The Dental Billing Podcast

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 Cutting corners, skipping steps, and clinging to outdated "backyard billing" habits can quickly put a target on your practice.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:
[email protected]
Schedule 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 [email protected]

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:
[email protected]
Join us in the lab: thedentalbillingcoach.com/frontofficelab
Would you like to schedule a FREE 30-minute consultation? Spots are limited to 4 per month. Email your request to:
[email protected]

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

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:
[email protected]
Email Jen:
[email protected]
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 [email protected]

Got questions? Send Ericka a Text!

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:
[email protected]
Enjoy!

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:
[email protected]
Schedule 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 [email protected]

Got questions? Send Ericka a Text!

The power of ICD-10 codes used with CDT codes is what Ericka covers in this week's episode. She talks about how she recently saw an EOB that rejected a claim for fillings because the insurance payor wanted appropriate ICD-10 codes on the claim form.
Listen in as Ericka breaks down why every office should be incorporating diagnosis codes into their billing departments.
With gratitude,
The Dental Billing College Team
Follow us on Instagram: @dental_billing_coach
Email questions: [email protected]

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:
[email protected]
Schedule 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 [email protected]