The Dental Billing Podcast

Got questions? Send Ericka a Text!Are you leaving money on the table while your patients remain undertreated? After analyzing over 300 dental practices across the country, I discovered a shocking truth: the average dental practice with a full-time hygienist treats only 17% of the periodontal disease they diagnose. That means 83% of diagnosed disease goes completely untreated—a staggering gap between diagnosis and care.This episode dives deep into the "hidden opportunity" within your hygiene department by exploring D4346: scaling in the presence of generalized moderate to severe gingival inflammation. This often-misunderstood code bridges the critical gap between a standard prophy (D1110) and scaling and root planing (D4341/D4342). For patients showing clear signs of gingivitis without bone loss—bleeding on probing, inflamed tissue, pseudopockets, and plaque that doesn't respond to routine cleaning—continuing to perform prophies isn't prevention; it's undertreatment.I walk you through a comprehensive, step-by-step process for properly implementing D4346 in your practice, from accurate diagnosis and bulletproof documentation to effective patient education and ethical billing. We cover common challenges including insurance downgrades, particularly when carriers like Delta may pay less for D4346 than for a prophy, and how to handle these situations without compromising ethics or revenue. The key message: this code is based on diagnosis, not difficulty or time spent, and represents therapeutic care designed to heal tissue, not maintain it.Whether you're a dental biller, office manager, hygienist, or dentist, this episode provides practical guidance for transforming your approach to gingivitis treatment. The benefits extend beyond proper coding—you'll deliver better care, improve patient outcomes, and optimize practice revenue. Pull a few charts this week and see how many of your "prophy patients" actually qualify for D4346. The results might surprise you. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Got questions? Send Ericka a Text!Dental insurance verification is stuck in the 1990s, but insurance companies have dramatically changed how they operate—leaving dentists with surprise balances, frustrated patients, and a mess of accounts receivable. In this eye-opening episode, I reveal how insurance carriers are secretly leasing networks behind the scenes and potentially pulling your practice into networks you never directly signed with.Drawing from a recent consultation where a practice saw their AR spike by $70,000 due to inadequate verification, I walk through exactly why checking just the basics—deductibles, maximums, and coverage percentages—is no longer enough. The game has fundamentally changed. Through leased networks and umbrella plans like Connection Dental and DentaMax, carriers can apply completely different fee schedules than you expect, even when you think you're out of network.Most importantly, I share the specific questions you must ask during insurance verification to protect your practice: Are we in-network or out-of-network with this specific plan? Are we directly contracted or leased through another network? Which fee schedule applies to our office for this plan? Does this patient's plan fall under a specific PPO tier, group or level? These questions will transform how you set up patient accounts and present treatment plans.Ready to stop the bleeding and take control of your insurance verification process? Download my free verification checklist in the show notes and start mapping your complete network participation status today. Your billing department—and your bank account—will thank you. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Got questions? Send Ericka a Text!Insurance companies are using AI to evaluate dental x-rays, denying claims when specific landmarks aren't visible in the images. This shift means approximately 70% of claims are now processed through artificial intelligence systems that disqualify submissions based on technical deficiencies rather than subjective human review.• Poor quality x-rays with cone cuts or missing apexes give insurance companies legitimate reasons to deny payment• Clinical teams need training to understand what qualifying x-rays look like for different procedures• Billing starts with proper clinical documentation and supporting attachments, not in the billing department• Digital x-rays allow immediate quality assessment - retake poor images immediately• Even the best billers can't overcome insufficient evidence when appealing denials• Creating a list of procedures requiring x-rays and examples of qualifying images can help train staff• When benefits are available and evidence is sufficient, insurance companies should pay claims• Proper documentation creates leverage when fighting unreasonable claim denialsIf you need help training your clinical teams on how to improve x-ray quality for insurance submissions, I have a step-by-step process available. Send me a message to discuss what's happening in your office.Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

