Effective Strategies for Optimizing Dental Benefits Reimbursement

This course aims to help dental teams understand the dental insurance review process of the payer market, as well as the most common criteria reviewed. Throughout the course, attendees will delve into the most common dental claim concerns with an established Dental Claim Reviewer, and emerge equipped with practical strategies for success.

Course objectives: 

• Align clinical documentation and claim submission attachments with the specific requirements necessary to enhance benefit reimbursement rates for targeted CDT code categories
• Insights into the criteria payers utilize when assessing the medical necessity for benefit determinations and claim payment for dental procedures
• Clarify the key differences between a benefit determination, a benefit recommendation, and a treatment recommendation, helping you understand the varying roles and implications of each
• Discover the differences between fraud, waste, and abusive practices and identify potential compliance issues in your practice
• Learn about the impact of Artificial Intelligence (AI) on the dental insurance payer market

Length: 1 HOUR | Credits: 1.0 CE | AGD Code: 554 – Dental Insurance (Practice Management)