INSURANCE REIMBURSEMENT AND THIRD PARTY ISSUES

The AAP offers its members a wide array of assistance related to insurance reimbursement and third party issues.

MEMBERS ONLY RESOURCES:

• Insurance Policy StatementsOfficial policy statements of the AAP intended to help practitioners in adjudicating claims with third party carriers./li>
• Insurance Claim Forms
• Dental Claim Examples
• Ask the Coding Coach, (appears in each issue of Periospectives)
• Additional Member Resources for Insurance Reimbursement and Third Party Issues
  THE AAP’S COMPREHENSIVE PERIODONTAL INSURANCE WORKSHOPS
• REGISTER NOW!

Speaker
Pamela Throw, third party specialist for the AAP. Ms. Throw has disclosed that she has no relevant financial relationships with commercial entities.

2018 Dates

• Thursday, April 19, 2018 (Dental)
• Friday, April 20, 2018 (Medical)
• Thursday, May 17, 2018 (Dental)
• Friday, May 18, 2018 (Medical)
• Thursday, July 19, 2018 (Dental)
• Friday, July 20, 2018 (Medical)

Dental & Medical Workshop Schedule

• Morning session: 9 – 11:45 a.m.
• Lunch: 11:45 a.m. – 12:15 p.m.
• Afternoon session: 12:15 – 2 p.m.

Location

All workshops will be held at the

737 N
Michigan Ave, Suite 800, Chicago, IL 60611.

Registration fees for AAP members and office staff

• $399 per session for members and staff / $499 non-members.
• $699 for combined courses for members and staff/ $799 non-members. Save when you register for both sessions!

Registration includes:

• Continental breakfast, lunch, and refreshments
• Workshop materials
• Valuable Q&A time with AAP’s third party specialist

Audience

Periodontists and office staff

New Format Highlights

Combined dental and medical sessions are being offered back to back to make the most of your time with each type of insurance procedure (medical or dental) and to accommodate extra time for valuable Q&A. Save by signing up for both medical and dental sessions.

Dental Workshop Description

This workshop will educate attendees about dental coding relevant to a periodontal practice. Content is intended for staff new to coding and/or reimbursement for periodontal procedures. This course will identify the typical procedure codes submitted in conjunction with treatment provided by the periodontist. Participants will receive a handout of information to be covered in the presentation.

Educational Objectives

At the conclusion of this presentation, participants should be able to:

• Apply American Dental Association CDT 2018 codes properly for dental insurance submission
• Identify what procedure codes need documentation and attachments when submitting claims
• Review through designated Q&A session

The American Academy of Periodontology designates this activity for 4.5 continuing education credits. The AAP cautions participants for this CE activity about the potential risks of using limited knowledge when incorporating new techniques and procedures in their practice.

Medical Workshop Description
This session will focus on submission of dental procedures to medical insurance. There will be an overview of CPT (medical procedure codes) and ICD-10-CM (diagnosis codes), related to periodontal procedures submitted to medical insurance. Attendees will also receive a handout of the presentation.

Educational Objectives
At the conclusion of this presentation, participants should be able to:

• Explain the basic structure of medical coding and recognize appropriate indications for submitting to medical insurance
• Review the new CMS-1500 Medical claim form
• Implement ICD-10-CM diagnosis codes into medical insurance
• Review through designated Q&A session

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 the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

The AAP cautions participants for this CE activity about the potential risks of using limited knowledge when incorporating new techniques and procedures in their practice.

CODING QUESTIONS OR HELP WITH INSURANCE CLAIMS
Members seeking assistance with dental or medical coding or in managing a complex insurance claim can contact the AAP’s third party specialist, Pam Throw, at (312) 573-3241 or pamela@perio.org.

HOST A COMPREHENSIVE INSURANCE WORKSHOP
Members who wish to host a Comprehensive Insurance Workshop for staff should contact Pam Throw at 312-573-3241 or pamela@perio.org for more information on pricing and available dates. State and regional periodontal societies may also be interested in offering a Workshop for members. CE credits may be available.

Questions? Contact the AAP’s Continuing Education Department at 800-282-4867, ext. 3216 or continuingeducation@perio.org.