Hi, I'm Becky Gerber, owner and lead instructor at Academy of Dental Practice Careers. As you know, billing medically necessary dental procedures to a patient's medical insurance carrier is becoming a necessity in today's market. Here at ATPC, we have designed a video that is intended to teach you how to fill out the current CMS 1500 medical claim form section by section. We are using a simple sleep apnea case study as our example. Now, before we get started, it is our assumption that you already have the required documentation needed to proceed with submitting the claim. First of all, make sure to have your codebook. This is the one I use - the NDAS Medical Dental Coding and Fee Guide sixth edition, available at Medfees.com. If you prefer looking up codes online, here is a valuable resource: ICD-10data.com. And finally, if you want to look up the average UCR fees for your zip code, you can go to Fairhealthconsumer.org. The software that I prefer to use for generating a medical claim form is from Speedy Soft, which you can find at SpeedySoftUSA.com. I like it because it is reasonably priced and easy to use, plus it integrates well with most medical clearinghouses. Now that we're ready, let's get started. For our simulated sleep apnea case study, we are going to be using a patient named Willard P. Patient. Please remember, this is for example only, and we at ADPC highly recommend that you look up your own ICD-10 and CPT codes. Willard P. Patient came in with a chief complaint of fatigue, headaches, and dry mouth when waking up in the morning. He had a sleep study done on January 15, 2016, and the results were negative. The doctor did an assessment of the patient and advised the...
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