Module 1: Dental-related anatomy and medical terminology
- Introduction to Medical Terminology
- Overview of Oral Cavity Anatomy
- Hard and Soft Palates
- Oral Mucosa and Lining Tissues
- Tissues Lining the Inner Cheeks
- Anatomy of Teeth and Supporting Structures
- Anatomical Terms of Location and Direction
- Common Medical and Dental Conditions Terminology
- Pharmacological Terms in Dentistry
- Integration with Dental Coding
Module 2: Overview of ICD-10-CM coding for dental conditions as well as other conditions seen in dentistry
- Introduction to ICD-10-CM
- Structure and Format of ICD-10-CM Codes
- Common Dental Diagnoses and Corresponding ICD-10-CM Codes
- ICD-10-CM Coding for Oral Lesions and Soft Tissue Conditions
- Systemic Conditions Relevant to Dental Practice
- ICD-10-CM Codes for Trauma and Injuries
- Z-Codes and Social Determinants of Health
- Documentation Requirements for Accurate ICD-10-CM Coding
Module 3: Overview of dental conditions related to neoplasms and the digestive system
- Introduction to Neoplasms in ICD-10-CM
- Malignant Neoplasms Affecting the Oral Cavity
- Benign Oral Neoplasms and Tumor-Like Lesions
- Oral Manifestations of Gastrointestinal Diseases
- Digestive Disorders and Their Relevance in Dentistry
- K00–K14: Diseases of the Oral Cavity, Salivary Glands, and Jaws
- Neoplasms as Secondary Diagnoses in Dental Care
- Documentation and Coding Guidelines for Neoplasms
Module 4: Introduction to CPT®, HCPCS Level II, and modifiers
- Overview of CPT® Coding System
- Introduction to HCPCS Level II Codes
- Understanding the Use of Modifiers
- Common CPT® Modifiers in Dental Settings
- Common HCPCS Level II Modifiers
- Anatomic Modifiers in Dental Coding
- Proper Application of Modifiers
- Modifiers and Dental Insurance Policies
Module 5: CDT® coding by section
- Introduction to CDT® Coding System
- Preventive Procedures (D1000–D1999)
- Diagnostic Procedures (D0100–D0999)
- Restorative Procedures (D2000–D2999)
- Endodontic Procedures (D3000–D3999)
- Periodontic Procedures (D4000–D4999)
- Prosthodontics - Removable (D5000–D5899)
- Prosthodontics - Fixed (D6200–D6999)
- Oral and Maxillofacial Surgery (D7000–D7999)
- Orthodontic Procedures (D8000–D8999)
- Adjunctive General Services (D9000–D9999)
- Documentation, Nomenclature, and CDT Code Updates
Module 6: Billing and Revenue Cycle
- Introduction to Medical vs. Dental Billing
- Overview of the Dental Revenue Cycle
- Claim Submission Processes in Dental Billing
- Coordination of Benefits (COB) and Dual Coverage
- Handling Denials, Appeals, and Re-submissions
- Technology and Software in Dental Billing
- Importance of Documentation and Code Accuracy
- Ethical and Legal Considerations in Dental Billing
Module 7: Claim forms
- Introduction to Dental Claim Forms
- Overview of the ADA Dental Claim Form
- Key Fields and Data Entry Guidelines
- Common Errors and How to Avoid Them
- Attachments and Supporting Documentation
- Electronic vs. Paper Claim Submission
- Updating to the Latest Claim Form Standards
Module 8: Cross Coding
- Introduction to Dental-to-Medical Cross Coding
- Identifying Dental Procedures That May Qualify for Medical Billing
- Medical Necessity and Documentation Requirements
- Code Sets Used in Cross-Coding (CDT®, CPT®, ICD-10-CM, HCPCS)
- Completing the CMS-1500 Medical Claim Form
- Prior Authorizations and Pre-Determinations
- Coordination of Dental and Medical Benefits
- Handling Rejections and Denials in Cross Coding
- Legal and Ethical Considerations
Module 9: Overview of sleep apnea, TMJ, tissue abnormalities, and third molar extractions
- Introduction to Temporomandibular Disorders (TMDs)
- Signs, Symptoms, and Causes of TMJ Problems
- Diagnostic and Procedure Coding for TMJ
- Overview of Obstructive Sleep Apnea (OSA)
- Dental Roles in Sleep Apnea Management
- Coding Sleep Apnea-Related Appliances and Services
- Identifying and Documenting Oral Tissue Abnormalities
- Coding for Tissue Biopsies and Pathology Services
- Third Molar (Wisdom Tooth) Extraction Overview
- Coding for Third Molar Extractions

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