Most cases of chronic gum disease are successfully controlled by removing bacteria and calculus during periodontal scaling and root planing. What scaling and root planning does is try to clean the root surface of the tooth so that the gums can re-attach and reduce this pocket a bit. Your dentist may diagnose you with periodontitis during a dental check-up. Such companies will provide the services of skilled AAPC-certified coders and expert billing specialists who can ensure that your practice has only fewer accounts receivable and unresolved dental claims. The impact of vaping on periodontitis: A systematic review. Uses the same tooth scaling tools to chip tartar from the roots, making them smooth. Dear Mr. East, I am writing to appeal the denial of my claim number 789 for my root scaling Floss every day. employer's claims history, or recommendations of their benefits An appeal letter for scaling and root planing is a letter that is written to request reconsideration of a denied dental insurance claim for the procedure. WebPerioChip is indicated as an adjunct to scaling and root planing procedures for reduction of pocket depth in patients with adult periodontitis. Smiley CJ, et al. It may be done using instruments, a laser or an ultrasonic device. If you develop a severe gum disease called periodontitis, you may need tooth scaling and root planing to remove tartar and treat inflamed gums. Also include your policy, group and claim numbers in your appeal letter. It is also known as deep cleaning. Tooth Scaling & Root Planing: Deep-Cleaning Treatments In some j|r?O__`lMoDrWw_wO37y-:=Mt]jox_?Mj||Z|K_=}wFV|M_5W^imV3jwhd_)dI} \*\-o.si3tMW|7/Tw6/&_"pvyOMm6_jo>Heo)7R? NOTE: It is important to provide clear and detailed information in the appeal letter, including the date of the procedure, the dental office where it took place, and the reason for the procedure. Dental billing services provided by experienced medical billing companies can help dental practices meet their medical billing and claim submission requirements. 2 0 obj Dealing with insurance companies and claim denials is a frustrating task for all dental offices. *.^oN? Frontiers in Medicine. The ADA Council on Dental Benefit Programs notes that a single Gondivkar SM, et al. Youll usually need more than one appointment to treat all of your teeth. Get regular professional dental cleanings on a schedule recommended by your dentist. Review the denied claims to check whether the procedure codes reported are correct. I have included copies of the following documents with this letter: I respectfully request that you reconsider your decision and cover the cost of the scaling and root planing procedure. MFk t,:.FW8c1L&9aX: rbl1 Scaling and root planing typically leave gums painful for a few days and the teeth sensitive for up to a week. from one customer to another within a single payer's book of business. The Focus on what you do best and we will do the rest. Required fields are marked *. The goal of treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding gum tissue and bone. The procedure gets rid of tartar (hardened minerals) that can adhere to your teeth. Use the right CDT codes without errors Have your dentist compose a letter of appeal to get your dental insurance to reconsider coverage for a service deemed unnecessary in an earlier claim. 8596 E. 101st Street, Suite HTulsa, OK 74133, Medical BillingMedical CodingVerifications & AuthorizationsDental BillingAR Management, CPC: Director of Revenue Cycle Management, CPC: Senior Solutions Manager: Practice and RCM, Outsource Strategies International.
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