How is dental billing different from medical billing?
How is dental billing different from medical billing?
However, there are some very significant differences between the two. While dental carriers typically require a procedure code. Medical carriers not only require procedure code(s) but also the reason why the procedure(s) were performed or the patient’s diagnosis.
Do dental offices use medical coders?
Doctors’ offices and specialty clinics, such as dermatology or dental offices, also use medical coders to process billing and insurance claims. Hospital patients may receive a number of treatments from several different physicians.
How does a dental office send a bill?
Normally, dental offices will then send a bill to the member for any outstanding charges that were not covered in full by the dental plan. However this is where some confusion can enter the process.
What happens if you have a dental bill in collections?
Dental Bills in Collections. Dental bills can be very expensive, totaling hundreds–or even thousands–of dollars. If they are turned over to a collection agency your credit reports and credit scores can be damaged significantly, and the amounts may even grow if interest and/or fees are added on.
How to collect a dental office collection letter?
Please call April today at 888-8888. Further collection activity will begin on __________________ (16 days from now), which may include third party collection agencies or small claims court. It’s obvious that the purpose of the collection letters is to collect past due money. And we want to collect the money as soon as possible.
What to do if dentist is trying to bill for more than EOB?
If an In Network dentist is trying to bill for a larger amount than the EOB indicates, you may want to find out what these charges are for and show them your Explanation of Benefit’s to make sure they’re using the same information.
How does a dental Bill get sent to a member?
Once the claim has been received and processed, the insurance company sends an Explanation of Benefits or EOB to the member and a remittance statement with any payment due to the provider’s office. Normally, dental offices will then send a bill to the member for any outstanding charges that were not covered in full by the dental plan.
If an In Network dentist is trying to bill for a larger amount than the EOB indicates, you may want to find out what these charges are for and show them your Explanation of Benefit’s to make sure they’re using the same information.
What to do if your dental bill is missing?
The main thing is to make sure that you’re getting credit and coverage for all the work that was done in the dental office. If an item is missing, you can request that the dentist resubmit the claim with the corrected procedure codes and info.
Are there any legal issues with Dental Billing?
This article will address the legal and practical issues of the billing and collection practices in your dental practice. Two legal issues that are often overlooked are the federal Truth in Lending Act (TLA) and the federal Fair Debt Collection Practice Act (Fair Debt Act).