7 Spielman Road • Fairfield, NJ 07004

Medical & Dental Billing & Coding in the Dental Practice-A Source of Increased Profit-Reimbursement UPDATE-Interactive HANDS-ON Program -[AGD Code #554]






These classes will be held in-person at our school.

CDC/State/Federal/OSHA polices will be followed at the time of the program.

This program will teach the participant how to bill Medical and Dental Codes in a Dental practice

  An interactive Hands-On portion of the program enables the participant to learn the process thru completing several dental treatment scenarios for

Dental and Medical[ICD-10-Medical Coding] insurance claim forms,
and asking the questions that are relevant to your particular practice.
Careful & accurate management of insurance claims
is one of the most important services that you can offer patients today.

*This program is for the full dental staffno prior skills are needed to attend  {Teaching method will be lecture format and Q & A period.}

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 ICD – 10
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 2019 CDT codes for more accurate coding submissions.
• Communicate with third parties to handle controversial coding issues.

Course Description:
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-Show why documentation will affect your finances

  • Filling out a claim to pay for the course
  • How to use a routing slip with medical codes
  • Have a completed claim form to bill out by end of meeting

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. Information on How & When to use ICD-10 Medical Coding-Which was implemented on Oct. 1, 2015.

12. The HANDS-ON portion will focus on completing several dental treatment scenarios for Dental and Medical[ICD-10-Medical Coding] insurance claim forms.

Credits:        6 CEUs   

Instructor:  Dr. Jay Kartagener

Dental Studies Institute is ADA CERP recognized provider, #07394037. The formal continuing education program of this sponsor are accepted by AGD for Fellowship/Mastership credit. The current term of acceptance extends for 03/03/1994 to 12/31/2024 ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Dental Studies Institute designates each activity for continuing education credits. Credits are listed in each course description.

**The Content and format of this Continuing Education course is presented without commercial bias and does not claim superiority of any commercial product or service. No DSI Staff  have a financial relationship with this speaker or company.

Additional information


Sunday, Nov. 14, 2021 / Time: 9:00am to 3:30pm / Location: DSI: Fairfield, NJ