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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.
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Creation of the claim is where medical billing most directly overlaps with medical coding because billers take the ICD/CPT codes used by the medical coders and creates the claim. Step 6: Monitoring payor Adjudication [4] Once the payor receives the claim, they review it to determine whether it is accepted, denied, or rejected.
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The American Dental Association (ADA) is an American professional association established in 1859 which has more than 159,000 members. Based in the American Dental Association Building in the Near North Side of Chicago, [8] the ADA is the world's largest and oldest national dental association. The organization lobbies on behalf of the American ...
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