AGD Code #554
Dental Insurance – Make It Work for YOU including ICD-10-Medical Coding
Instructor: Dr. Kartagener
Careful and accurate management of insurance claims is one of the most important services you can offer patients today. Timely submission, precision coding, and excellent communication with patients and third parties can impact the success of your practice. Staff responsible for the management of insurance claims and coding will benefit by attending this workshop to sharpen their skills and learn new ways to improve delivery of service to your patients.
Medical Claim Billing ICD10
Medical claims submission has the potential to be rewarding to the dentist and dental patient. There are many services provided by licensed dentists that can be submitted to the patients’ medical carrier. They include diagnostic services, medical services, surgical services and in some cases prosthetic services.
If one is going to be able to benefit from Medical Claim Billing, you MUST make a commitment to the process and its unpredictable learning curve. At the outset of the process, it is imperative that the dentist have an active participation.
This course will provide the basics for medical claim submission and share the landscape with you.
Learning Objectives:
• To acquaint the dentist and his/her staff with the intricacies, nuances and pitfalls when filing dental insurance claim forms.
• A reverse perspective of what the insurance carrier expects from your office when you file an insurance claim form for either predetermination or payment.
• Included will be parameters for procedure acceptance, compliance and record keeping, the appeal process and triggers for office audits and fraud reviews.
• Understand the basic structure of AMA ICD-10 Medical Coding and recognize appropriate indications for submitting to Medical Billing.
• Understand differences between types of dental insurance to increase effective patient communication.
• Properly apply American Dental Association 2016 CDT codes for more accurate coding submissions.
• Communicate with third parties to handle controversial coding issues.
Course Description:
A. Introduction & Overview
1. The Insurance Process (Time Frame)- Dentist—-Insurance carrier—-Dentist
2. Reducing Turnaround Time-Who’s in Charge?
3. Eliminating Errors- Insurance form- Previous Dental History- Dentist Section
4. Documentation
5. Narratives-Importance and Examples
6. Reasons for rejections: WHEN IN DOUBT SUBMIT A NARRATIVE!!!!!!!!
7. Appeals Process
8. Compliance (importance)-Record Keeping
9. Office Audits-Triggers
10. Fraud Reviews-Triggers
11. Recap & Summary
12. Questions & Answers
13. Information on How & When to use ICD-10 Medical Coding-Which was implemented on Oct. 1, 2015
This subject matter has been approved by the: New Jersey State Board of Dentistry for: 3 hours of CE credit. Approval # 14-145.
Time: 9am to 12 noon
3 CEU credits
Tuition: $85.00
Date/s: Location/s:
Wednesday, March 16, 2016……
David Wilentz Building. 90 Woodbridge Center Dr., 7th Floor Woodbridge, NJ
or
Friday, April 15, 2016- DSI 7 Spielman Road Fairfield, NJ
Instructor: Dr. Jay Kartagener
Teacher Bio:
Education: Seton Hall University B.A. Biology, South Orange, NJ 1962-1966
New Jersey College of Dentistry D.M.D. Jersey City, N.J. 1966-1970
Middlesex General Hospital Residency, New Brunswick, N.J 1970-1971
Employment: *Senior Dental Insurance Adviser-Dental Practice Insurance Solutions 2014-pesent
*Dental Consultant- Blue Cross/Blue Shield Dental of N.J. Newark, N.J. 2010-2013
*General Dentist & Managing Partner – Kartagener & Kosofsky Edison, N.J.1971-2008
Career History & Accomplishments:
•Consulting Forensic Odonatologist- Middlesex County Medical Examiner New Brunswick, N.J. 1977- 2004
•Dental Identification Unit- New York City Medical Examiner World Trade Center Disaster 2001
•Dental Advisor & Member Executive Committee for the State of N.J -U.S. Healthcare Insurance Company 1987-1997
•Attending Dentist- Dental Clinic-JFK Medical Center Edison, N.J. 1972-2008
•Clinical Dental Instructor-Dental Hygiene Department Middlesex County College- Edison, N.J. 2010-2013
•Lifetime Member ADA, NJDA & Middlesex County Dental Society 1970-present