Limoli & Associates | P.O. Box 420505 | Atlanta, GA 30342 1-800-344-2633 [email protected]

When Coding Has Nothing to Do with Code Numbers – Sept 2016

Here we go again. The American Dental Association has yet another revision to Code on Dental Procedures and Nomenclature. Is it going to make your life any better? Will it bring you any additional revenues? Was the word “surgical” really that offensive thus requiring the redefinition of over three dozen procedure codes? Let’s move beyond the scope of NDR and address the real heart of the reimbursement challenge…

D7465: It’s a Laser, Now What? – August 2016

The laser has continually evolved into becoming one of the most powerful operative tools available to dentistry. Its many variations and flexibilities allow for today’s clinician to not only simplify, but also streamline most facets of specialty and general dentistry. It’s a hot topic of late as more dentists are considering the purchasing of lasers but yet are wondering, “Where do I go from here?” This is a broad question that when broken down really asks, “What is the best way to bill and see a return on my investment, AKA the laser?”

D4346 Advanced Prophy Difficult? – July 2016

How is changing a bunch of definitions going to simplify and streamline the overall reimbursement process? Answer – it won’t. We have got to understand that insurance companies and third party administrators pay, by contract, toward the overall costs for completed procedures.

Now why is the reincarnation of D4346 merely a symptom of a greater problem? Let’s look at the actual sub components of its ancestors and see if the solution does not automatically appear…

D4346 vs. 04345 — June 2016

On May 17th of this year, the American Dental Association (ADA) released a 10-page publication entitled “A Guide to Reporting D4346 – A resource guide from the ADA developed to educate dentists and others in the dental community on the newly approved scaling code for CDT-2017 that will be effective Jan 1, 2017.”

Although well intended, the document lacks specificity if, in fact, its intent was to guide the reader in the anticipated appropriate use of this newly re-resurrected procedure code. Its failure is as simple as the definition of insanity whereby again doing the same action in anticipation of a different result.