Notes
What needs to be done before walking up your patient?
Looking for one specific answer!!
Notes
What does the '2' next to CF, PA, PANO, etc. mean?
'2' indicates it is free - no OOP to the patient
How many days is the Treatment Estimate valid for until we have to update it?
30 days
Dr. Collins is OON with which insurance(s)?
Guardian and Aetna
Name all FIVE core values.
Delight Patients
Growth Oriented
Team Player
Do The Right Thing
Humbly Confident
With teamwork patients or multi appointment with patient going to hygiene, who is responsible to get exam note completed?
Whoever completes the exam with the doctor
Always work together + communicate what was done/treatment planned with one another!!
What type of exams do we use the intraoral (IO) Camera?
All of them - CE, LE and PE
Name at least THREE procedures that we show no coverage on?
Bone graft, Membrane, 3D scan, Surgical Guides, Gingival Scale, and Veneers.
Frequency limitations!
Briefly explain and give an example of difference between 2x1 CY and 2x12 mon
2x1 CY= 2 within the same year (2025)
2x12 mo= Only 2 within that 12 month period (if in Jan 10th 2025 patient can get another one before Jan 10th 2026 BUT not eligible for PE until Jan 11th 2026 if two were done in 2025)
Which days are all four Doctors here in a day?
Tuesday, Wednesday, and Thursday!
What does the {H,G,1,2,3} in the Complete/Comprehensive Exam indicate. Briefly describe what each of them mean.
Perio Status
H= Healthy, G= Gingivitis,
1= Gingival scale (Poss. SRP), 2= SRP
3= RO Periodontist
For teeth that need treatment, what is the standard length of time for an FMX as well as PA's to be updated per insurance?
DOUBLE OR NOTHING
What does the insurance want showing in the x-ray(s)?
FMX w/in 3-5 yrs, PA w/in 6 month
DOUBLE OR NOTHING
The whole tooth (apex to crown)
SRPs---What info do we need to know and verify to get the TE together?
Previous cleaning history - have they had SRPS before? If so, when?
Perio-charting (w/in 6 mo.)
Imagining -FMX (3/5 years)
Accurate codes and treatment planned properly - is it D4341 or D4342 or combo?
What type of cleaning can not be billed out with an exam?
Gross Debridement
Office Policy!
What is the office policy in order to be eligible for Holiday Pay?
You must be here/on time for your schedule shift both before and after the holiday (exception: Approved Time Off)
What three things must be done in a removal appointment to consider it to be a Surgical Oral Surgery vs a simple Oral Surgery.
MUST NAME ALL THREE
Cut/Elevate the gum (flap)
Remove bone
Sectioned tooth/root with Surgical handpiece/bur
For Crown and Bridge Deliveries - What x-ray(s) is/are needed?
DOUBLE OR NOTHING
State the reason for it/them.
Bitewing before cementing and after cementing (PA if anterior teeth)
DOUBLE OR NOTHING
Before: to check to make sure it fits properly (margin is closed)
After: All cement is cleaned up
What three pieces of information do we need (from the clinical team/patient) in order to do a bridge estimate?
Crown eligible- Do the abutting teeth have cavities or fractures?
Missing teeth - Is that tooth or other missing teeth on same arch missing? If so, how long have those teeth been missing?
Have they had a replacement option there before? If so, when?
What is Missing Tooth Clause? Why is it important?
For insurance it is a pre-existing condition. Ins will consider paying on a replacement option for that tooth IF the tooth was extracted while enrolled in current insurance.
Name ALL seven sections of the Exam checklist for an Exam to be done complete and accurately.
On exam sheet: Patient Info, Chief Concern/Findings, Possible Treatment, Pre-Heat, Ready for the Dr. , Dr. Exam, Final steps.
In order for insurance to consider a tooth crown eligible, name one of the three lines in the notes that need to have surfaces. (Hint: What do they indicate?)
DOUBLE OR NOTHING
Which line in the notes MUST have cusp surfaces to help aid with insurance giving coverage for a crown or bridge?
Decay is present OR tooth is fractured OR tooth is broken
DOUBLE OR NOTHING
Insufficient cusp must have at least one cusp
Name the IO photos taken during a NP Exam appointment vs an Ortho Pic appointment .
Exam: IO of each tooth individually, the bite, and patient photo.
Ortho: 9 total photos - patient photo (3), closed bite (right, left, center), open bite, upper arch and lower arch.
Once we receive the route slip and TX is TP. What are the steps to do the TE for a CBCR?
Appt is accurate/set complete and send off to insurance.
Check the fee schedule and Hit update Fees.
Check BB for coverage and it matches Ins. in fam file.
X-rays are accurate/up to date and check if Ins. downgrades and applies.
Name ALL three insurances that use the Careington Platinum Plus fee schedule?
Guardian, United Health Care, Lincoln Financial
Name all three procedures involved in an Ortho Start
DOUBLE OR NOTHING
Explain what needs to be done for each of these
Ortho Adult - Scan lower arch, upper arch and bites
Ortho Pics- Take IO pictures (9 required by Orthobrain)
Ortho Exam- Dr checks scan and pictures and consults with patient about any additional concerns (fills out sheet)