What to know about Dental Surgery medical billing?

Oral Surgery Billing is indeed time consuming and requires you to have knowledge over the codes. The process can be made much easier by hiring the specialists.

It could be that you are a proud owner of a successful dental clinic and enjoying good flow of patients throughout the year. Being a busy doctor, you may find it tough to give time to your administrative work besides treating patients.

Getting payment for treatment done

At times, Oral Surgery Billing becomes a complex task as you may fail to understand how patients will pay your fees. Some may be experiencing deteriorating oral health condition which if not treated on time might impact negatively their overall health. Their problems can be solved only if you can find out ways to get payment.

Oral Surgery Billing

Often, dental insurance comes with very little benefit caps. Oral surgery medical billing might be found to be much easier for patients to avail such treatments. Medical insurance can reimburse about 70% of cost involved in the surgery.

Essential Medical documentations

As a dental doctor, you are to get your reimbursements for the surgery performed from the medical insurers. For this, a case is to be prepared to prove the genuine need for immediate dental surgery for the patient. Accordingly, you are to explain the decision procedure, but in medical insurer terms, that is by using CPT & ICD-10 codes. When compared to CDT codes, they are quite detailed. The following documentations will be essential to make successful medical billing claims:

• Primary presenting condition• Secondary supporting diagnosis• Surgical pre-authorization• Diagnostic code for planned treatment• Support from Primary Care Physician of the patient in letter form to support medical necessity.• Medical Necessity in medical necessity letter form.• Procedure undertaken at every surgery location.

The patient’s medical insurance provider gets a complete picture of the procedure offered from this detailed information. The case is also made quite compelling that the surgery conducted and was a medical issue that needed immediate treatment. It will also show that it not just another routine dental procedure, thus making it eligible to get reimbursed by the medical insurer.

Need for pre-authorization

It is essential to contact the patient’s insurance company specialist over phone. You are to explain the entire procedure including the date to perform the surgery. This is to receive from the insurance company pre-authorization in writing to perform the treatment. Some insurers may offer retroactive pre-authorization for surgeries that do not take place on short notice. On scheduling the surgery, your office is to make the pre-authorization call. Being proactive on this particular aspect will save both you as well as your patients from future issues. This will also have a greater say on medical claim acceptance or rejection on dental surgery.

On contacting the insurer, collect valuable information about the coverage derived by your patient and how you will get reimbursement for the surgery. Also get upfront information about deductibles and co-pays. This way, your patients can plan for the cost involved.

Billing for Oral Surgeries can be a complex and time-consuming task. Hence, it is better left to the industry professionals who can perform this task on your behalf and ensure correct billing and timely payment.

The Author has been writing a lot of articles on Oral Surgery Billing for https://www.prospabilling.com mentioning the importance of outsourcing the claims process.