The Dental Billing Podcast

Unlock the secrets to navigating the often-confusing world of dental billing with our latest episode, where we promise to make the coordination of benefits (COB) your new superpower. When a patient is juggling multiple insurance plans, determining the primary insurance can feel like solving a complex puzzle. We'll walk you through the essential rules and scenarios, including the role of the patient's employer's insurance, the birthday rule for dependent children, and the significance of the custodial parent's plan. Plus, we dive into the critical understanding of whether an insurance plan includes a COB clause, and what to do if it doesn't, to ensure your claims are never delayed or rejected.

Our mini master class is designed to empower you with the knowledge to avoid potential audits and reimbursement issues. Discover why non-duplication of benefits can be a game-changer in your billing strategy, and learn how to make the secondary insurance work for you when the primary has already paid its share. I'm passionate about equipping you with practical tools for smarter billing practices. Whether you're a seasoned professional or just starting out, you won't want to miss this opportunity to sharpen your skills. Grab your notepad and let's transform your approach to dental billing together. Don't forget to reach out with your questions and share this episode with colleagues who could benefit from these insights!

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Unlock the secrets of dental billing as we challenge the conventional wisdom surrounding Coordination of Benefits and reveal strategies that can revolutionize your practice's revenue flow. Ever wondered why patients with dual coverage often face billing confusion? We unravel these complexities and offer practical insights to enhance collections and maintain patient trust. This episode is essential listening for anyone looking to master the intricate insurance rules and avoid the common pitfalls that lead to billing errors.

Dive deep into the importance of a robust follow-up system to shield your practice against revenue leaks. Discover how strategic reminders and effective follow-up protocols can dramatically reduce your days in Accounts Receivable, boosting your financial health. We critique the flaws in current insurance verification processes and stress the necessity of proper data entry for transparent billing. Gain actionable steps for accurately presenting treatment plans to avoid unexpected patient balances and dissatisfaction.

Transform your billing practices with real-world solutions designed to enhance collections and patient satisfaction. Hear firsthand reports from billers on the front lines and learn how to implement necessary adjustments that align with clear financial conversations, especially with new patients. By adopting comprehensive appointment and financial policies, you'll foster greater transparency and trust, leading to improved patient retention. Don't miss this opportunity to refine your billing processes and tackle challenges head-on for lasting success.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Unlock the secrets to error-free dental billing with insights from our esteemed guest, Jennifer Lyman, a seasoned hygiene coach and expert in the field. Join us as we uncover the common pitfalls that even experienced dental billers face and how to sidestep them for smoother operations and compliance. From the importance of keeping up with the American Dental Association’s annual coding updates to understanding the nuances of the CDT codes, we gear you up with the knowledge to eliminate costly errors and maximize your practice’s performance. Discover why the debridement code is often misunderstood and how getting it right can enhance your periodontal outcomes.

In this enlightening episode, we delve into the art of meticulous dental billing practices and the critical role of accurate clinical documentation. We emphasize the necessity of understanding Explanation of Benefits (EOBs) and balancing accounts daily to safeguard your practice’s financial health. With Jennifer, we explore the risks of over-relying on templates and the essential need for patient-specific details to prevent fraud allegations and claim denials. By the end of our discussion, you'll have actionable strategies to revolutionize your billing processes and ensure your documentation is as precise as your dental work.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

What if you could reignite your passion for your job and drastically improve patient outcomes at the same time? Tune in to hear the inspiring story of Trish, a dental hygienist who transformed her career from burnout to joy. Trish reveals her journey of mastering periodontal care, saliva testing, and insurance coding, and how these skills not only reignited her love for her work but also elevated the quality of care in her practice. Find out why chart prepping days in advance became her secret weapon for accurate coding and effective treatment.

Unlock the secrets of effective communication in dental billing as Trish debunks myths and shares her personal experiences. Discover why proper coding, including the updated 2024 claim form and box 39A, is crucial for avoiding claim denials and ensuring smooth processing. This episode underscores the power of perseverance and self-advocacy in achieving job satisfaction and better patient care. 

Navigate the complexities of patient communication and insurance education with us. We discuss tackling patient resistance to treatments, the significance of unified messaging within dental teams, and the impact of insurance myths on patient care. Additionally, we delve into international billing challenges and connect our listeners with experts for further insights. Don’t miss this episode packed with actionable tips to enhance both patient trust and practice revenue.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

What if everything you thought you knew about dental hygiene billing was wrong? Join us for an eye-opening discussion with Jen, a veteran hygienist turned billing expert, as she uncovers the hidden intricacies of dental billing and the imperative role of accurate documentation. From debunking myths like the impossibility of combining SRPs and prophylaxis to the critical need for detailed perio charting, Jen provides actionable insights that can revolutionize how you approach patient care and billing.

We also delve into best practices for addressing periodontal disease, exploring why a significant portion of your patient base should be receiving more specialized care. Learn about the common pitfalls in hygiene billing—from overlooked services like desensitizers and local anesthesia to the importance of standardized protocols within hygiene teams. Thanks to Jessica's dedication, discover how implementing cohesive guidelines can lead to a more efficient practice, better patient outcomes, and increased job satisfaction for hygienists. Don't miss this chance to enhance your practice’s efficiency and patient care standards.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Unlock the secrets behind insurance claim denials and empower your practice with actionable insights from Tessina, the president of Veris Insurance Verification. Learn why some offices are more frequently targeted for denials and how to avoid this costly pitfall by optimizing your insurance verification processes. Tessina’s hands-on experience in training, consulting, and coaching offers invaluable strategies to ensure all forms are accurately completed and entered into your software systems, minimizing the risk of random denials and boosting your office’s efficiency.

