Thank you for your interest
in the medical coding manual, "Cross-Walking
- A Guide Through the Crosswalk of Dental to Medical
Coding". This manual provides the
information that insurance coders will need if they
are to begin filing dental procedures with medical
carriers. With the growing documentation of the
relationship between oral health and overall body
health, there will be increased demand for filing
medical claims within dental practices in the near
future. At present, dental practices can already
be filing medical claims for the following: trauma
procedures, many surgical dental procedures, medically
necessary perio, and implant procedures, TMD procedures,
sleep apnea appliances, medically necessary exams
and x-rays, and oral cancer screenings. In addition,
an increasing number of dental carriers are denying
claims for certain procedures stating that the procedures
must be filed with the patient’s medical plan
first. Therefore, dental practices should be prepared,
now, to file these medical claims.
The manual covers the following: an overview of
medical insurance; the different codes and forms;
the types of dental procedures that can be filed
medically, and the different types of medical insurance.
The manual then proceeds to all of the aspects of
implementing this system, from a new patient's initial
phone call to appealing denied or under-paid claims.
Medical insurance is diagnosis driven, not just
procedure driven and the manual lists the majority
of diagnosis codes that could be needed for dental
procedures. A crosswalk of CDT codes to CPT codes
(medical procedure codes), is provided. Multiple
forms and letters are included that can be copied
or used as the basis for your own. These include:
a medical information request form, an accident
form, a medical history form, a medical encounter
form, narratives, appeal letters, etc. Claim examples
for the following types of procedures are included
at the end of the manual: trauma, periodontal, oral
surgery, implant, laser, exams, x-rays, TMD, sleep
apnea appliances, and oral cancer screening.
View the Table of Contents to see the scope of the content contained in the manual.
The cost of the manual is $275.00
with a $15.00 shipping and handling fee.
I also offer, on an annual basis, updates to the
codes and manual. The fee for the 2006/2007 update
is $50.00 plus $5.00 shipping and handling. Purchasing
the update will eliminate the cost that you would
incur to purchase yearly diagnosis code manuals
and CPT code manuals (at least a $150.00 savings).
Purchasing a cross coding manual that cannot be
updated on a yearly basis is a waste of your hard
earned money.
I offer a 15% discount or rebate on the cost
of the manual to buyers who are responsible for
recommending the manual to another dentist who
then purchases a manual.
Due to differences between filing dental and
medical claims, there is always a learning curve
for the dentist and staff. To make this process
easier, a telephone support plan is available
for four hours per year at the rate of $399.00.
In-office training is another service that I
provide. Some practices choose this option to
get a more in-depth training than just a manual
alone. A manual is provided at no cost when I
train on location. The training takes one day
and includes the training and the start to the
implementation of a dental medical cross-coding
system in your practice. This training should
not affect your patient schedule that day. I will
only need the staff members who will be processing
the medical claims. My fee for in-office training
will also include travel and lodging, if required.
It would be my pleasure to help you with this
process.
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