The Role of Accurate Dental Coding in Preventing Fraud and Audit Risks Published by the American Dental Coders Association Introduction Dental fraud is a growing concern in today’s healthcare environment, and it’s not always intentional. Simple coding mistakes or documentation gaps can trigger audits, result in denied claims, or even lead to legal consequences. That’s […]
Digital Smile Design: What Dental Billers and Coders Need to Know
Digital Smile Design: What Dental Billers and Coders Need to Know Published by the American Dental Coders Association Digital Smile Design (DSD) has rapidly gained traction as a revolutionary approach in cosmetic and restorative dentistry. With its use of cutting-edge imaging and digital technology, DSD enables dentists to design and visualize a patient’s ideal smile […]
HCPCS Strategies to Increase Insurance Reimbursements in Dental Billing
HCPCS Strategies to Increase Insurance Reimbursements in Dental Billing Published by the American Dental Coders Association Introduction In the increasingly complex world of dental insurance billing, understanding and leveraging the Healthcare Common Procedure Coding System (HCPCS) can significantly enhance reimbursement outcomes. While CDT codes remain the foundation of dental billing, HCPCS Level II codes offer […]
Understanding Medical-Dental Cross Coding in 2025: A Guide for Dental Billers
Understanding Medical-Dental Cross Coding in 2025: A Guide for Dental Billers Published by the American Dental Coders Association Introduction Navigating the intersection between dental and medical insurance is becoming increasingly important for dental billers in 2025. With more procedures falling into both categories—such as sleep apnea appliances, TMJ therapy, trauma, and certain oral surgeries—understanding how […]
Top Dental Billing Challenges and Solutions for 2025
Top Dental Billing Challenges and Solutions for 2025 Published by the American Dental Coders Association Dental billing and coding is rapidly evolving. As we step into 2025, practices are facing a new wave of challenges, from increased claim denials and tighter documentation requirements to staffing shortages and growing demand for cross coding. The good news? […]