Roy Shelburne, DDS

Description

Description\nWhen the practice is paid rapidly and appropriately, things are good; however, when there are delays, denials, and requests for additional information, thing are not quite so good. Mistakes can be devastating to the practice.\nDuring the investigation as well as in the preparation for and during my trial it became apparent that my\nbilling and coding systems\nwere faulty. I now educate others so that they can bill and code appropriately. My message is; it is possible to implement systems that can form a proactive defensive systemic approach that will result in maximum legitimate reimbursement. To be prepared for this challenge the team must be careful, concise, complete, and diligent. Learning and implementing my approach will result in higher reimbursement while reducing the risk associated with the coding piece of the practice. If the deficiencies in your systems are ignored both doctor and staff are at risk.

Learning Objectives

• To recognize the dangers in coding improperly and benefits of coding properly
• To know the most commonly misused codes and how to avoid the “usual” errors
• To appreciate the “magic words” that help unlock reimbursement
• Become knowledgeable about the 2023 CDT code changes and how to apply them
• To be able to develop systems that result in timely payment, minimize delays, denials, and requests for additional information
• To keep everyone on the team paid protected and out of prison.

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