Ask the Coder (539)

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

If this claim was denied due to timely filing an appeal is not going to change the outcome. You need to read your contractual obligation on claim submissions with the carrier and proceed according to their guidelines. If this claim was filed in a timely manner and had to be resubmitted then denied you have (more)

Unfortunately there is no dental chart audit form available that we are aware of at this time.

You may only submit CE's in your members dashboard, please login to your dashboard. If you have a fourth tab that appears stating CEU you are eligible to submit if no tab appears you are not eligible to submit CE's at this time or you have acquired the correct amount of CE's for the year.

It is not common practice to code D0120 with treatment, this is used for 6 month check-up. You are to use D0140 or D0170 for exams with treatment as long as the documentation supports an exam at the same time.

Yes you may submit you add for review to support@adcaonline.org

Any patient who has not been seen by any provider in the same practice in over 3 years is considered a new patient.

You always bill any treatment performed to the carrier. If you utilize ICD-10-CM codes on your dental form the amalgam re-do should be covered please look at diagnosis codes K08.5 unsatisfactory restoration of tooth

Hi Raymond, You are never behind on our on-demand classes. I noticed you are using an aol email this is a Microsoft email and you may not receive login information. Please contact our Director of Education Mindi Rothans 800.300.0239 x105 to update your email and receive login instructions.

Medical cross codes for examinations are based off documentation, there is no way to cross code this without seeing the documentation in the chart please refer to your CPT coding manual to select the most appropriate code; Examination code ranges: New patient 99202-99205, Established patient 99212-99215 As for the rest cross codes are as follows: (more)