Common concerns reported to the American Dental Association by member dentists are denials for scaling and root planing claim submissions (D4341 and D4342). Dentists want to know why the treatment plan agreed upon by their patient may be denied. In addition, dentists want to know why substantial documentation is needed to adjudicate SRP claim submissions.
Navigating Scaling & Root Planing Claim Submissions will live stream Aug. 24 from noon-1 p.m. Central time and is worth one hour of continuing education credit.
Jessica Stilley-Mallah, D.M.D., Council on Dental Benefit Programs chair, and Mark Johnston, D.D.S., Dental Benefit Information Subcommittee chair, will host the webinar along with Dr. Stewart Balikov, national dental director of Elevance Health.
“This is a must-see webinar for any dentist who has ever had an SRP claim denied,” said Dr. Stilley-Mallah.
She said the webinar presenters will discuss claims submission expectations and why information and documentation are necessary to properly adjudicate claims and the importance of submitting diagnostic quality radiographic images, accurate periodontal charting and narrative descriptions which are clear and legible.
Dr. Stilley-Mallah and Dr. Johnston will also present the ADA’s views based on best practices and policy adopted by the ADA’s House of Delegates.
“Dentists and their staff will be directed to educational online resources that will help practices when it comes to submitting claims for scaling and root planing,” said Dr. Stilley-Mallah.
The ADA is working to support members by providing valuable, educational and ready-to-use resources on dental insurance, which includes a long and short version of an educational guide titled “Claims Submission: Scaling and Root Planing.”