Got questions? Send Ericka a Text!After rebranding my company and going solo without a business partner, I discovered I needed to get intentional about how I showed up, leading to 10x growth for Fortune Billing Solutions in just one year.• Tracked every minute of my day for two weeks to discover I was creating chaos for myself and my team• Implemented structured timeblocking for client meetings, discovery calls, team one-on-ones, podcast recording, and CEO strategy• Created a daily "miracle hour" focused on follow-ups, marketing, outreach and business development• Organized my week using theme days: Mondays for admin, Tuesdays for client strategy, Wednesdays for creative work, Thursdays for business development, and "Follow-up Fridays"• Turned off all notifications during deep work hours with only my daughter as a VIP contact• End each day with a shutdown routine to check accomplishments and set tomorrow's priorities• Dental billing insight: High patient AR often stems from improper co-pay calculations upfront and improper adjustments on the backend• Color-code your calendar to make patterns visible: blue for client work, green for business development, yellow for admin, red for distractionsBook a free billing audit with us. We'd love to help you find the billing opportunities hiding in plain sight.Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Got questions? Send Ericka a Text!A powerful reading of "Chapter 4: Built from Grit" from the book "I'm Just the Biller" shares the journey from humble beginnings to nationwide success in dental billing education. This authentic narrative speaks directly to the unsung heroes of dental practices, reminding listeners that success isn't about where you start but the invisible grit that carries you forward.• Started career while dealing with a workplace bully who undermined confidence and flaunted material possessions• Worked two jobs simultaneously as a dental biller and ER tech to save for first home• First workshop in 2011 had just nine attendees who paid $19 each• Evolved from Craigslist marketing to hosting 156 people at the JW Marriott in Los Angeles• Experienced a full-circle moment when former bully became part of an office requiring billing consultation• Built a nationwide platform over a decade of dedicated work in dental coding and billing education• Recognizes that setbacks, disappointments and closed doors ultimately contributed to growth and resilienceShare this episode with your co-worker, office bestie, or that teammate who needs to hear they're just getting started. Follow the show, leave a review, and connect on Instagram @dentalbillingcoach for behind-the-scenes content, billing tips, and support for the people holding the dental profession together.Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Got questions? Send Ericka a Text!Artificial intelligence has quietly revolutionized how dental insurance claims are processed, and most dental offices don't even realize it. Today we pull back the curtain on Novo Dynamics and their Novo Health Dental AI system that's scrutinizing your x-rays, documentation, and billing patterns before a human reviewer ever sees your claim.The game has changed dramatically. Insurance companies have trained AI systems to review claims using very specific criteria determined by their own dental consultants—not treating clinicians. These systems don't just look at individual claims but cross-check x-rays across multiple insurance carriers, analyze your practice's billing patterns, and compare you to other providers in your area. If your practice performs more crowns, SRPs, or implants than what AI considers "average," all your claims face increased scrutiny regardless of their legitimacy.This technological shift demands we evolve from merely submitting "clean claims" to creating "AI-proof claims." High-quality, clear x-rays that perfectly demonstrate necessity, concise standardized narratives, and meticulous documentation are no longer optional—they're essential. When AI improperly denies claims, request human review promptly. Document patterns of improper denials and report systematic issues to your insurance commissioner. The days of assuming a person will review your claim are over, but by understanding how these systems work, you can adapt your strategies to overcome these new barriers to reimbursement.Ready to level up your billing skills and connect with fellow dental billers? Join us for our upcoming live workshop in Dallas! Send "Dallas" in a direct message to @dental_billing_coach on Instagram for your chance to win an all-expenses-paid trip to the event. Looking forward to diving deeper into AI and dental billing in our next episode where we'll share real-world denial stories and more strategies to beat the algorithms at their own game. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Got questions? Send Ericka a Text!Dental billing has undergone a dramatic transformation since the carefree days of the late 1990s. What was once a straightforward process—send a claim, get paid, move on—has evolved into a complex system demanding meticulous attention to detail and strict compliance measures. The reason? Insurance companies have woken up to the staggering $12.5 billion lost annually to dental fraud, and they're scrutinizing claims like never before.You don't need to be committing actual fraud to get caught in this web. Cutting corners, skipping steps, and clinging to outdated "backyard billing" habits can quickly put a target on your practice. Are you submitting claims without checking clinical notes? Skipping attachments to get claims out faster? Using coding loopholes that worked a decade ago? These practices aren't just inefficient—they're potentially putting your practice at risk for denials, audits, and recoupment demands.True billing expertise isn't defined by years of experience but by commitment to compliance and continuous education. It means verifying clinical documentation matches what you're billing, understanding dental necessity requirements, staying current with coding changes, and implementing robust follow-up systems. It means knowing when to push back when insurance companies request additional information despite receiving sufficient evidence the first time. Most importantly, it means understanding your state's prompt pay laws and holding insurance companies accountable when they attempt to delay payment beyond legal timeframes.The transition from backyard billing to compliant billing isn't complicated, but it requires intentionality. Start by implementing daily report monitoring, creating standardized billing protocols, and ensuring your team understands compliance requirements. The reward? Fewer denials, faster reimbursements, and significantly less stress from chasing payments that should have been received the first time. Remember: the goal isn't just getting claims paid—it's getting them done right. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Got questions? Send Ericka a Text!Uncover the critical connections between HIPAA compliance and dental billing practices in our episode featuring host Ericka Aguilar. Discover how safeguarding patient privacy extends beyond ethical boundaries to play a pivotal role in averting billing fraud in dental practices. We delve into the cutting-edge strategies employed by insurance companies, such as predictive analytics, to detect inconsistencies and initiate audits without relying on whistleblowers. Erika sheds light on the risks associated with common pitfalls like inappropriate code adjustments and the negligent waiving of co-payments that insurers might interpret as fraudulent activity. By gaining a deeper understanding of insurance audits and adhering strictly to HIPAA's privacy, breach, and anti-kickback policies, dental professionals can uphold their practice's integrity and maintain the trust of insurance companies.Explore the heightened scrutiny dental offices face due to the rise of AI in insurance auditing, as Ericka highlights the dire consequences of billing inaccuracies, including high denial rates and the ominous threat of clawbacks. With the potential for significant financial repercussions, she emphasizes the importance of accurate billing and the dangers of fraudulent resubmissions. Learn how diligent denial tracking and effective appeals can be your defense against unnecessary audits and penalties. Hear practical advice on how to navigate the complexities of maintaining compliance, including when to involve the insurance commissioner to protect your practice from potential pitfalls and maintain ethical billing standards. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Tired of bureaucratic inefficiencies and missed technological opportunities? Join us as we analyze the healthcare workforce, dissecting the tough reality of supply and demand in medical residencies, with a special focus on the rising field of pediatric dentistry. We'll reflect on personal encounters with government red tape and ponder how the tech boom of the 90s could have spurred a much-needed modernization of government systems. We'll even speculate on how influential figures like Bill Gates and Elon Musk could have further propelled these advancements.Thinking about launching your dental career in an underserved area? Discover strategic insights on how to capitalize on dental care shortages by using data to pinpoint opportunities, and learn how buying out retiring dentists can set the stage for a prosperous practice. We also debate whether specialization in high-demand services like endodontics requires extensive schooling or if ambition and a good attitude can suffice. Expect candid discussions on the importance of self-care and reassessing your career path to ensure it brings you joy, much like evaluating the health of your personal relationships.As technology continues to transform industries, we'll highlight why it's crucial to keep your skills sharp, whatever your field of expertise. From the evolution of dental billing practices and the indispensable role of consultants to the need for continuous education in today's rapidly changing world, our conversation covers it all. Enjoy a light-hearted wrap-up as we share personal family anecdotes that remind us of the importance of gratitude and the fun quirks of familial bonds. Prepare for an engaging episode that combines professional insights with personal charm. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Legendary dental expert and Founder of Dental Town Howard Farran joins me, Ericka Aguilar, for a compelling exploration of the future of dentistry, challenging the conventional norms that govern the industry. We embark on a fascinating journey through Howard's personal story, from Kansas to Arizona, navigating the complex economic barriers and education demands that define the profession. Together, we unravel the financial intricacies of being a dentist, contrasting the roles of general practitioners, specialists, and practice owners while scrutinizing the implications of operating within a cartel system.The digital age is upon us, and AI is set to redefine the landscape of dental practices. We dissect the inefficiencies plaguing current practice management software and uncover how AI innovations, like the pioneering dental AI chatbot, promise to streamline operations and unlock new levels of efficiency. Drawing from a wealth of experience, the conversation paints a vivid picture of how AI can transform the way dental practices operate, enhancing both user experience and operational effectiveness, setting a new benchmark for the industry.As we navigate the evolving business dynamics and global challenges in dentistry, the conversation broadens to encompass healthcare access in America. We shine a light on the disparities in dental and women's health services, particularly in rural areas, and consider the potential of international specialists to bridge these gaps. Our discussion also highlights the pivotal role of Dental Service Organizations in capital formation and their strategic influence in the market. Through it all, we stress the importance of ensuring quality and integrity by having industry-specific professionals at the helm, safeguarding the core values of dentistry amid shifting economic and regulatory environments. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

This episode focuses on the critical issue of managing credit balances in dental practices and the associated legal implications. Various state laws dictate how these balances should be handled, with non-compliance leading to potential fines, making it essential for dental offices to incorporate credit balance reports into their regular billing processes.• Overview of why credit balances are often ignored • Importance of credit balance reports in financial management • Explanation of state laws and dormancy periods for unclaimed property • Consequences of failing to manage credit balances • Practical steps to take for compliance and management • Resources provided for state-specific compliance information • Call for proactive measures in managing credit balancesLink to check your states laws for unclaimed property:https://unclaimed.org/state-reporting/ Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

The episode encapsulates a life-changing mastermind weekend experiences shared by three female entrepreneurs. They explore themes of accountability, personal growth, and overcoming mind trash, highlighting the necessity of supportive networks in elevating one's entrepreneurial journey. • Erika reflects on her long-held dream of hosting a mastermind • Participants share breakthroughs and insights gained from their connection • Discussion around "mind trash" and how to overcome limiting fears • Focus on the importance of accountability among peers for business growth • Vision setting for the upcoming year, emphasizing positivity and clarity • A call to action for aspiring entrepreneurs to pursue their dreams and seek support Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

