Subject: 554–Dental Insurance
Credits: 6 (Lecture)
Saturday, July 16: 8:00  to 4:00 p.m., Lunch, 11:00 a.m. to 1:00 p.m.
Audience: DTC (D, H, A, O, T) ST, R
Fee: $120
Location: Level 2, Room 208

Speaker Bio: Dilaine Gloege, CDA, CDC and Glenda Hood, MA, CPC.  Dilaine is the Dental Call Support Center Supervisor and Glenda is the Medical Call Support Center Supervisor for Insurance Solutions Newsletter/Practice Booster Online.  Additionally, Dilaine and Glenda are project coordinators for Dr. Charles Blair’s Diagnostic Coding for Dental Claim Submission and Medical Dental Cross Coding with Confidence publications.  

Description:

Changes in the healthcare industry, such as the Affordable Care Act and the trend to integrate oral health and primary medical care is bringing many challenges to the dental practice.  While many of these changes are a positive step in patient care, they have resulted in an increased need for the dentist and team members to become familiar with both ICD-10 (diagnosis) and CPT (medical procedure) codes.

This one day course, utilizing our Scenario Based Teaching Method™, is designed to give dentists and team members an overview of those changes and gain basic knowledge required to file medical and dental claims with confidence.  We will cover diagnostic coding for dental and medical claims, as well as medical dental cross coding for common dental procedures.  

Learning Objectives:

1. The purpose of ICD-10 and its’ effect on dentistry
2. Documentation requirements
3. ICD-10 resources
4. Structure of the ICD-10 code – understanding the elements of the code
5. How to properly report ICD codes using the 2012 ADA Dental Claim Form
6. How to apply the ICD codes to dental procedures using Scenario Based Teaching Method™
7. Understand the different code sets used in reporting medical procedures, including CPT, HCPCS and ICD-10-CM
8. Identify the most common dental procedures submitted to medical payers
9. Examples of claim submission for surgical extractions, biopsies, TMJ/TMD treatment and sleep apnea appliances using the Scenario Based Teaching Method™
10. Establishing medical necessity
11. The importance of accurate coding
12. Have a basic knowledge of how to submit claims to a medical payer on the HCFA 1500 (02-12) claim form