Dental Medical Billing LLC.

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Presentation transcript:

Dental Medical Billing LLC. Helping you get paid! We can provide the billing for your office with training on the information we need or we can train you on how to do it in office.

Our Mission To provide solutions best-in-class for our clients. We promote the efficient and effective use of our resources in compliance with applicable laws and regulations, to create overall success for our clients.

Our Vision Simplify your day-to-day workflow so that dental providers and your team can focus more on patient care. Our goal is to help you maximize your patients benefits and allow you to worry about the treatment.

Enrollment Process Out enrollment process takes around 2 months. If you want to be in network that will take longer. The faster you provide us with the needed information the faster we can set your office up for electronic billing and direct deposit. MD Data Base Clearing House Medical Insurance Enrollment EFT Enrollment Balance Billing Your Patients We will provide you with a list of paperwork, a signed Credit Card Authorization and you send us the paperwork.

How to get Started? In or out of Medicare, Sleep Medicare, CBCT Medicare Send us your sign in and password for CAQH DMB Contract & Business Associate Agreement Set up your office to credential CBCT Set up a business NPI Set up for the top four plans in your area. Help you look into signing up for in network.

Services we can provide Training for in house medical or dental billing Forms to use to streamline the information needed for you or our service to do the billing Go over and help you with all things Medicare Help you add more treatments to your office by billing medical All electronic direct deposit payments Monthly report Claims follow-up with action on denials & appeals

Monthly Report Determination of benefits Eligibility Pre-Authorization Verify medical insurance eligibility. Verify deductible Estimate of benefits Pre-authorization Advise if out of network GAP/ exclusion necessary. Gap exclusion is not a guaranteed. Dental billing Service Monthly Report

Implant and Oral Surgery What we can bill! All Dental Services Sleep Apnea Adults and Pedo Medical Ortho Implant and Oral Surgery Periodontal TMD or TMJ

What we need for Verifications & Claims Patients registration, medical history,(our form) Medical Insurance Card written out so we can read. We will supply your office with an encounter form with codes. You will choose them, we will confirm and place on claim form in the order of highest specificity and highest payment. A secure box will be set up with a password for your office. We supply the forms, you fill out and put in box. We do the rest. All of the information sent to us will be placed in your secure box for HIPAA Compliance.

Samples of Claims Paid Amount Paid $1820.00 Patient paid $100 Office Visit paid $100.00 Pt. paid $75.00 Samples of Claims Paid

97530 - Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes TMD Paid $111.20 Pt. Paid $188.80

Set Up Or Credentialing There is a difference. 1. set up is contacting the top five plans that you would like to start billing. We set up e-claims, e-payments and send them all your information so they know who you are. 2. Credentialing is when we ask you to add us to your CAQH or have you open a CAQH which holds all your paperwork so we can send in applications to get you in network. We know there is a lot of paperwork to do this so we have put together a form to help you thru the process.

Thank you for your confidence Emily Kahn Main Biller Christine Taxin Trainer Jan Palmer All Medicare Pam Wyatt all CBCT Set up Join dentalmedicalbilling.com to ask questions on forum. Enjoy your safe place on Coaches Console and your newsletters.