This episode highlights the essential components of a streamlined and effective daily workflow for dental billing professionals. Emphasizing critical reporting, compliance, and continuous education, we aim to empower new and experienced billers alike.• Overview of the Dental Billing Mastery Course • Importance of establishing a daily rhythm in billing • Running Procedures Not Attached and Claims Not Sent reports • Verifying clinical documentation and quality attachments • Role of the clearinghouse in claims submission • Timely follow-up procedures for older claims • Monthly reporting and reconciliation tasks • Importance of understanding compliance regulations • Continuous professional education for successful billing practices Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Imagine transforming your career by launching a home-based dental billing business that aligns perfectly with your lifestyle and personal commitments. In this episode, I guide Esmeralda, a seasoned dental biller, through the exciting and challenging transition from working in a single dental practice to becoming an independent entrepreneur. We promise you'll gain invaluable insights into how resilience, strategic planning, and a keen understanding of business fundamentals can pave the way for success in this evolving industry. Join us as we explore how boutique approaches can offer a competitive edge against larger companies, drawing from my own journey that began back in 1998.We delve into the advantages of managing a small client base, highlighting how this focus can lead to both financial prosperity and a healthy work-life balance. As we discuss the critical steps of consulting a CPA and a small business attorney, the emphasis is on building a solid business foundation and safeguarding personal assets. The importance of having robust contracts and financial reserves cannot be understated. We also touch on the significance of excellent customer service and leadership in sustaining growth. Whether you're contemplating a similar career change or adapting to the shifting dental billing landscape, this episode is packed with inspiration and guidance for your entrepreneurial journey. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions! Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Unlock the secrets to navigating the often-confusing world of dental billing with our latest episode, where we promise to make the coordination of benefits (COB) your new superpower. When a patient is juggling multiple insurance plans, determining the primary insurance can feel like solving a complex puzzle. We'll walk you through the essential rules and scenarios, including the role of the patient's employer's insurance, the birthday rule for dependent children, and the significance of the custodial parent's plan. Plus, we dive into the critical understanding of whether an insurance plan includes a COB clause, and what to do if it doesn't, to ensure your claims are never delayed or rejected.Our mini master class is designed to empower you with the knowledge to avoid potential audits and reimbursement issues. Discover why non-duplication of benefits can be a game-changer in your billing strategy, and learn how to make the secondary insurance work for you when the primary has already paid its share. I'm passionate about equipping you with practical tools for smarter billing practices. Whether you're a seasoned professional or just starting out, you won't want to miss this opportunity to sharpen your skills. Grab your notepad and let's transform your approach to dental billing together. Don't forget to reach out with your questions and share this episode with colleagues who could benefit from these insights! Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions! Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Unlock the secrets of dental billing as we challenge the conventional wisdom surrounding Coordination of Benefits and reveal strategies that can revolutionize your practice's revenue flow. Ever wondered why patients with dual coverage often face billing confusion? We unravel these complexities and offer practical insights to enhance collections and maintain patient trust. This episode is essential listening for anyone looking to master the intricate insurance rules and avoid the common pitfalls that lead to billing errors.Dive deep into the importance of a robust follow-up system to shield your practice against revenue leaks. Discover how strategic reminders and effective follow-up protocols can dramatically reduce your days in Accounts Receivable, boosting your financial health. We critique the flaws in current insurance verification processes and stress the necessity of proper data entry for transparent billing. Gain actionable steps for accurately presenting treatment plans to avoid unexpected patient balances and dissatisfaction.Transform your billing practices with real-world solutions designed to enhance collections and patient satisfaction. Hear firsthand reports from billers on the front lines and learn how to implement necessary adjustments that align with clear financial conversations, especially with new patients. By adopting comprehensive appointment and financial policies, you'll foster greater transparency and trust, leading to improved patient retention. Don't miss this opportunity to refine your billing processes and tackle challenges head-on for lasting success. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka or Jen? We would love the opportunity to discuss your billing questions! Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

Unlock the secrets to error-free dental billing with insights from our esteemed guest, Jennifer Lyman, a seasoned hygiene coach and expert in the field. Join us as we uncover the common pitfalls that even experienced dental billers face and how to sidestep them for smoother operations and compliance. From the importance of keeping up with the American Dental Association's annual coding updates to understanding the nuances of the CDT codes, we gear you up with the knowledge to eliminate costly errors and maximize your practice's performance. Discover why the debridement code is often misunderstood and how getting it right can enhance your periodontal outcomes.In this enlightening episode, we delve into the art of meticulous dental billing practices and the critical role of accurate clinical documentation. We emphasize the necessity of understanding Explanation of Benefits (EOBs) and balancing accounts daily to safeguard your practice's financial health. With Jennifer, we explore the risks of over-relying on templates and the essential need for patient-specific details to prevent fraud allegations and claim denials. By the end of our discussion, you'll have actionable strategies to revolutionize your billing processes and ensure your documentation is as precise as your dental work. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@lymanrevenuesolutions.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@dentalbillingdoneright.com

What if you could reignite your passion for your job and drastically improve patient outcomes at the same time? Tune in to hear the inspiring story of Trish, a dental hygienist who transformed her career from burnout to joy. Trish reveals her journey of mastering periodontal care, saliva testing, and insurance coding, and how these skills not only reignited her love for her work but also elevated the quality of care in her practice. Find out why chart prepping days in advance became her secret weapon for accurate coding and effective treatment.Unlock the secrets of effective communication in dental billing as Trish debunks myths and shares her personal experiences. Discover why proper coding, including the updated 2024 claim form and box 39A, is crucial for avoiding claim denials and ensuring smooth processing. This episode underscores the power of perseverance and self-advocacy in achieving job satisfaction and better patient care. Navigate the complexities of patient communication and insurance education with us. We discuss tackling patient resistance to treatments, the significance of unified messaging within dental teams, and the impact of insurance myths on patient care. Additionally, we delve into international billing challenges and connect our listeners with experts for further insights. Don't miss this episode packed with actionable tips to enhance both patient trust and practice revenue. Schedule a FREE consultation with Ericka :https://link.brandbuilderai.com/widget/bookings/hdprofit/followupWant to take advantage of a free coding and billing analysis? Click here to get started:https://link.hiddendentalprofit.com/widget/booking/4oknScvRsz4M1xhl5fypConnect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@hiddendentalprofit.comEmail Jen:jen@hiddendentalprofit.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.com

What if everything you thought you knew about dental hygiene billing was wrong? Join us for an eye-opening discussion with Jen, a veteran hygienist turned billing expert, as she uncovers the hidden intricacies of dental billing and the imperative role of accurate documentation. From debunking myths like the impossibility of combining SRPs and prophylaxis to the critical need for detailed perio charting, Jen provides actionable insights that can revolutionize how you approach patient care and billing.We also delve into best practices for addressing periodontal disease, exploring why a significant portion of your patient base should be receiving more specialized care. Learn about the common pitfalls in hygiene billing—from overlooked services like desensitizers and local anesthesia to the importance of standardized protocols within hygiene teams. Thanks to Jessica's dedication, discover how implementing cohesive guidelines can lead to a more efficient practice, better patient outcomes, and increased job satisfaction for hygienists. Don't miss this chance to enhance your practice's efficiency and patient care standards. Schedule a FREE consultation with Ericka :https://link.brandbuilderai.com/widget/bookings/hdprofit/followupWant to take advantage of a free coding and billing analysis? Click here to get started:https://link.hiddendentalprofit.com/widget/booking/4oknScvRsz4M1xhl5fypConnect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@hiddendentalprofit.comEmail Jen:jen@hiddendentalprofit.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.com

