Payer Documentation Demands Are Increasing

Across a broad range of clinical areas, insurance payers are starting to become more demanding. They want to be sure that they are only paying out for appropriate procedures and medications, and as a dental provider, it’s important to have what they need. In...

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...

Make Revenue Cycle Choices That Count

Without a plan in place, your office could be leaving money on the table. That’s the simple truth when it comes to your revenue cycle, as there’s more to your practice than just treatment. You’re also a small business, and that means that you need to...

UPIC Contractors Audit Medicaid Claims

If you are a dental practice that accepts Medicaid, then you need to be aware. UPIC (Unified Program Integrity Contractors) are being used to specifically target dental claims to try to root out fraud, waste, and abuse. UPIC audits signal a federal investigation, so...

Streamline Your Revenue Cycle

You’re only as efficient as your diagnostics allow you to be. As a dental provider, you know that knowing where you’re at is a big part of staying safe, and that means that it’s a good idea to check out your revenue cycle from time to time. An office...

Streamline Your Practice With Effective RCM

You’re not just a smile’s best friend. You are also a small business, and if your practice is slipping up on that end of things, it can be tough. You need to know not only the science behind smiles, but also the basics of the business, so reach out to a...

They’re Looking For High-Specificity Codes

This year’s CDT update includes some major changes, and if you are not prepared for them, you could be leaving money on the table. The 2026 update includes 31 new high-specificity codes, as well as 14 revisions and 6 deletions. While these changes are intended...

Dental Reimbursement Is Evolving

As an oral health provider, you need to know how to navigate the world of insurance and government agencies. They have their rules and regulations about how claims are filed, and when they’re not quite right, you could be facing a denial or request for...