Jeffrey Carter
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4 votes
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32 votes
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An error occurred while saving the comment Jeffrey Carter
commented
You must learn the difference between programing and payment rules. The multiple procedure reduction is a payer standard. The payer systems are fixed to edit at 100%, 50% and 25%. This is different from dental. If a code is used multiple times it needs a modifier -- or else the processor assumes it is a double bill. If using implants -- would need a unique modifier like tooth number or quadant. -- but will still expect discount pricing!
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7 votes
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An error occurred while saving the comment Jeffrey Carter
commented
This is a huge problem in a multiple site practice. If the system advertises line item posting, the posted funds should be trackable to the site of serivce.
This should be a standard default as it reflects what was on the origional claimsJeffrey Carter
supported this idea
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This is a new issue for all and we all need help with the process of downloading ACH payments, posting them, and then balancing back to the ACH to verify that all the funds are applied.
This should be addressed at the work shop because the medical is far ahead of the dental and will lead the technology