Unlock the secrets behind insurance claim denials and empower your practice with actionable insights from Tessina, the president of Veris Insurance Verification. Learn why some offices are more frequently targeted for denials and how to avoid this costly pitfall by optimizing your insurance verification processes. Tessina's hands-on experience in training, consulting, and coaching offers invaluable strategies to ensure all forms are accurately completed and entered into your software systems, minimizing the risk of random denials and boosting your office's efficiency.Discover the power of collective action in advocating for patient rights against insurance company misconduct. We delve into a compelling case study involving UnitedHealthcare, where coordinated complaints from multiple offices sparked significant nationwide policy changes. Understand the critical differences between self-funded and fully insured plans, and get expert advice on filing effective complaints with the insurance commissioner. Tessina emphasizes the far-reaching impact of even a single report, showing how your voice can contribute to industry-wide improvements.In our final segment, we dispel the myth that healthcare providers are beyond challenge and highlight the importance of proper coding and billing practices. By advocating for thorough insurance verification and detailed patient intake processes, Tessina shows how to create clean claims and prevent revenue loss. Stay informed on the ever-evolving landscape of insurance codes and payment policies, particularly for dental procedures, and ensure your practice remains vigilant to avoid unnecessary denials. Tune in to empower your office staff and patients, fostering a culture of proactive healthcare management. Schedule a FREE consultation with Ericka :https://link.brandbuilderai.com/widget/bookings/hdprofit/followupWant to take advantage of a free coding and billing analysis? Click here to get started:https://link.hiddendentalprofit.com/widget/booking/4oknScvRsz4M1xhl5fypConnect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@hiddendentalprofit.comEmail Jen:jen@hiddendentalprofit.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.com

Unlock the secrets behind effective dental billing and become a champion for patient advocacy with our expert panel! You'll leave this episode equipped with actionable strategies to improve insurance reimbursement, combat claim denials, and ensure ethical billing practices. Join me, Erica Aguilar, alongside my colleagues Jennifer Lyman, Patricia, Tessina, and Amy as we dismantle common myths in dental billing and hygiene, revealing the crucial steps you can take to prevent claim denials and manage burnout among hygienists.From mastering accurate coding practices to leveraging the power of the insurance commissioner, we cover it all. Tessina shares her expertise on creating strong claims by incorporating patient comorbidities, ensuring your submissions clearly demonstrate dental or medical necessity. Amy offers her proactive approach to fighting denials, guaranteeing that rightful claims are honored without unnecessary delays. This episode is packed with insights that will shift your mindset, enabling you to advocate more effectively for your patients and navigate the complexities of dental billing with confidence. Schedule a FREE consultation with Ericka :https://link.brandbuilderai.com/widget/bookings/hdprofit/followupWant to take advantage of a free coding and billing analysis? Click here to get started:https://link.hiddendentalprofit.com/widget/booking/4oknScvRsz4M1xhl5fypConnect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@hiddendentalprofit.comEmail Jen:jen@hiddendentalprofit.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.com

Send us a Text Message.Can emotional intelligence be the secret ingredient to achieving high case acceptance rates in dental practices? Join us for a compelling conversation with Mani, a seasoned dental professional with over three decades of experience, as she takes us through her journey from a humble receptionist to a successful practice owner. With a strong focus on the human connection, Mani reveals the profound impact of reading body language and building trust with patients, and how these skills have driven her remarkable success in the field.In this episode, we uncover the essence of building authentic relationships in dentistry. Mani shares an inspiring story of being recognized by Nobel Biocare for her exceptional implant placements during the 2009 recession, illustrating the power of genuine patient connections over transactional interactions. By establishing trust and value, Mani provides insights on how emotional intelligence can significantly enhance patient satisfaction and contribute to practice growth, highlighting the dynamic between analytical thinkers and empathetic feelers in achieving this balance.As we wrap up, we delve into Mani's passion for mentorship and her journey with Livv Consulting. Celebrating her accomplishments, including her impressive work in top surgery centers and her dedication to guiding the next generation, the episode underscores the importance of collaboration and mentorship in the dental industry. With heartfelt discussions and valuable insights, this episode promises more enriching conversations with Mani in the future, leaving listeners eager for what's to come. Schedule a FREE consultation with Ericka:https://link.brandbuilderai.com/widget/bookings/hdprofit/followupConnect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:ericka@veritasdentalresourrces.comEmail Jen:jen@hiddendentalprofit.comEmail Mani: consultantmani1@gmail.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Want to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.com

Send us a Text Message.Can 60% of your dental practice's patients truly benefit from periodontal treatment? Uncover the eye-opening statistics and essential benchmarks we reveal in this latest episode. We dive into the crucial aspects of periodontal care, from understanding the CDC's findings to mastering the formula for calculating your perio performance. We also touch on common pitfalls and the importance of embracing new learning processes and consistent systems. Tune in to hear Jen's expert insights on transforming your practice's periodontal performance.Accountability and structured protocols are the backbone of effective periodontal care, and this episode leaves no stone unturned on these critical topics. We stress the importance of strict adherence to perio protocols and consistent follow-ups, ensuring that all diagnosed conditions are treated according to standard care guidelines. Learn practical strategies to initiate changes within your practice, overcome scheduling challenges, and manage patient needs with dedicated time slots for SRPs. This episode is a treasure trove of actionable advice aimed at achieving long-term improvements in patient care.Confidence and communication are pivotal for any dental hygienist, and we highlight their impact on patient care in this episode. Discover how understanding periodontal performance percentages and viewing patient treatment from a holistic health perspective can enhance your practice. We offer practical steps for calculating these metrics and provide invaluable resources for those seeking to improve. As we wrap up, we encourage dental hygienists to stay motivated, emphasizing the power of small steps in achieving significant improvements. A special thanks to Jen for her contributions, and stay tuned for our upcoming discussion on pediatric sleep apnea. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:ericka@veritasdentalresourrces.comEmail Jen:jen@hiddendentalprofit.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Schedule a FREE consultation with Ericka:https://link.brandbuilderai.com/widget/bookings/hdprofit/followupEricka's recommendation for PPO Negotiations:https://veritasdentalresources.com/Ericka's recommendation for Insurance Verification Services:https://verus.comWant to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.com

Send us a Text Message.Is your hygiene department underperforming when it comes to periodontal care? Join us for an eye-opening episode where we uncover the essential steps to recalibrate your hygiene department for optimal perio performance. We promise you'll learn how to establish consistent perio charting and treatment planning protocols, empowering your hygienists with the knowledge and support they need to thrive. Understand the pitfalls of over-relying on pre-authorizations and discover why it's crucial to take control of treatment decisions away from insurance companies.In our next segment, we tackle the art of patient education for effective periodontal conversion. Learn how to seamlessly integrate patients' health histories into discussions about periodontal risks, helping them to see the value in their treatments. We'll also share strategies to ensure consistent communication from your hygienists to your front office staff, emphasizing the importance of proper billing practices. Stick around for our engaging wrap-up with Tessina, as we tie together key insights and prepare you for the exciting conclusion of our series. This episode is packed with actionable insights to help you elevate your hygiene department to new heights! Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:ericka@veritasdentalresourrces.comEmail Jen:jen@hiddendentalprofit.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Schedule a FREE consultation with Ericka:https://link.brandbuilderai.com/widget/bookings/hdprofit/followupEricka's recommendation for PPO Negotiations:https://veritasdentalresources.com/Ericka's recommendation for Insurance Verification Services:https://verus.comWant to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.com

