Common Red Flags in Dental Billing

Dental providers need to know how to navigate payer systems, because without accurate information, you’re bound to make mistakes. Now that private insurance companies and government agencies are using artificial intelligence tools, too, there are more ways than...

Outliers Can Trigger Audits

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...

Trouble Understanding Your Dental Audit?

It can happen when you’re least expecting it. An envelope from a private insurance payer or a government agency letting you know that they want to know a little bit more about your process. Audits and investigations are unfortunately an integral part of our...

We Can Help Navigate An Audit

When you receive a notification from an authoritative entity, the whole world can stop spinning for a moment. But since audits are an unfortunate fact of life in your industry, you need to know how to navigate an audit from a private or commercial payer, a government...

Be Prepared For An Audit

Compliance is not sexy nor fun to talk about. As a healthcare professional, you need to take steps to stay compliant, especially if you accept government programs like Medicaid, and Tricare. Medicare only in surgical and reconstruction cases are covered.  But even if...

Navigating An External Dental Audit

Dentists may sometimes need to undergo an audit by a private payer or a government entity, and when this happens, it can slow down your payments or even lead to a recoupment demand. This means that it is important to maintain your reputation through accurate and...