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Understanding Insurance: Crowns, BUs, and Other Restorative Services

Course Details

Course name: Understanding Insurance: Crowns, BUs, and Other Restorative Services

Course length: 40 minutes

Number of modules: 6

Length per module: 3-10 minutes

Price: $199.99

Overall goal: Learn to understand documentation requirements for maximum reimbursement of crowns, buildups, fillings, and other restorative services.

Recommended for dentists, clinical and front team members

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Description

Are you getting denied for legitimate claims on common services like buildups and crowns? Do you ever have upset patients because they owe more money after their EOB comes in?

This course will help teach you and your team what the missing ingredients are so that you can get reimbursement almost every time. Simple and practical steps will guide you to a better understanding of insurance and how you can manage claims.

Objectives

  • Learn how to understand EOBs and reviewer language
  • Learn how to document buildups and crowns for maximum reimbursement
  • Learn the details on why some fillings are denied and what to do about them

Modules

1. Common Challenges

See a typical case that gets denied and discussion of the problems seen. Learn to understand what reviewers are looking for and understanding EOB language.

2. Understanding Buildups

Learn why build ups are denied, understand how to get them paid, and answer common questions about “inclusive” clauses, and common BU requirements by insurance companies. Ultimately learn what to do to get reimbursement through included cases.

3. Understanding Crowns Part 1

Learn why crowns are denied, understand how to get them paid, and answer common questions about seat/prep date and common reimbursement requirements. Ultimately, learn what to do to get reimbursement through included cases.

4. Understanding Crowns Part 2

Learn why crowns are denied, understand how to get them paid, and answer common questions about seat/prep date and common reimbursement requirements. Ultimately, learn what to do to get reimbursement through included cases.

5. Fillings and Other Restorations

Learn why some fillings are automatically approved and others are flagged for immediate denial. Discussion of photo and x-ray requirements. Understand which fillings will often not get approved and therefore when to collect from the patient up front.

6. Quiz for CE

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