Send us a Text Message.Ever wondered how to elevate your dental practice's perio performance percentages? This episode promises actionable strategies that can transform your approach to periodontal care. We begin by breaking down the concept of perio performance percentage and its critical role as a key performance indicator. This isn't about singling out individual hygienists but about rallying the entire dental team towards a common goal. We'll tackle the importance of self-assessment to understand where you currently stand and how proper diagnosis, patient communication, and financial discussions can collectively enhance your practice's performance and patient outcomes.Dental hygienists face enormous challenges, from overwhelming demands to time constraints that make optimal patient care a struggle. We delve into the emotional and professional strain this pressure can create, and how crucial support from the front office team can help. Effective communication, better scheduling protocols, and a deeper mutual understanding are essential. By empowering hygienists to manage their time for complex cases and educating the front office to support these needs, we can significantly improve patient care and practice efficiency.We wrap up with a focus on effective patient follow-up and communication. Tools like the Gum Health Tool from Colgate can revolutionize patient education, but it's the collaborative effort between clinical and front office staff that truly makes the difference. Introducing the "Reason for Return" (RFR) in clinical notes ensures everyone is on the same page about patient follow-ups and recalls. Plus, we examine the importance of hygienists managing their own schedules with robust systems in place, emphasizing that systemic improvements and teamwork are essential for a smoothly running dental office. Tune in to learn how these strategies can drive continuous improvement in your practice. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:ericka@veritasdentalresourrces.comEmail Jen:jen@hiddendentalprofit.comPerio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Schedule a FREE consultation with Ericka:https://link.brandbuilderai.com/widget/bookings/hdprofit/followupEricka's recommendation for PPO Negotiations:https://veritasdentalresources.com/Ericka's recommendation for Insurance Verification Services:https://verus.comWant to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.com

Send us a Text Message.Unlock the full potential of your dental practice with expert insights from Jennifer Lyman, our esteemed hygiene coach at Hidden Dental Profit. Together, we're cutting through the noise to bring you a comprehensive series on periodontal performance—an area too crucial to ignore. Our discussion goes beyond the surface, as we dissect perio performance percentages and their pivotal role in evaluating and enhancing the treatment of periodontal disease. We're not just crunching numbers; we're spotlighting the stark reality that many practices may be under-treating this prevalent condition. By understanding these vital statistics, dental professionals can ensure they're providing the highest standard of care for their patients.The conversation doesn't stop at diagnosis—prepare to navigate the ins and outs of insurance reimbursements for gingivitis treatments with finesse. With Jennifer's seasoned perspective, we tackle the challenge of engaging patients in their oral health, stressing the importance of transparent communication and collaboration between the front office and hygienists. We also address the delicate balance of ethical practice and practical responses when faced with reimbursement dilemmas from companies like Delta Dental. By the end of this series, you'll be equipped with the tools and knowledge to revolutionize your hygiene and billing operations, reaffirming your commitment to patient well-being and practice profitability. Don't miss this opportunity to transform your approach to periodontal care—tune in now!Want to connect with Jen? Send her an email:Jen@hiddendentalprofit.com Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:ericka@veritasdentalresourrces.comSchedule a FREE consultation with Ericka:https://link.brandbuilderai.com/widget/bookings/hdprofit/followupEricka's recommendation for PPO Negotiations:https://veritasdentalresources.com/Ericka's recommendation for Insurance Verification Services:https://verus.comWant to know what your fee should be for D4346? Send Ericka an email to ericka@veritasdentalresources.comLink to buy Eat That Frog by Brian Tracy: (not an affiliate link)https://www.amazon.com/Eat-That-Frog-Great-Procrastinating/dp/162656941X/ref=sr_1_1?crid=1JV76U7XAHWEO&keywords=eat+that+frog+by+brian+tracy&qid=1707252377&sprefix=Eat+that+%2Caps%2C413&sr=8-1

As I sat down with Tessina Bullock, the powerhouse behind Veris Insurance Verification, a tale of transformation unfolded. From her early days as a dental assistant to her ascension as a dental billing mogul, Tessina's trajectory is a masterclass in leveraging communication prowess and strategic acumen to navigate the complexities of dental insurance verification and appeals. Her insights illuminate the path for dental practitioners to not only submit claims with confidence but to also stand their ground against daunting insurance denials.In the heart of our discussion, the significance of networking came alive through Tessina's entrepreneurial journey, proving instrumental in the birth and blossoming of Veris. As we peeled back layers of insurance verification challenges, Tessina unfurled a blueprint for preempting claim denials with comprehensive patient information—a leap toward fortifying a dental practice's revenue cycle. Tessina's narrative is a testament to the power of connections and a thorough approach to insurance verification, serving as a beacon for those in the dental arena.Rounding out our candid conversation, we mapped the battleground of insurance claims and appeals, where Tessina shared her tactics for compelling insurance companies to honor their obligations. From the art of crafting personalized appeals to using strategic keywords and the threat of escalating issues to higher authorities, Tessana equipped listeners with an arsenal to combat insurance company tactics. Her guidance is a clarion call to dental offices, championing the notion that with the right strategies, appealing insurance denials can shift from a daunting chore to a winning endeavor.To get in touch with Tessina:https://verusdental.com Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:dentalbillingcoach@gmail.comJoin us for Dental Billing - Disrupted in Atlanta, GA on April 20th, 2024. For more information click the link below. https://thedentalbillingcoach.com/Ericka's recommendation for PPO Negotiations:https://veritasdentalresources.com/Want to know what your fee should be for D4346? Send Ericka an email to dentalbillingcoach@gmail.comLink to buy Eat That Frog by Brian Tracy: (not an affiliate link)https://www.amazon.com/Eat-That-Frog-Great-Procrastinating/dp/162656941X/ref=sr_1_1?crid=1JV76U7XAHWEO&keywords=eat+that+frog+by+brian+tracy&qid=1707252377&sprefix=Eat+that+%2Caps%2C413&sr=8-1

Embark on a voyage through the complex seas of dental billing where precision and integrity are your most trusted navigators. We dissect the treacherous practices of billing for insurance benefits instead of actual services, exposing the hidden icebergs of fraud that could sink your dental practice's reputation. From the misuse of X-ray codes to the critical need for accurate clinical documentation, we illuminate the path to ethical billing, ensuring that your practice thrives financially while delivering top-notch patient care. Discover why correctly identifying procedures like periodontal maintenance isn't just about compliance—it's about honoring the trust your patients place in your hands.Steer your practice towards the safe harbor of success by mastering the art of PPO negotiations, a skill oftentimes as overlooked as it is vital. Listen as we share insights on the power of laser bacterial reduction treatments in the fight against gingivitis, and how such protocols can not only improve patient outcomes but also boost office production. We'll delve into the importance of patient education, helping them understand their condition and how it aligns with their insurance benefits, creating a win-win scenario for their health and your practice's financial well-being. Charting these waters may seem daunting, but with our guidance, you'll navigate them like an expert captain, confident and in control. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:dentalbillingcoach@gmail.comJoin us for Dental Billing - Disrupted in Atlanta, GA on April 20th, 2024. For more information click the link below. https://thedentalbillingcoach.com/Ericka's recommendation for PPO Negotiations:https://veritasdentalresources.com/Want to know what your fee should be for D4346? Send Ericka an email to dentalbillingcoach@gmail.comLink to buy Eat That Frog by Brian Tracy: (not an affiliate link)https://www.amazon.com/Eat-That-Frog-Great-Procrastinating/dp/162656941X/ref=sr_1_1?crid=1JV76U7XAHWEO&keywords=eat+that+frog+by+brian+tracy&qid=1707252377&sprefix=Eat+that+%2Caps%2C413&sr=8-1

