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This article discusses Aetna Medicare Advantage plans and dental care coverage. It also looks at eligibility for Aetna plans and some of the costs. Glossary of Medicare terms
In addition, payment to dental professionals is based on the CDT code(s) reported on the ADA Claim Form, so using the most current codes helps to maximize reimbursement and minimize audit liability. [6] In the near future, dental professionals will be required to use diagnosis codes in support of the procedures and services they provide.
Medicare Advantage (Medicare Part C) is a form of Medicare that private insurance plans offer. Some plans offer coverage for routine dental care, though plans vary depending on the network of ...
Such coding is necessary for Medicare, Medicaid, and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner. Initially, use of the codes was voluntary, but with the implementation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) use of the HCPCS for ...
Geographic Practice Cost Index is used along with Relative Value Units by Medicare to determine allowable payment amounts for medical procedures. There are multiple GPCIs: Cost of Living, Malpractice, and Practice Cost/Expense. These categories allow Medicare to adjust reimbursement rates to take into account regional and practice-specific ...
Poor dental care can lead to health problems that go beyond just your teeth -- especially for older people. This is a big problem in the United States, where many seniors don't have any dental ...