Through the CrossWalk of Dental to Medical Coding” (cross coding manual)
  • Lecture PowerPoint
  • Seminars
  • On-site training
  • Telephone consultations
Please check the Consulting Services and Products tabs of this website to obtain more information on these services.  Let us help you improve your practice’s bottom line and help your practice serve the needs of its patients even better through dental-medical cross coding.


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