Electronic funds transfer may become the preferred payment method for third-party payers but protections for dentists need to be in place. This is according to the ADA Center for Dental Benefits, Coding and Quality and echoed by ADA President Joseph P. Crowley. “Technology makes it possible to be more efficient, both in our front-of-office processes and with our… Read More »
Dental benefits and third-party payer issues are often rated among the most important concerns confronting dentists, and are the source of many calls to the staff of the ADA Center for Dental Benefits, Coding and Quality each day. And many of those calls concern the complicated legal language in clauses that proliferate in the contracts. “Above all else,… Read More »
Dentists have many concerns when it comes to their patients’ dental plans, benefits and third-party payers. Among them are pre-authorizations, delays in processing claims, claim denials, refund requests and the lack of assignment of benefits to non-participating dentists. Staff of the ADA Center for Dental Benefits, Coding and Quality within the Practice Institute continually receive and address a… Read More »
Jan. 1, 2018 marked the 49th year of the Code on Dental Procedures and Nomenclature. Why a new version of the CDT? So dentists can continue to accurately report what they do when new or revised procedures become part of dentistry. “The CDT Code’s purpose is to achieve uniformity, consistency and specificity in accurately documenting dental treatment,” said… Read More »
Periodontal scaling and root planing claims tend to have a higher frequency for denial than other procedures, prompting many calls from frustrated dentists to the ADA asking why certain claims were denied. Dental claims can be denied or delayed for myriad reasons, and procedures for periodontal scaling and root planing are often followed by requests for additional information… Read More »
The existence of a CDT code does not necessarily mean that the procedure is covered or reimbursed by a dental benefits plan. That can sometimes be the case for D2950 – core buildup, including any pins, when required. Numerous dentists have lodged complaints with the ADA Center for Dental Benefits, Coding and Quality on Dental Benefit and… Read More »