2015 Annual Training Conference & Anti-Fraud Expo

Demystifying Oral and Maxillofacial Surgery: Extractions, Impactions, Anesthesia, Sleep Apnea Appliances, and Billing (Room Coronado B)

18 Nov 15
3:25 PM - 4:25 PM

Tracks: Detecting and Investigating Dental Fraud

Many dental providers - from general dentists to oral and maxillofacial surgeons - are upcoding simple extractions to surgical extractions. Providers are also upcoding impactions from soft tissue to complete bony extraction. This presentation will explore the differences between all of the extractions codes. Furthermore, dental providers can misrepresent which anesthesia technique they administer. Presentation attendees will learn how to dissect the dental chart to learn the techniques used and a reasonable amount of time for each procedure. Since sleep apnea is a current buzzword for dental providers, they often try to bill medical insurance for sleep apnea appliances, as the reimbursements are higher on the medical side. Presentation attendees will learn what a sleep apnea appliance is - not simply a device to stop bruxism - and when it is appropriate to bill medical insurance.