The following index may help long-time subscribers locate past articles. You can also search for an article by key word in the Online Library, which is located under the Newsletter Menu above.
Title Issue Date    Page Number Keywords / Codes Author

The Keys to TMJ Appliance Coverage 2009 Nov / Dec    1 TMJ, TMD, temporomandibular joint syndrome, jaw pain, clicking, popping, grating, crepitus, deviated opening, muscle spasms, headaches, tinnitus, bruxism, trauma, ankylosis, degenerative arthritis

Red Flags Compliance Deadline Extended to June 1, 2010 2009 Nov / Dec    1 Deadline postponed once again to June 1, 2010

Key TMJ Terms 2009 Nov / Dec    2 Adhesions, ankylosis, articular, condyle, crepitus, disc, extra-articular, interincisal opening, internal derangement, lateral excusive movement, mandible, meniscus, myofascial, NSAIDs, occlusal splint, orthognathic surgery, temporal bone, temporomandibular joint, TMJ, temporomandibular joint dysfunction (TMD), tinnitus, trismus

Potentially Associated ICD-9 Diagnosis Codes for TMJ Services 2009 Nov / Dec    4 ICD-9 Codes

Sample Medical Policy for TMJ Occlusal Orthotics 2009 Nov / Dec    5 Physical therapy, medical necessity, clinical signs and symptoms, extra-articular pain, painful chewing, restricted range of motion, intercisal opening, lateral excursive movement, deviated opening, orthotic adjustments, manipulation of the jaw, TENS, acupuncture, trigger point injections

How Do We Report Smoothing Teeth? 2009 Nov / Dec    6 Enameloplasty, occlusal adjustment, orthodontics, reshaping a root, odontoplasty, D9971

Coding a Caries Infiltrant: ICON 2009 Nov / Dec    6 Infiltrant resin, caries infiltrant, DMG America

American Society of Temporomandibular Joint Surgeons (ASTJS) 2009 Nov / Dec    6 Diagnosis and Management Guidelines

United Healthcare Revises Periodontal Maintenance Policy 2009 Nov / Dec    7 D4910, United Healthcare, chronic periodontal disease, bone loss, Michael Weitzner, DMD, MS, Vice President of National Clinical Operations

Basic vs. Enhanced Oral Cancer Exams 2009 Nov / Dec    8 ViziLite Plus and VELscope

How Can We Get Crown Buildups Paid? 2009 Nov / Dec    9 Core buildup, prep vs. seat date, contract exclusion, CAD/Cam technology

Which Claims Do You Have The Most Difficulty Getting Paid? 2009 Nov / Dec    9 Crown & bridge, buildups, onlays, implants, periodontal services, oral surgery

Sample Buildup Narratives 2009 Nov / Dec    10 What do you estimate to be the ratio of crowns to buildups performed in your practice?

Balance Billing Prohibited for Workers' Comp Claims 2009 Nov / Dec    11 Work-related dental injuries, SOAP, statutory regulations, state workers' comp claims, federal workers comp claims, workers' comp carrier letter

Dental Services Covered by Traditional Aetna Medical Plans 2009 Nov / Dec    12 Aetna Clinical Policy #0082

Full Mouth Extractions Prior to Radiation Therapy 2009 Nov / Dec    12 Neck cancer, oncologist, radiation therapy, E & M codes, CMS-1500 medical claim form, diagnosis codes, V07.8

Maximizing Collections in 2010 2009 Nov / Dec    13 Harlene Stevens, CPA, Improve Customer Service and Cash Flow, estimating benefits, offering discounts and payment options, sample financial agreement, payment options

Obtaining Reimbursement For Sleep Apnea Appliances 2009 Sept / Oct    1 Obstructive sleep apnea, snoring, snore guard, mandibular advancement devices, polysomnography, medical diagnosis codes:327.23, 780.51, 780.53, 780.57, CPT codes, 20189, 99070, AHI, RDI

Dentists Are "Creditors" Under Red Flags Rule 2009 Sept / Oct    1 Federal Trade Commission Red Flags Rule deadline extended

Key Sleep Apnea Terms 2009 Sept / Oct    2 Apnea-hypopnea index, obstructive sleep apnea, polysomnography, sleep study, respiratory disturbance index,

Clinically Significant Obstructive Sleep Apnea 2009 Sept / Oct    3 AHI, RDI, excessive daytime sleepiness, impaired cognition, mood disorders, insomnia, hypertension, ischemic heart disease, history of stroke

Common Coverage Criteria: Oral Appliances For Sleep Apnea 2009 Sept / Oct    3 Mild to moderate sleep apnea, polysomnography, reversible therapy, orthognathic surgery

What is a Network Gap Exception? 2009 Sept / Oct    4 Network gap, network deficiency, oral surgeons, general dentists, PPO plans, HMO plans

Patient Requires Oral Appliance Therapy: Diagnosis Sleep Apnea 2009 Sept / Oct    5 Gather information & records, check medical benefits, request a gap exception, obtain preauthorization, bill the initial evaluation & imaging, bill the oral appliance, bill each follow-up appointment

Maximizing Year-End Dental Benefits 2009 Sept / Oct    6 Harlene Stevens, CPA, make it personal, sample patient letter

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