New Dental Coding System Improves Reimbursement for Dental Professionals

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All dentists and oral surgeons must report CDT 2009-2010 codes for all professional services performed on or after January 1, 2009. The new codes, mandated by the Health Insurance Portability and Accountability Act (HIPAA), are designed to improve the billing process for dental services.

Proper coding is the key to maximizing reimbursement and minimizing audit liability. All dental professionals must make sure that their coding and billing staff is using the most current codes for reporting dental services on insurance claims. Using older versions of these codes after the implementation date can result in lower reimbursement, and even fines and penalties.

Dentists and oral surgeons are required to report CDT 2009-2010 codes on dental insurance claims for all services performed on or after January 1, 2009. The new codes will improve reimbursement and reduce audit liability for dental professionals.

In order to be paid by insurance companies dental professionals must submit insurance claims that report the services provided. To facilitate this process, dentists and oral surgeons use a coding system, known as Current Dental Terminology (CDT). Each CDT code defines a specific dental service or procedure. Use of the correct code improves the potential for full reimbursement and also reduces liability, in the form of fines and penalties, in the event of an audit of billing records.

CDT codes are revised every two years by the American Dental Association (ADA) and are mandated by the Health Insurance Portability and Accountability Act or HIPAA. The ADA recently announced the forthcoming publication of Current Dental Terminology 2009-2010. The new codes will be released in October and dental professionals are encouraged to place orders as soon as possible in order to guarantee receipt of the codes before the implementation deadline.

James B. Davis, President of PMIC, a major reseller of CDT, stated "Proper coding is the key to maximizing reimbursement and minimizing audit liability. All dental professionals must make sure that their coding and billing staff is using the most current codes for reporting dental services on insurance claims. Using older versions of these codes after the implementation date can result in lower reimbursement, and even fines and penalties."

American Dental Association, "ADA", and the ADA Logo are registered trademarks of the American Dental Association. The Code on Dental Procedures and Nomenclature (Code) is published in Current Dental Terminology (CDT). Copyright © American Dental Association. All rights reserved. CDT and CDT-20XX are trademarks of the American Dental Association.

About Practice Management Information Corporation (PMIC):

PMIC is the nation's leading independent publisher and reseller of medical and dental coding and compliance books, forms and software. Serving over 100,000 dentists, physicians, hospitals and third party payers, PMIC takes great pride in providing current, accurate, and unbiased information, along with excellent service and value, to all of its customers.

Contact:

James Davis, President
Practice Management Information Corporation
4727 Wilshire Boulevard #300
Los Angeles, CA 90010
323-954-0224
http://pmiconline.com

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