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The Complete Dental Billing & Insurance Handbook: Claims, Denials, Narratives, and Revenue Cycle Operations for the Dental Practice - Tapa blanda

Libro 17 de 21: Clive Finch Certification Exam Prep Series

Finch, Clive

 
9798170004669: The Complete Dental Billing & Insurance Handbook: Claims, Denials, Narratives, and Revenue Cycle Operations for the Dental Practice

Sinopsis

A dental claim is never just a code — it's a chain of decisions that starts at check-in and doesn't end until the balance hits zero. This handbook walks that entire chain, from the moment a patient's benefits are verified through submission, denial, and appeal, and gives billers, treatment coordinators, and office managers a working reference for every stage in between.

Inside, you'll find plain-language coverage of how dental insurance is actually structured — annual maximums, waiting periods, frequency limits, and the missing tooth clause that catches even experienced staff off guard. A full field-by-field walkthrough of the ADA claim form. A category-by-category breakdown of CDT coding logic that doesn't go stale when the code numbers change every January. And the two chapters most billing books skip entirely: how to write a clinical narrative that actually gets a claim paid, and how to cross-code a dental procedure onto a medical claim when that's where the reimbursement really is.

The back half of the book is where the real money gets recovered: denial categories and how to prevent them, appeal letter structure that gets results, accounts receivable aging discipline, fee schedule negotiation, and the HIPAA considerations that touch every claim a practice submits. Eight composite case studies walk through common denial patterns start to finish. A full glossary and an appendix of ready-to-use templates — narrative templates, an appeal letter template, a denial log, an A/R aging tracker — turn the book into something your team can actually put to work on Monday morning.

Written for anyone who touches a dental claim: front desk staff verifying eligibility, treatment coordinators presenting cost estimates, billers building narratives and working appeals, and office managers watching the practice's overall financial health.

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