At MZ Medical Billing, we understand the unique challenges faced by Oral and Maxillofacial Surgery practices in managing their revenue cycle effectively. That's why we offer specialized medical billing services designed specifically to meet the needs of oral surgeons. Here's how our process works:

• Specialized Expertise: Our team consists of billing specialists with extensive experience and expertise in Oral and Maxillofacial Surgery billing practices. We understand the complexities of oral surgery procedures and insurance requirements, ensuring accurate coding and billing for services rendered.
• Claims Submission and Follow-Up: We handle the entire claims submission process on behalf of oral surgery practices, from coding and documentation to electronic submission to insurance companies. Our team diligently follows up on outstanding claims, resolving any issues and ensuring timely reimbursement.
• Denial Management: In the event of claim denials or rejections, we employ proactive denial management strategies to identify root causes, appeal denied claims, and prevent future denials. Our goal is to maximize reimbursement and minimize revenue loss for our clients.
• Patient Billing and Collections: MZ Medical Billing also provides comprehensive patient billing and collections services, including statement generation, payment posting, and follow-up on outstanding patient balances. We strive to optimize patient collections while maintaining positive patient relationships.
• Revenue Cycle Analysis: We offer detailed reporting and analytics on key revenue cycle metrics, allowing oral surgery practices to gain insights into their financial performance and identify areas for improvement. Our transparent reporting enables informed decision-making and practice optimization.
• Compliance and Regulatory Adherence: Our billing processes are fully compliant with HIPAA, CMS, and other regulatory requirements governing healthcare billing practices. We stay abreast of changes in regulations and industry standards to ensure ongoing compliance for our clients.
• Personalized Support: MZ Medical Billing provides personalized support and guidance to Oral and Maxillofacial Surgery practices, addressing any billing-related questions or concerns promptly and effectively. We serve as a trusted partner, dedicated to maximizing revenue and minimizing hassle for our clients.

Our Medical Billing Process

1. Patient Registration and Insurance Verification:
   • Patient Registration: We verify patient demographics, including name, date of birth, and address.
   • Insurance Verification: We verify patient insurance coverage, including the type of insurance, coverage limits, and any specific requirements or restrictions.
2. Medical Record Review and Coding:
   • Medical Record Review: We review medical records to identify all relevant services and procedures performed.
   • Coding: We assign relevant ICD-10 and CPT codes to ensure accurate billing.

Example Codes:

• Diagnosis Codes (ICD-10):
  • K04.0: Abscess of the mouth
  • K04.1: Abscess of the jaw
  • K04.2: Abscess of the tongue
• Procedure Codes (CPT):
  • D8040: Extraction of tooth, including anesthesia
  • D8041: Extraction of tooth, including anesthesia, with bone graft
  • D8042: Extraction of tooth, including anesthesia, with implant

3. Claim Preparation and Submission:
   • Claim Preparation: We prepare claims using the coded information, including patient demographics, insurance information, and services and procedures performed.
   • Claim Submission: We submit claims to insurance providers electronically or on paper.
4. Claim Processing and Reimbursement:
   • Claim Processing: Insurance providers process claims, verifying services and procedures performed and patient insurance coverage.
   • Reimbursement: Insurance providers reimburse providers for services and procedures performed, based on insurance coverage and contracted rates.
5. Follow-up and Appeals:
   • Follow-up: We follow up with insurance providers to ensure claims have been processed and to address any issues or denials.
   • Appeals: If a claim is denied, we work with the provider to gather additional information and appeal the decision.

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In summary, MZ Medical Billing is your trusted partner in Oral and Maxillofacial Surgery billing excellence. With our specialized expertise, comprehensive services, and personalized support, we empower oral surgeons to focus on what they do best: delivering exceptional patient care.

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CPT Codes for Oral Surgery

1. Surgical Removal of an Erupted Tooth:
   • 41870: Surgical removal of an erupted tooth requiring elevation of a flap
2. Surgical Procedures on the Tongue and Floor of Mouth:
   • 41000-41599: Surgical Procedures on the Tongue and Floor of Mouth
3. Incision Procedures on the Tongue and Floor of Mouth:
   • 41000-41019: Incision Procedures on the Tongue and Floor of Mouth
4. Excision Procedures on the Tongue and Floor of Mouth:
   • 41100-41155: Excision Procedures on the Tongue and Floor of Mouth
5. Repair Procedures on the Tongue and Floor of Mouth:
   • 41250-41252: Repair Procedures on the Tongue and Floor of Mouth
6. Other Procedures on the Tongue and Floor of Mouth:
   • 41510-41599: Other Procedures on the Tongue and Floor of Mouth
7. Dental Procedures:
   • D6000 - D6199: Implant services
   • D6200 - D6999: Fixed Prosthodontics
   • D7000 - D7999: Oral and Maxillofacial Surgery
   • D8000 - D8999: Orthodontics
   • D9000 - D9999: Adjunctive General Services

ICD Codes for Oral Surgery

1. Dental Caries:
   • K00.0: Dental caries, initial encounter
   • K00.1: Dental caries, subsequent encounter
   • K00.2: Dental caries, sequela
2. Periodontal Disease:
   • K03.0: Periodontal disease, initial encounter
   • K03.1: Periodontal disease, subsequent encounter
   • K03.2: Periodontal disease, sequela
3. Gingivitis:
   • K05.0: Gingivitis, initial encounter
   • K05.1: Gingivitis, subsequent encounter
   • K05.2: Gingivitis, sequela
4. Dental Trauma:
   • S02.0: Dental trauma, initial encounter
   • S02.1: Dental trauma, subsequent encounter
   • S02.2: Dental trauma, sequela
5. Other Oral Conditions:
   • Z13.84: Encounter screening for dental disorders
   • Z71.9: Encounter for oral surgery

These codes are used for billing and reimbursement purposes in the USA.