Coding accuracy and documentation in dentistry
Let’s talk about something that’s not exactly a favorite topic, but trust us, it’s crucial: billing! Year after year, the number one reason patients leave negative reviews and even walk out the door is billing issues! Surprise bills? Not the kind of excitement we want in our lives! We bet everyone can recall a time when unexpected expenses made our stomachs drop—definitely not a fun experience! It’s important to look at coding accuracy and documentation in dentistry.
In a dental practice, mastering the ins and outs of patient accounts and billing is a must. Proper training and implementation are key! So, let’s dive into a couple of fun and effective ways to kickstart a clean billing system!
Coding with Accuracy
Sounds simple, right? You might be surprised to learn that inaccurate coding is one of the most common issues found during audits. It’s all too easy for practices to create their own codes or use the ones that “feel” right without checking the official definitions. Let’s avoid that chaos!
If this sounds familiar, know you’re not alone—and there’s help available! Here are a few quick tips to guide you:
- Grab a Coding Book: A handy CDT reference book (check it out HERE) can boost your confidence and accuracy on the fly.
- Join Dental Billing Groups: Connect with fellow pros on platforms like Facebook for tips and support.
- Check Out Dental A Team’s Doctor Mastermind Group: This community is a fantastic resource for sharing insights and strategies.
- Take a Coding/Billing Course: Investing in a course through a trusted provider can pay off big time!
Documentation Matters
Now, coding isn’t the only piece of the puzzle—documentation is next in line! Once you’ve nailed down the right codes, make sure you’re properly documenting the procedure and conversations during appointments. Common oversights include:
- The reason for the diagnosis and your observations.
- Key discussions with the patient about what’s needed and the consequences of not completing treatment.
- The patient’s decisions regarding treatment options.
- Referrals to other specialists.
- All necessary x-rays, scans, and photos.
Creating a solid plan is where the magic happens! Start with where you are, identify areas for improvement in coding and documentation, and focus on making small, consistent enhancements.
Let’s tackle these billing woes together and elevate your practice to new heights!
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We are happy to help you in your practice ownership journey so if you have any other questions about coding accuracy and documentation in dentistry, feel free to reach out! Send us an email at [email protected].
