Episode Details
Back to Episodes
Medical Billing for Dental Practices: Exams, Extractions & Trauma Cases | Kandra Sellers, RDH
Description
If you do anything beyond counting teeth, you may already be doing work medical insurance should pay for. Kandra Sellers, RDH, founder of TIPS Medical Billing, explains which dental practices can bill medical (all of them), why a $35 exam undervalues what you do, how to run medical claims alongside your dental software, and how to choose between training your team, hiring a medical biller or using an outside company.
In this episode:
- From dental hygienist to medical billing coach
- Which practices can bill medical? Every one
- Why D0120 isn't the right exam code for every patient
- Head and neck evaluations, and the documentation to back them up
- Payers can't discriminate against your provider type
- Running medical claims alongside your dental software
- First steps into medical billing
- In-house, outside billing company, or a medical biller?
- Protecting yourself from third-party billing fraud
- The emergency extraction you undercharged for
- Patients with medical coverage but no dental
- Trauma cases and medical billing
📰 Plus dental news from April 2023: the MATE Act's new 8-hour DEA opioid training, HRSA's estimate that we need 100,000 more dentists, 13 states allowing mid-level providers, and anaphylaxis to IV clindamycin in patients using topical clindamycin.
Kandra Sellers, RDH, is the founder of TIPS Medical Billing, which coaches dental practices one-on-one to implement medical billing. More at https://tipsmedicalbilling.com
Chapters:
0:00 Intro
2:20 News: the MATE Act's 8-hour opioid training
6:09 News: HRSA says we need 100,000 more dentists
7:21 News: 13 states allow mid-level providers
7:45 News: clindamycin and anaphylaxis
9:08 Meet Kandra Sellers
12:42 From hygienist to medical billing
19:53 Which practices can bill medical?
20:18 Why D0120 isn't the right code for everyone
24:58 Your office is a mini OR
26:10 Head and neck exams and documentation
27:12 Payers can't discriminate by provider type
28:25 Medical billing alongside dental software
32:23 Practice management software
33:31 First steps into medical billing
34:37 In-house, outside biller or medical hire?
35:34 Watch out for billing fraud
39:42 Billing medical or dental first
42:45 What medical billing could bring in
44:31 Why dental fees don't match medical fees
46:12 The emergency extraction you undercharged
48:31 Patients with medical but no dental coverage
50:15 Trauma cases and medical billing
51:24 Closing
🎥 Watch the full episode on YouTube:
https://www.youtube.com/@dentistsintheknow
📺 Join us live every Wednesday at 8pm ET!
🌐 Check out our brand new website:
https://dentistsintheknow.com
🌟 Stay up to date on all the latest dental trends when you follow the DINKs:
https://fanflet.com/dinks/social-2