Unlock the secrets to a thriving dental practice with our latest episode, where we delve into the world of insurance profiles and KPIs with a laser focus on the top PPO plans that are shaping patient volume. Ever worried if your patient counts are accurate? We tackle the crucial task of cleaning up patient data, ensuring the numbers you see reflect the active patients you serve. This isn't just about numbers; it's about the heartbeat of your practice. Discover how understanding insurance AR, days in AR, and perioperformance percentages can unearth hidden revenue gems, especially within your hygiene department.The unsung heroes of dental billing take center stage as we explore the meticulous world of dental assistants and their pivotal role in handling x-rays and clinical documentation. Their precision not only streamlines the billing process but is also a frontline defense against fraud. With structured decision-making tracks and performance meetings, we guide you through revolutionizing your practice's efficiency. We share real patient scenarios to empower hygienists in their treatment discussions, emphasizing consistent care and the bedrock of transparent communication.As we wrap up, we lay out actionable strategies to supercharge your billing department's performance. By auditing and refining procedures, we show you how to achieve predictable outcomes and more robust collections. Accountability doesn't have to be a dirty word; with regular meetings and consistent oversight, we emphasize the impact of a well-oiled team on maintaining the systems we advocate. Tune in to transform your dental billing from a routine task into a strategic asset for your practice. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:dentalbillingcoach@gmail.comJoin us for Dental Billing - Disrupted in Atlanta, GA on April 20th, 2024. For more information click the link below. https://www.eventbrite.com/e/dental-billing-disrupted-tickets-807335551367?aff=oddtdtcreator

Have you ever felt overwhelmed by the labyrinth of billing and coding in your dental practice? Prepare to navigate this complex terrain with confidence as we dissect the art of billing department optimization. Our conversation steers you through the process of decluttering your practice management software, much like tidying a hoarder's abode. We confront the common fear of conflict head-on, revealing its true nature as a growth catalyst, essential for the evolution of your billing operations. With Dr. Roy Shelburne's harrowing story as a backdrop, we underscore the dire consequences of inadequate billing knowledge and the non-negotiable need for compliance in every patient transaction.Dr. Shelburne's narrative serves as a stark wake-up call about the risks of neglecting proper billing practices—a lesson he learned the hard way. We unpack the six-part framework that transforms billing departments from chaotic to controlled, discussing everything from software setup and insurance complexities to the formulation of Key Performance Indicators (KPIs). Our discussion highlights the pivotal role office managers play as coaches, guiding their teams through the transformation with dedicated coaching and unwavering accountability to breathe new life into your practice's financial health.And if you've ever questioned the potency of your dental practice management software in crafting precise treatment plans, this episode is a treasure trove of insights. We dissect the software's often-underused capabilities, emphasizing meticulous training and the exacting entry of insurance benefits. By concentrating on these strategies, you'll learn how to leverage technology to its fullest, ensuring your treatment plans are not only accurate but also reflective of the cutting-edge advancements these platforms continuously integrate. Join us for a journey that promises to fine-tune your billing efficiency and catapult your practice's revenue to unprecedented heights. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:dentalbillingcoach@gmail.comJoin us for Dental Billing - Disrupted in Atlanta, GA on April 20th, 2024. For more information click the link below. https://www.eventbrite.com/e/dental-billing-disrupted-tickets-807335551367?aff=oddtdtcreator

Ever wondered how a seamless transition from a clinical role to office management is made? This episode is your golden ticket, packed with advice from my personal journey managing multiple dental practices. Anchoring this episode is a deep dive into the importance of understanding management principles within the dental industry. We'll share the challenges and triumphs from my adventure in the realm of dental office management and provide you with practical insights. If you are new to the office management scene, this episode will be your guidepost. Transitioning to the structure of a dental practice, we examine the pivotal role of the billing department. An efficient billing department is a linchpin to a practice's financial success, and we discuss how an office manager can ensure this by identifying and filling performance gaps. The focus then shifts to an often overlooked aspect – the psychology of patient experience. Why do some patients willingly spend more at certain practices? The key lies in creating an exceptional patient experience, and we recommend eye-opening reads like "Unreasonable Hospitality" and "The Nordstrom Way" to further illuminate this aspect.Lastly, we delve into the meaty topics of accountability, psychological safety, management styles, team dynamics, and their impact on a dental office. We shed light on the importance of fostering a psychologically safe environment and how doctors can support their managers' decisions. This episode will empower you to navigate through the stages of team dynamics and shape both team performance and patient experience. Whether you're an established manager seeking fresh insights or a new office manager finding your footing, this episode offers invaluable resources and strategies for enhancing patient experience and boosting your bottom line. Tune in for a journey packed with insights, inspiration, and practical tips for creating a successful and fulfilling dental practice. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:dentalbillingcoach@gmail.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event in Chantilly, VA on Sunday 1/7/24 with Dr. Roy Shelburne: thedentalbillingcoach.com

How would you like to get inside the mind of the legendary Howard Farran, founder of Dentaltown and author of Uncomplicate Business? We've got an enlightening chat with Howard on this episode, revealing the inspiration and journey behind creating Dentaltown, an empowering online community and mobile app for dental professionals. Howard unpacks the power of Dentaltown's resources including interactive message boards that serve as a hub for advice, support, and professional growth within the dental industry. We don't stop there, we also delve into the critical aspect of creating a healthy work environment in the dental industry. We speak candidly about the destructive impact of toxic team members, the vital need for mentors, and the role of management in cultivating a positive work culture. Addressing and eliminating toxic behavior stands out as a major topic, with a fresh perspective on why it's better to strive for 'B players' who bring harmony, rather than 'A players' who may be toxic. Finally, we circle back to our guest, Dr. Howard Farran, CEO and founder of Dental Town. His insightful take on the significance of networking and peer-to-peer learning in the field of dentistry is a must-listen. We encourage you, our listeners, to join Dental Town, contribute to the practice management message boards, and share your wisdom with your peers. And don't forget to download the Dental Town app for instant access to these invaluable discussions and resources at the end of this episode. Find your tribe, elevate your practice, and enhance your professional journey with us in this episode. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:dentalbillingcoach@gmail.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event in Chantilly, VA on Sunday 1/7/24 with Dr. Roy Shelburne: thedentalbillingcoach.com

Are you leaving money on the table due to incorrect dental billing? Ever wondered how diagnosis codes can make a difference in your practice? As your host, Erica Aguilar, I bring to you a comprehensive guide on the significance of these codes and how to pick the right one from the CDT book. We delve into the importance of documenting a diagnosis during the exam for payment qualification and how to ensure your clinical documentation is not just current but compliant. Ever had a patient confused about the difference between a prophy and a gingivitis cleaning? Not only will we explain the necessity of code D4346 for gingivitis cleaning, but we'll also highlight how a lack of correct documentation can lead to revenue loss for your practice. We take a closer look at how insurance companies are responding to preventive measures like gingivitis cleaning. We also introduce the PREVISOR program for dental risk assessments, discussing uses of D0602 and D0603 codes for the CARRIES risk assessment, and how to enhance benefits through Delta Dental with the PREVISOR program. Get ready to step into a new era of dental billing and codes! Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:dentalbillingcoach@gmail.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event in Chantilly, VA on Sunday 1/7/24 with Dr. Roy Shelburne: thedentalbillingcoach.com

