Navigating the Dental Insurance Landscape: Optimizing Benefits Reimbursement by Dr. Dominique Fufidio
About This Event
This course is designed to assist dental offices in comprehending the dental insurance claims review process. It provides valuable insights to improve benefits reimbursement success rates. The course emphasizes the distinctions between benefit determinations and treatment recommendations. It also covers a review of criteria for CDT code categories, supported by clinical use case examples. Additionally, participants will learn about the utilization of AI within the dental market. By integrating these concepts, the course aims to align dental professionals, patients and insurance providers to ensure accurate compensation for provided treatments.
Learning Objectives
- Better understand the criteria that payers consider when establishing medical necessity for benefit determinations and claim payment.
- Differentiate between a benefit determination, a benefit recommendation and a treatment recommendation to accurately navigate the claims process.
- Align clinical documentation and claim submission attachments with the specific requirements necessary to enhance benefit reimbursement rates for targeted CDT code categories.
- Gain insight into the role of AI within both the payer market and dental provider's office.
- Ensure proper reimbursement for services rendered.
Additional Event Information
Target Audience
Dental professionals, dental office staff.
Event Format
On-demand
CE Credits
1.75*