Discover the power of collective action in advocating for patient rights against insurance company misconduct. We delve into a compelling case study involving UnitedHealthcare, where coordinated complaints from multiple offices sparked significant nationwide policy changes. Understand the critical differences between self-funded and fully insured plans, and get expert advice on filing effective complaints with the insurance commissioner. Tessina emphasizes the far-reaching impact of even a single report, showing how your voice can contribute to industry-wide improvements.

In our final segment, we dispel the myth that healthcare providers are beyond challenge and highlight the importance of proper coding and billing practices. By advocating for thorough insurance verification and detailed patient intake processes, Tessina shows how to create clean claims and prevent revenue loss. Stay informed on the ever-evolving landscape of insurance codes and payment policies, particularly for dental procedures, and ensure your practice remains vigilant to avoid unnecessary denials. Tune in to empower your office staff and patients, fostering a culture of proactive healthcare management.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Unlock the secrets behind effective dental billing and become a champion for patient advocacy with our expert panel! You'll leave this episode equipped with actionable strategies to improve insurance reimbursement, combat claim denials, and ensure ethical billing practices. Join me, Erica Aguilar, alongside my colleagues Jennifer Lyman, Patricia, Tessina, and Amy as we dismantle common myths in dental billing and hygiene, revealing the crucial steps you can take to prevent claim denials and manage burnout among hygienists.

From mastering accurate coding practices to leveraging the power of the insurance commissioner, we cover it all. Tessina shares her expertise on creating strong claims by incorporating patient comorbidities, ensuring your submissions clearly demonstrate dental or medical necessity. Amy offers her proactive approach to fighting denials, guaranteeing that rightful claims are honored without unnecessary delays. This episode is packed with insights that will shift your mindset, enabling you to advocate more effectively for your patients and navigate the complexities of dental billing with confidence.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Can emotional intelligence be the secret ingredient to achieving high case acceptance rates in dental practices? Join us for a compelling conversation with Mani, a seasoned dental professional with over three decades of experience, as she takes us through her journey from a humble receptionist to a successful practice owner. With a strong focus on the human connection, Mani reveals the profound impact of reading body language and building trust with patients, and how these skills have driven her remarkable success in the field.

In this episode, we uncover the essence of building authentic relationships in dentistry. Mani shares an inspiring story of being recognized by Nobel Biocare for her exceptional implant placements during the 2009 recession, illustrating the power of genuine patient connections over transactional interactions. By establishing trust and value, Mani provides insights on how emotional intelligence can significantly enhance patient satisfaction and contribute to practice growth, highlighting the dynamic between analytical thinkers and empathetic feelers in achieving this balance.

As we wrap up, we delve into Mani's passion for mentorship and her journey with Livv Consulting. Celebrating her accomplishments, including her impressive work in top surgery centers and her dedication to guiding the next generation, the episode underscores the importance of collaboration and mentorship in the dental industry. With heartfelt discussions and valuable insights, this episode promises more enriching conversations with Mani in the future, leaving listeners eager for what's to come.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

In this week's episode, Ericka speaks with Ben Tuinaei of Veritas Dental Resources about the controversial topic of charging for upgrades and lab fees while staying compliant with PPO contracts. Ben is considered the Authority on PPO strategies and has worked with over 7000 dentists across the nation. He has also influenced over 3 billion dollars in newly negotiated revenue for his clients. 

We hope that you enjoy this week's episode! 

To stay in touch with Ben:

www.veritasdentalresources.com

Facebook: Benjamin Tuinei

For questions or requests:

[email protected]

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]

Can 60% of your dental practice's patients truly benefit from periodontal treatment? Uncover the eye-opening statistics and essential benchmarks we reveal in this latest episode. We dive into the crucial aspects of periodontal care, from understanding the CDC's findings to mastering the formula for calculating your perio performance. We also touch on common pitfalls and the importance of embracing new learning processes and consistent systems. Tune in to hear Jen's expert insights on transforming your practice's periodontal performance.

Accountability and structured protocols are the backbone of effective periodontal care, and this episode leaves no stone unturned on these critical topics. We stress the importance of strict adherence to perio protocols and consistent follow-ups, ensuring that all diagnosed conditions are treated according to standard care guidelines. Learn practical strategies to initiate changes within your practice, overcome scheduling challenges, and manage patient needs with dedicated time slots for SRPs. This episode is a treasure trove of actionable advice aimed at achieving long-term improvements in patient care.

Confidence and communication are pivotal for any dental hygienist, and we highlight their impact on patient care in this episode. Discover how understanding periodontal performance percentages and viewing patient treatment from a holistic health perspective can enhance your practice. We offer practical steps for calculating these metrics and provide invaluable resources for those seeking to improve. As we wrap up, we encourage dental hygienists to stay motivated, emphasizing the power of small steps in achieving significant improvements. A special thanks to Jen for her contributions, and stay tuned for our upcoming discussion on pediatric sleep apnea.

Want to learn Dental Coding and Billing? Join here:

https://tr.ee/efzYrY7mp-

Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions!

Email Ericka:
[email protected]

Email Jen:
[email protected]

Perio performance formula:

(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Want to know what your fee should be for D4346? Send Ericka an email to [email protected]