I've had the opportunity to sit down and have a deep and enlightening conversation with Jennifer Lyman, a devoted dental hygienist with a heart for recognizing signs of sleep apnea in children. It was fascinating to hear about her journey and how her experiences have shaped her practice and fueled her passion for educating others about sleep apnea, a potentially fatal condition that we should all be aware of. We also got to talk about the beneficial effects of myofunctional therapy in dealing with sleep apnea and other oral health issues. Jennifer shed light on the signs and symptoms we should look out for in both children and adults, along with the connections between sleep apnea and conditions like ADHD. She emphasized the criticality of referral to sleep centers and the potential hazards of ignoring what may seem as trivial as snoring. Towards the end, we tackled the complexities surrounding medical billing in dental sleep medicine and explored the essentials needed to successfully implement oral appliance therapy or myofunctional therapy. Jennifer underlined the importance of a dedicated team and the value of continual coaching and training. We also discussed how to navigate insurance coverage and ensure a smooth billing process for patients. For those eager to learn more, Jennifer shared her contact information. After listening to this enriching conversation, I'm sure you'll appreciate the crucial role oral health plays in our overall well-being. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@dentalbillingcollege.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event with Dr. Roy Shelburne: thedentalbillingcoach.comWould you like to schedule a FREE 30-minute consultation? Spots are limited to 4 per month. Email your request to:admin@dentalbillingcollege.com

Do you ever wonder about the intricacies of insurance claims and the importance of having proper documentation in dental practices? We bet our guest today, Dr. Roy Shelburne, can shine a light on that. A seasoned dentist, practice owner, and survivor of a healthcare fraud conviction, Dr. Shelburne's story is striking, a true eye-opener for other dental professionals, as he shares his experiences and the lessons he learned.Dr. Shelburne passionately dives into the world of healthcare fraud, defensive documentation, and the consequences of insufficient documentation. He emphasizes that everyone in the dental team should take responsibility, reflecting that there's no such thing as an innocent mistake in healthcare documentation. Together, we explore the complicated relationship between dental practices and insurance companies, discussing how insurance benefits can influence the care provided by dentists. To prevent falling into pitfalls, we underline the importance of understanding these benefits, accurate documentation, and the use of templates and drop-down boxes to support claims.Wrapping up this riveting conversation, we delve into the critical role of proper documentation in a dental practice for more than just ensuring payment. We also discuss how to utilize templates and flexible records to accurately reflect a patient's condition, and diagnosis, and how to navigate insurance company guidelines. This episode is brimming with valuable lessons from Dr. Shelburne, who now uses his experience to guide others in the industry. Don't miss it!Got questions for Dr. Shelburne? Connect with him @ www.royshelburne.com Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@dentalbillingcollege.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event with Dr. Roy Shelburne: thedentalbillingcoach.comWould you like to schedule a FREE 30-minute consultation? Spots are limited to 4 per month. Email your request to:admin@dentalbillingcollege.com

Do you ever find scrubs irresistible? Kiera did, and her love for scrubs steered her into a fascinating journey through the dental industry. Today, she takes us through her evolution from a dental assistant in Utah, all the way to owning her own practice and establishing the Dental A Team. This company is Kiera's brainchild, dedicated to aiding dental offices with practice management. Kiera's journey is an inspiring one, and it isn't just about her story. She's also here to educate us on the critical role of billing in dental practice management. She gives us a comprehensive rundown on understanding the revenue cycle, ensuring clean claims, and the significance of everyone on the team comprehending their role in the process. But hold on, we're not done yet. Kirra shares golden tips on maximizing revenue and minimizing loss in the tricky world of dental practice. Finally, we wander into the realm of patient experience. Kiera draws on lessons from giants like Nordstrom, Disney, and Starbucks, putting the spotlight on the amazing impact of small changes on the overall patient experience. Get ready to absorb strategies on infusing the patient experience into practice - the role of the front office, the importance of intentionality, and much more. From billing to patient experience, this episode is a treasure trove of insights, tips, and strategies for anyone in the dental industry. Tune in, listen up, and let Kiera guide you through the intricacies of dentistry!Connect with Kiera: thedentalateam.com Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@dentalbillingcollege.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event with Dr. Roy Shelburne: thedentalbillingcoach.comWould you like to schedule a FREE 30-minute consultation? Spots are limited to 4 per month. Email your request to:admin@dentalbillingcollege.com

Ever wondered why so many dental claims get denied and overlooked? This episode takes you behind the scenes of dental billing and claim appeals with Morgan, popularly known as Front Office Friend, who brings an impressive 11 years of experience in the dental field to the table. Morgan's lifelong love for dentistry drives this insightful discussion as we dive into the state of the dental industry, including a startling study that reveals only 33% of all denied claims are ever appealed.Running a dental practice isn't all about the teeth, as Morgan showcases in our enlightening chat. Her valuable advice on managing insurance aging reports and establishing robust systems within dental practices is sure to make your operation run smoother. Highlighting the importance of financial policy discussions with patients prior to treatment, Morgan emphasizes how this simple yet significant step can prevent misunderstandings and streamline the process.The conversation doesn't stop there, as we delve into her inspirational journey of authoring The Front Office Handbook. Inspired by her personal need for lists and checklists, Morgan provides insights into the importance of staying updated with the latest trends and technology in the field. Finally, we examine Morgan's vibrant presence on social media where she continues to enrich the dental community with her insights. Tune in to gain a wealth of knowledge from this seasoned professional in the dental field.Connect with Morgan: frontofficefriend.com Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@dentalbillingcollege.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event with Dr. Roy Shelburne: thedentalbillingcoach.comWould you like to schedule a FREE 30-minute consultation? Spots are limited to 4 per month. Email your request to:admin@dentalbillingcollege.com

Get ready to demystify the labyrinth of dental billing changes coming in 2024! You'll gain invaluable insights into the American Dental Association's new service category, Sleep, and how this addition increases the dental categories to a total of 13. We'll break down how these extra codes can lead to more precise interactions with providers and patients, and why this doesn't automatically mean insurance payouts will increase. Then, we'll pivot to understanding the intricacies of the 2024 claim form, shedding light on the new boxes and their role in speeding up the claim process. You'll understand why it's crucial to get your practice management software updated with the 2024 claim form. We'll delve into new additions such as Box 3A and 11A, which require payer IDs, and Box 39A, which demands the last date of scaling and root planning. We'll also unravel the complex concept of locum tenens, and the introduction of the new Box 53A to identify temporary providers. So, tune in and arm yourself with the knowledge to navigate these changes smoothly! Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@dentalbillingcollege.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event with Dr. Roy Shelburne: thedentalbillingcoach.comWould you like to schedule a FREE 30-minute consultation? Spots are limited to 4 per month. Email your request to:admin@dentalbillingcollege.com

Are you ready to navigate the world of dentistry with no background whatsoever? Imagine learning everything from dental administration ABCs to a PhD level understanding in just six months. Welcome to the Front Office Lab, our unique dental front office training program where we equip you with a wealth of resources, assignments, and in-depth trainings. In this journey, you'll not just master the administrative ropes, but also uncover the significance of marketing and advertising in a dental practice. The second part of our discourse illuminates the wide career horizons that the Front Office Lab program opens up. From being a dental practice office manager to a treatment coordinator, the opportunities are numerous. We delve into the qualifications each role demands and introduce you to the concept of 'perfect day scheduling'. Furthermore, we share the importance of dreaming big and creating a five-year plan. We wrap up by honoring the dental heroes and mentors who have enriched my career, and sharing the inspiring journey of turning a no-patient practice into a successful venture. We emphasize the role of family support during a career transition and give you a walkthrough of our student center orientation and Front Office Lab program syllabus. Embark on this exciting journey with us. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@dentalbillingcollege.comJoin us in the lab: thedentalbillingcoach.com/frontofficelab Get your ticket to our next live event with Dr. Roy Shelburne: thedentalbillingcoach.comWould you like to schedule a FREE 30-minute consultation? Spots are limited to 4 per month. Email your request to:admin@dentalbillingcollege.com

