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Delivery-date: Fri, 23 Mar 2018 12:50:16 -0500
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References: <CAGJ=7XHK5=3b2KR=NA=YvL6NHhA3F7qOWrL69HCF+z1YrBJxYA@mail.gmail.com>
 <D16EC168-C83B-434B-8DD0-842AAFB6D5AB@smbdu.com>
From: Amanda Cantelmi <amandac@webhstech.com>
Date: Fri, 23 Mar 2018 13:49:32 -0400
Message-ID: <CAGJ=7XFfHov2Tb=SqJBhQp+wqGkuLsRvZFyCtzknkMevsvmE-Q@mail.gmail.com>
Subject: Re: Past Claims for Covatto
To: "Chris Farrugia, DDS" <info@smbdu.com>, Geoff Lusty <geoffl@webhstech.com>
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Geoff and I had the same reaction seeing all the dental language and not
medical.  So that is good, we are identifying what's wrong.  Now we've just
got to get to the point where we know the medical counterparts, or at least
be able to get the dentists to that point.

Thanks so much for your input,

Amanda

On Fri, Mar 23, 2018 at 12:48 PM, Chris Farrugia, DDS <info@smbdu.com>
wrote:

> These are a mess. The notes are all dental (Island of dentistry)=E2=80=A6=
. classic
> case of wanting to stay on the island AND be paid by medical insurance.
>
> Some policies exclude the reconstruction codes 21248 and 21249 because th=
e
> surgical codes include endosseous implants. They generally will cover
> grafting (21210 and 21215)=E2=80=A6..  unless it is in conjunction with t=
he
> reconstructive code. In these cases we only file for the grafting and
> allocate our fees accordingly. Also, these preauths are also not being
> submitted with LMNs=E2=80=A6 CODE doesn=E2=80=99t do that.
>
>
> On Mar 23, 2018, at 9:47 AM, Amanda Cantelmi <amandac@webhstech.com>
> wrote:
>
> Hi Dr. Farrugia,
>
> We received information from Dr. Covatto for 2 past claims (2016) that
> were not paid.  They have nothing to do with Sleep Medicine and the 1500
> forms are not included, but based on the denials, in addition to not bein=
g
> familiar with the payer's global policy; they did not establish medical
> necessity.
>
> Geoff and I thought you may want to take a look and give feedback as to
> what could have been done differently.
>
> Thanks!
> Amanda
>
> --
> *Amanda Cantelmi*
> *Executive Assistant *
>
> *Healthcare Support Technologies*
>
>
>
>
>
>
>


--=20
*Amanda Cantelmi*
*Executive Assistant *

*Healthcare Support Technologies*

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<div dir=3D"ltr">Geoff and I had the same reaction seeing all the dental la=
nguage and not medical.=C2=A0 So that is good, we are identifying what&#39;=
s wrong.=C2=A0 Now we&#39;ve just got to get to the point where we know the=
 medical counterparts, or at least be able to get the dentists to that poin=
t.=C2=A0<div><br></div><div>Thanks so much for your input,</div><div><br><d=
iv>Amanda</div></div></div><div class=3D"gmail_extra"><br><div class=3D"gma=
il_quote">On Fri, Mar 23, 2018 at 12:48 PM, Chris Farrugia, DDS <span dir=
=3D"ltr">&lt;<a href=3D"mailto:info@smbdu.com" target=3D"_blank">info@smbdu=
.com</a>&gt;</span> wrote:<br><blockquote class=3D"gmail_quote" style=3D"ma=
rgin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div style=3D"=
word-wrap:break-word">These are a mess. The notes are all dental (Island of=
 dentistry)=E2=80=A6. classic case of wanting to stay on the island AND be =
paid by medical insurance.<div><br><div>Some policies exclude the reconstru=
ction codes 21248 and 21249 because the surgical codes include endosseous i=
mplants. They generally will cover grafting (21210 and 21215)=E2=80=A6.. =
=C2=A0unless it is in conjunction with the reconstructive code. In these ca=
ses we only file for the grafting and allocate our fees accordingly. Also, =
these preauths are also not being submitted with LMNs=E2=80=A6 CODE doesn=
=E2=80=99t do that.</div><div><div class=3D"h5"><div><br></div><div><br><di=
v><div>On Mar 23, 2018, at 9:47 AM, Amanda Cantelmi &lt;<a href=3D"mailto:a=
mandac@webhstech.com" target=3D"_blank">amandac@webhstech.com</a>&gt; wrote=
:</div><br class=3D"m_-6163397392399347079Apple-interchange-newline"><block=
quote type=3D"cite"><div dir=3D"ltr">Hi Dr. Farrugia,<div><br></div><div>We=
 received information from Dr. Covatto for 2 past claims (2016) that were n=
ot paid.=C2=A0 They have nothing to do with Sleep Medicine and the 1500 for=
ms are not included, but based on the denials, in addition to not being fam=
iliar with the payer&#39;s global policy; they did not establish medical ne=
cessity.</div><div><br></div><div>Geoff and I thought you may want to take =
a look and give feedback as to what could have been done differently.</div>=
<div><br></div><div>Thanks!</div><div>Amanda<br clear=3D"all"><div><br></di=
v>-- <br><div class=3D"m_-6163397392399347079gmail_signature" data-smartmai=
l=3D"gmail_signature"><div dir=3D"ltr"><div dir=3D"ltr"><font face=3D"garam=
ond, serif" size=3D"4" color=3D"#38761d"><b>Amanda Cantelmi</b></font><div>=
<font face=3D"garamond, serif" size=3D"2" color=3D"#38761d"><b>Executive As=
sistant=C2=A0</b></font></div><div><font face=3D"garamond, serif" size=3D"2=
" color=3D"#ff00ff"><br></font></div><div><font face=3D"garamond, serif" co=
lor=3D"#a64d79" size=3D"4"><b>Healthcare Support Technologies</b></font></d=
iv><div><br></div><div><br></div></div></div></div>
</div></div>
</blockquote></div></div></div></div></div></div><br><div style=3D"word-wra=
p:break-word"><div><div><blockquote type=3D"cite"></blockquote></div></div>=
</div><br><div style=3D"word-wrap:break-word"><div><div><blockquote type=3D=
"cite"></blockquote></div><br></div></div><br></blockquote></div><br><br cl=
ear=3D"all"><div><br></div>-- <br><div class=3D"gmail_signature" data-smart=
mail=3D"gmail_signature"><div dir=3D"ltr"><div><div dir=3D"ltr"><font face=
=3D"garamond, serif" size=3D"4" color=3D"#38761d"><b>Amanda Cantelmi</b></f=
ont><div><font face=3D"garamond, serif" size=3D"2" color=3D"#38761d"><b>Exe=
cutive Assistant=C2=A0</b></font></div><div><font face=3D"garamond, serif" =
size=3D"2" color=3D"#ff00ff"><br></font></div><div><font face=3D"garamond, =
serif" color=3D"#a64d79" size=3D"4"><b>Healthcare Support Technologies</b><=
/font></div><div><br></div><div><br></div></div></div></div></div>
</div>

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