When you work in the dental field, your team needs to know how to code. You also need to know what insurance payers are looking for, and now that they are starting to adopt Artificial Intelligence to identify outliers, coding has changed. Now, they can scan thousands or even millions of dental claims in an instant to find statistical anomalies, and that’s leaving many multi-specialty practices in a tough spot. Working with a trusted team for your claim compliance can be a real help here.
Our office at Dental Auditing Solutions works to help teams know their stuff. We stay up to date with the latest in dental billing and coding so that you’ve got a real resource when you need it, and for many practices, AI is top of the mind. Practices that perform General Dentistry, Endodontics, and Orthodontics all under one roof need to know how to show that they are doing everything like they are supposed to. And when an audit comes your way, we’re here to help you know your next steps there, too.
Billing specialized treatment alongside general care can seem suspicious. To know more about how to handle that, call Dental Auditing Solutions.
Payers Are Increasingly Relying On AI
It seems like every industry out there is frantically trying to see where AI technology can be used to operate more efficiently, and insurance companies are no exception. They are increasingly using AI during the claims process to identify problem claims in an instant. While that can be an advantage for them, it’s leaving some practices scratching their heads.
So, it’s important to stay up to date with what payers are looking for. Compliance is always changing, and making even the smallest mistake could end up in a recoupment situation.
Multi-Specialty Practices Are In The Crosshairs
In order to make sure that you’re acting in your best interest when sending in claims, it’s important to know what they’re looking for. There is definitely one thing to keep in mind, too. Since AI uses massive amounts of information to quickly analyze data, it can spot outliers easily.
That can become an issue for multi-specialty practices out there. When you send in a highly specialized code, like for an endo procedure or orthodontic treatment, it might seem unusual as an office that’s classified as one that focuses on General Dentistry. We can help you to use effective, bulletproof documentation to prove your case.
Stay Compliant With Dental Auditing Solutions
If your office is struggling to keep up with AI developments in the dental world, you’re certainly not alone. To find out more about how to avoid triggering audits, call Dental Auditing Solutions at (972) 459-1508 today.