What if you could unlock the secrets to mastering dental billing and ensuring HIPAA compliance in your practice? Join us as we chat with Ericka, a dental industry expert with over 25 years of experience, who shares her unique insights and invaluable knowledge on the subject.From her humble beginnings as a dental assistant to acting owner for eight different practices, Ericka's journey has led her to become a true dental billing authority. In this episode, we explore the complexities of dental audits, HIPAA compliance, the significance of the anti-kickback statute, and the crucial role of a compliance officer in a dental practice. Learn how to protect your practice and navigate dental insurance regulations with confidence and ease.Dive into Ericka's wealth of knowledge, as we cover topics such as the importance of privacy policies, team training, and breach protocols. Ericka also shares insights from her upcoming book 'I am Just the Biller', making this episode an unmissable listen for any dental professional looking to stay ahead of the game and ensure their practice remains compliant and successful. Connect with Ericka on LinkedIn:www.linkedin.com/in/dentalbillingcoach Email Ericka:billingcoach@dentalbillingcollege.comWould you like to schedule a FREE 30-minute consultation? Spots are limited to 4 per month. Email your request to:admin@dentalbillingcollege.com

Growing up as a daddy's girl, Martell Coke faced incredible obstacles, from a family of 10 siblings to surviving a tough childhood without amenities such as toothbrushes or clean drinking water. But through determination and a fierce passion for education, she defied the odds and became an accomplished dental hygienist. Join me in this powerful episode as we uncover Martell's extraordinary journey and the lessons we can all learn from her resilience.Martell and I dive into her backstory, exploring her experiences in two vastly different school systems and how they shaped her view of her own intelligence. We discuss the challenges she faced in pursuing her dreams and the financial obstacles that threatened to derail her success. As we delve further into her story, we uncover the realities of starting a nonprofit, Brown Girl RDH and building a thriving dental practice. In this inspiring conversation, Martell shares valuable insights on navigating patient balances, working with insurance companies, and understanding the financial side of running a successful dental practice. We also tackle the importance of authenticity and overcoming imposter syndrome. Don't miss this captivating episode as we celebrate the power of determination in the face of adversity and the impact of Martell's mission to empower other hygienists to be the best version of themselves.

As a Dental Billing Coach, I often have the pleasure of meeting other dental coaches who focus on the billing department. I love to discuss the challenges they see with the revenue cycle and how they address them. Some of the coaches I have met with, have extensive backgrounds in dentistry and recently took the leap into "dentalprenuer-ship". This is the case with today's guest, Mel Berg. She has quite the experience in dental billing and has recently set up her coaching business. Make no mistake, this woman knows her stuff! Listen to Mel and I have a casual yet informative conversation around dental billing do's and don'ts. To connect with Mel, follow her on Instagram: @detaileddentalsolutionsGot questions?Email me: billingcoach@dentalbillingcollege.comCall or text me: 714-477-0991Follow me on Instagram: @dental_billing_coachWant more information about learning dental billing?www.thedentalbillingcoach.com/thedentallabCheck out our sponsor's website and take advantage of their offer of 2 FREE zirconia crowns:www.ymdentallaboratory.com

In this week's episode, Ericka has a conversation with Dr. Joshua Golden D.D.S. about his perspective on dental billing challenges in his practice. Dr. Golden has a beautiful practice in Sunrise, Florida called West Sunrise Dentistry. He takes pride in providing his patients with top-level dentistry. Insurance reimbursements are simply not cutting it when it comes to covering the costs of goods which leads to many frustrations for a Dentist and practice owner. As billers, our job is to maximize every penny owed to the practice. Doctors appreciate these efforts as the dental insurance landscape continues to evolve less and less in the doctor's favor. We hope you enjoy this conversation between Ericka and Dr. Golden! Please feel free to tell us any questions you have by sending us an email. Follow Dr. Golden on IG: @thegoldendentistGot questions about this episode?Email: admin@dentalbillingcollege.comCall or Text: 714-477-0991 - Yes, a real person will respond! Instagram: dental_billing_coachLike always, we appreciate you! 

Do you prepare for your patient's appointments with a chart prep checklist? What about using a routing slip? In this episode, Ericka talks about the use of a routing slip and how you can create ease of flow by leveling up your chart preparation process. Want a copy of the routing slip that Ericka uses with her clients? Head over to our website and grab your copy there! www.hiddendentalprofit.comWe hope that you enjoy this shorty episode! With gratitude,The Dental Billing College

Part 2 of day 1 inside the lab! In this episode, Ericka continues to walk her students through the dental coding guide. Did you know that dentistry is divided into 12 categories of service? It is! As a dental biller, it is important to understand how to navigate through each category when you are looking for a code. This becomes even more important when you are learning to understand insurance categories of benefits. Listen in as the class wraps up on day 1 in the lab!Want to join the lab? It's never too late! Click the link below to gain access! The next sesh is on 2/28/23. Will we see you there?https://thedentalbillingcoach.com/thedentallabGot questions?Email: admin@dentalbillingcollege.comSee you in the lab!

Have you ever wanted to learn dental billing? In this week's episode, we share our first session in our new group coaching program The Dental Billing Lab.  This group training is designed for individuals with little to no experience in dental billing. It's not too late to join! Click on this link to join today! https://thedentalbillingcoach.com/thedentallabGot questions? Email Ericka: admin@dentalbillingcollege.comSee you in this episode, friends!!!With gratitude,The Dental Billing Team 

In this quick episode, Ericka talks about the differenc between D0150 vs. D0180 and why most offices are not utilizing D0180. She also get's into D4355 and the appropriate code to use in that situation. We hope you enjoy this shorty episode! Email Ericka: admin@dentalbillingcollege.com

Have you ever taken a moment to examine how you are managing the dental revenue cycle? In this episode, Ericka examines the dental revenue cycle and shares the areas she sees teams struggle to manage. From scheduling to closing the claim and everything in between, you're going to want to take notes for this one! Got questions for Ericka? Email: admin@dentalbillingcollege.comInstagram: @dental_billing_coach (Ericka's favorite social media platform-BTW!)TikTok: @dental_billing_coachFacebook: Dental Billing Coach Text or call: 714-477-0991Interested in learning more about The Dental Billing Lab?https://thedentalbillingcoach.com/thedentallabWe hope you've enjoyed this episode and as always see you in the next episode!

Do you know what Locum Tenens is and how it applies to us as billers? This is when we hire a temporary doctor to cover the practice for a few days or weeks. Maybe our owner is going on vacation or had an emergency and needs time off but we do not want to stop production. Don't do what most offices do and bill with the owner as the treating dentist in box #53 on the claim form! That is bonafide FRAUD! In this week's episode, Ericka talks about Locum Tenens and what you need to know about it when we need to know about it from a billing standpoint. Be sure to take notes because this is a short yet powerful episode. Enjoy! Link to ADA article Ericka used to create this episode:https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/practice/dental-insurance/assuring_accuracy_of_claims_as_a_treating_dentist_93h_final_05132022.pdf?rev=87fe721d470c4ec2a961a50350df5901&hash=75F89E1349B3257B63E617574F0275E9Got questions?Email: admin@dentalbillingcollege.comTEXT: 714-477-0991Follow Ericka on Instagram for more billing tips!@dental_billing_coach

Got questions?Email: admin@dentalbillingcollege.com

This is a recording of a live virtual workshop we hosted last week on the topic of "Messy A/R Clean-Up". We had a blast with the audience and since we had an overwhelming response to do a replay-we thought we would put the recording up for everyone to hear! For questions email:admin@dentalbillingcollege.comEnjoy!