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If a patient is scheduled for an extraction but cant be done due to their blood pressure being to high and we refer them to the clinic, what code can we bill?
Admin October 5, 2016 7:48 am
D0140
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For example the office billed a Pano and bitewings. Insurance plan paid at an alternate benefit of FMX can we bill the patient the difference? I was not sure if alternate benefit was the key word.
Admin September 22, 2016 9:59 am
If the explanation of benefits states there is a patient portion you may bill the patient their cost, however if the benefit is paid at 100% you may not bill the patient. The best option is to appeal the claim stating 14-22 films were not taken at this visit is was a pano and bitewings (more)
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I am a dental manager at Affordable Care, LLC and I am looking for applicants that have the Dental Certification and a dental insurance background. Is there anyway to post the job description on this website for applicants?
Admin September 20, 2016 10:17 am
Yes you may submit you add for review to support@adcaonline.org
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If dentist does procedures in operating room should the place of service be 22?
Admin January 1, 1970 12:00 am
The place of service code would depend on whether the patient was an inpatient or outpatient of the hospital Inpatient - 21 Outpatient - 22 Ambulatory Surgical Center - 24
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Hello! If a patient has dual insurance. And both insurances pay 80% for crown. If primary fee is $680 and secondary fee is $757. How would it be calculate. And does the patient need to pay any portion?
Admin September 4, 2016 7:28 am
You may not collect more than the UCR fee for the service provided. If both primary and secondary paid the write off would come from the primary payer.
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Do you have a Patient/Provider termination letter
Admin August 30, 2016 11:53 am
Patient/Provider termination letters may be found in the forms section of your members dashboard
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Is it allowable to bill cpt 76102 for a quantity of 2 on the same day. Service is being rendered in an open and closed mouth positions. If so, is there a modifier that is applicable for this? Thank you
Admin August 18, 2016 11:19 am
No, it is not appropriate to code 76102 more than once per day.
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If you have an anesthesiologist come into for IV sedation on your patient, how do you file that to their dental insurance?
Admin August 17, 2016 8:52 am
If the anesthesiologist is part of the practice using the same Tax ID you would put the practice information in box(s) 48-52 and the Rendering provider information in box(s) 53-27
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Hello, What code do I use to bill extraction of root tip. Thank you!
Admin August 16, 2016 1:05 pm
Extraction of root tip Dental D7250 Medical 41899
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best way to learn correct billing and coding for Oral surgery practice
Admin August 4, 2016 8:25 am
We will have an oral surgery specific course coming out February 2017, in the meantime you may want to contact the AAOMS.
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