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Spencer All rights reserved  \nNo part of this book may be reproduced in any form whatsoever, whether by graphic, visual, electronic, film, microfilm, voice recording, or any other means without prior written permission of the author.  \nFor information or questions about Spencer Study Club or the content in this book, please email jenni@jamisonspencer.com or go to www.JamisonSpencer.com.  \nPublished by Spencer Study Club  \n1201 Falls Bridge Dr., Raleigh, NC 27614  \nPrinted in the United States of America All rights reserved  \nISBN: 978-0-9977655-0-2  \nIllustrations by MikoArc  \nGraphics and charts are used with permission and are the sole property of Dr. Ellen Crean Cover Design and Layout by Lisa May ([www.lisamaystudio.com](www.lisamaystudio.com))  \nTable of Contents  \nLegalese ......................................................................................................................................v  \nAcknowledgements ......................................................................................................................v  \n[Foreword ....................................................................................................................................vi](Foreword ....................................................................................................................................vi)  \n[Introduction ...............................................................................................................................](Introduction ...............................................................................................................................). 1  \nThe Prep Work .............................................................................................................................3  \nYour “Get Started” Checklist…........................................................................................................... 3  \nObtaining your NPI (National Provider Identifier) ............................................................................ 3  \nOrder/Purchase HCFAforms ............................................................................................................. 3  \nDownload a HCFA/CMS 1500 Form Template ................................................................................ 3  \nTo Contract or not to Contract (With Insurance) ................................................................................ 3  \nAcronyms & Definitions ..................................................................................................................... 6  \nICD-10, CPT, Dental & HCPCS (DME) Codes .............................................................................. 9  \nWhich do I bill…Medical or Dental? ............................................................................................... 11  \nWhat’s Your Variety of Insurance Company? .................................................................................... 12  \nGetting the Flow of It ................................................................................................................ 17  \nPatient Flow Chart ............................................................................................................................ 17  \nFlow Chart Steps ............................................................................................................................. 18  \nInsurance Claim Flowchart ...............................................................................................................20  \nPerfecting the Pre-Authorization............................................................","cbCaiglDDMqvB18c","https://ap.wps.com/l/cbCaiglDDMqvB18c","pdf",19180338,106,"English","# Table of Contents\n## The Prep Work\n## Getting the Flow of It\n## Perfecting the Pre-Authorization\n## Submitting a Claim\n## Medicare Basics","[{\"question\":\"What is covered in the book’s billing preparation steps?\",\"answer\":\"It covers prep work such as obtaining an NPI, preparing/order HCFA forms, downloading a CMS 1500 form template, and deciding whether to contract with insurance.\"},{\"question\":\"How does the book explain the billing workflow for patient and insurance claims?\",\"answer\":\"It provides patient flow chart guidance and insurance claim flowchart steps, including how to manage the flow before submitting claims.\"},{\"question\":\"What topics are included in the Medicare section?\",\"answer\":\"It explains Medicare basics, Medicare jurisdictions, the Medicare patient flow chart for OAT, Medicare flowchart steps, and common Medicare questions about billing requirements for dentists.\"}]","Medical Insurance Billing for Oral Appliance Therapy - The MYSTERY of Dental Sleep Medicine Billing REVEALED - By Jenni Spencer | PDF",1789851448,37]