Welcome to Medical Billing in a Dental Office!
Why Medical Billing?
Lets Get Started!
Step 1: VOB's
Step 2: Pre-Authorizations
Step 3: Treatment Planning!
Did you know??
Step 4: Billing Medical Insurance
Step 5: Claims! FOLLOW UP
Now, we need your help!

What does it mean when a commercial non-Medicare medical insurance states that a policy follows Medicare Guidelines and what does that mean for treatment?

The mmRNA while not yet on the Medicare PDAC approved list does follow Medicare guidelines. This means if a policy follows Medicare guidelines you can bill the mmRNA to that policy utilizing the standard E0486 code. Guidelines for OSA policies for each insurance company are usually found on their website as well.

Does Medicare accept paper claims, or do they require electronic claim submission?

It depends on the number of full-time employees in your practice. The Administrative Simplification Compliance Act (ASCA) prohibits payment of initial health care claims not sent electronically as of October 16, 2003, except in limited situations:

Can a patient submit their own claims to Medicare?

A patient is always welcome to file their medical claims to their insurance carrier. If the dentist is not registered with Medicare the patient runs a high risk of denial. While not every claim will deny most will if the provider is not registered with Medicare.