Understanding Medical Billing

Alex Vaughan, DDS

Purchase Information

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Overview

Understanding the ins and outs of medical insurance is beneficial to both dentists and dental staff who treat patients with sleep-related breathing disorders. This lecture provides valuable insight into the foundational structure of medical billing with practical applications for gathering policy information, determining benefits, authorizing procedures and submitting claims.

Objectives

At the conclusion of this lecture, participants will be able to:

Understand the principles governing Medicare and medical reimbursement;
Interpret medical insurance policies;
Apply appropriated diagnostic and procedural coding; and
Appreciate the requirements for Evaluation and Management (E/M) coding.

Target Audience

Dentists and team members treating patients with sleep-related breathing disorders.

Speaker Bio

Alex Vaughan, DDS, is a board-certified orofacial pain specialist and co-founder of Virginia Total Sleep in Richmond Virginia. Having started his dental career in the front office, he was “insurance minded” from the beginning. Seeing the urgent need for dental sleep medicine and orofacial pain services, he co-founded his practice with Dr. Michael Pagano on the foundation of medical billing and cutting-edge technology. By combining electronic medical records and his billing expertise, Virginia Total Sleep has reduced patient costs by 90% all while maximizing revenue and case acceptance rate.

Conflict of Interest Disclosure

Dr. Vaughan has the following conflict of interest to disclose:
He is a consultant for SomnoMed
The material presented in this lecture has no relationship with this potential conflict.

Additional Information

Content for this lecture was last reviewed and approved by the AADSM Director of Education on August 1, 2020. She does not have any relevant financial interest/other relationships to disclose.

Duration: 2 hours
Original release date: December 21, 2020
Expiration date: None

This educational offering was funded exclusively by the AADSM.

For questions regarding the content of this program or for technical assistance, contact the AADSM at info@aadsm.org or 630-686-9875.

Continuing Education

The American Academy of Dental Sleep Medicine is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ADA.org/cerp.

The American Academy of Dental Sleep Medicine designates this activity for 2.00 continuing education credit(s).

Summary


Availability:	On-Demand


Cost:	Member: $55.00 Non-Member: $75.00


Credit Offered:	2 CE Credits