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Time to Make the Paradigm Shift

Just recently, I had the pleasure of speaking and attending the ACE (Academy of Comprehensive Esthetics) meeting in Las Vegas. The first day, I listened to other speakers who talked about dentistry and the body as a whole. Speakers were saying that we need to change our thinking about the way we practice dentistry and begin thinking about the patient’s total health not just focus on drilling and filling or scaling teeth right away. The way we have been doing or looking at things over the years is now changing dramatically.


Dr. Bradley Bale M.D. caught everyone’s attention. Dr. Bale is a cardiologist who definitely understands the link between cardiac disease and periodontal disease. Did you know that endodontic disease and caries also trigger a significant percentage of heart attacks? The American Heart Association has research showing the direct connection between oral pathogens (associated with periodontal disease, endodontic lesions, and caries) and acute heart attacks! Almost half of heart attacks are being triggered by oral pathogens. Oral bacteria were found in every thrombus, and 30% had live oral pathogens in the clot. Dental infection and oral bacteria are associated with development of acute coronary thrombosis. Oral health and dental care should be part of heart attack prevention and more. We need to encourage greater collaboration between the medical and dental professions. In doing this paradigm shift, our dental procedures become medically necessary thus making some of our procedures now billable to our patient’s medical insurance. The use of cross coding in your dental software makes billing medical insurances much easier.


Dr. Sam Low D.D.S., a periodontist and a professor at the University of Florida, College of Dentistry, spoke abut achieving restorative/periodontal success by controlling inflammation. Dental infection and oral bacteria are associated with inflammation. We all have the bacteria in our mouth but some people are more susceptible to inflammation than others. Why is this? This is what we need to find out when reviewing our patient’s medical history rather than smoothing root surfaces because of calculus and plaque or just filling teeth. Are your patients taking medications that cause dry mouth, making them more susceptible to bacteria and decay or do they have certain diseases or conditions that cause breakdown of teeth or bone?


The missing link to the insurance puzzle

During my presentation, I spoke about The Missing Link to The Insurance Puzzle and tied together the use of medical and dental billing in relation to your patient’s total health.  I explained how and why cross coding is needed in the dental practice and how it is beneficial to both the patient and the practice. Below are several images (images modified and courtesy of Marianne Harper-The Art of Practice Management) from my presentation at ACE this past weekend of medically billable procedures in your dental practice:


Medically billable procedures 1

Medically billable procedures 2

Medically billable procedures 3

medically billable procedures 4

medically billable procdures 5


Of course before you start billing anything to medical insurance, you will need to check on your patient’s insurance eligibility and coverage. For information on cross coding and medical billing, please don’t hesitate to contact us.



Jill Coon Inc Presents: 10 Reasons to Hire a Dental Virtual Assistant

Need an extra pair of hands at the office but don’t want to hire someone full or part time? Dental virtual assistants are perfect adjuncts to any dental practice. The virtual assistants (VA’s) are independent contractors and are hired on a monthly contract or as needed for projects and other tasks.

This short Youtube video explains 10 reasons you should have a dental virtual assistant for your practice:



Jill Coon Inc Presents: How Dental Virtual Assistants Can Assist With Dental Insurance In Your Practice

Dental virtual assistants are perfect adjuncts to any dental practice.  Virtual assistants (VA’s) work remotely and are independent contractors.  VA’s are usually hired per project or a short/longterm contract.  This short Youtube video explains how dental virtual assistants can assist you with dental insurance in your practice:






Jill Coon Inc Presents Services That Dental Virtual Assistants Offer

Jill Coon Inc talks about some dental virtual assisting services offered.



Virtual Assisting Services Offered by Jill Coon Inc

“Take too many pictures, laugh too much, and love like you’ve never been hurt because every sixty seconds you spend upset is a minute of happiness you’ll never get back”.



Just as the quote above mentions that the more time you spend upset is a minute of happiness you will never get back, a day of lost production or business is money you will never get back.  Isn’t it time to make wise use of your time?


Do you run a business and have no extra time and need an extra set of hands but don’t have the need to hire someone on a full time basis? Do you have “to do” lists of things that need to get done but are falling behind due to lack of time? Do you have excess workload or are you looking to cut down your overhead cost and need extended business hours? Is your business booming and you need more help? Do you want to have more time doing the things you enjoy? A virtual assistant may be just the person you are looking for. Virtual assistants provide a variety of services that play a very important role in your business. The free time it gives you for concentrating on other things such as clients/patients and income generating activities. A virtual assistant is there to simplify your life. Every virtual assistant and virtual assistance firm will have different skill abilities and will provide different services. Look for the services you want and need.


Here is a list of virtual assisting services that we offer our clients:

•Accounting services (Quickbooks)
•Appointment Scheduling/ Reminders
•Clerical services
•Collections, accounts receivables, debt collection software
•Creating Forms and Templates
•Drafting Business Letters
•Desktop Publishing (brochures, business cards, flyers, letterheads, menus, newsletters, etc.)
•Internet Research (search for lowest prices on items or services)
•Mail and E-mail management
•PowerPoint Presentations
•Proofreading Documents
•Social Media (Facebook, Twitter, Youtube, LinkedIn, Pinterest and Google+)
•Typing / Word Processing                                                                                                            •Website Design (standard and mobile)


Dental, psychotherapy, and medical virtual assisting services:

•Aging insurance/follow up with outstanding claims over 30 days old
•Appointment confirmations and scheduling (answering phones)
•Accounts receivables/ Collections (debt collection software)
•Comprehensive insurance verifications and breakdowns (in and out of network)
•Dental and medical practice and internet marketing
•Fee negotiations with insurance companies for highest reimbursement
•Insurance billing, filing and submissions
•Recalls (patients overdue for follow-up or treatment)
•Social Media  (Facebook, Twitter, Youtube, LinkedIn, Pinterest and Google+)


For more information about our services, please visit our website:



Virtually Everything is Possible.

Have you considered hiring a virtual assistant for your practice or business?  Virtual assistants can defintiely simplify your life.  In my article for the Progressive Orthodontist Magazine, I have explained all of the things that virtual assistants can do for your practice: Virtually Everything is Possible




Dental Medical Cross Coding via Health Claims Unlimited

In the interest of resolving some confusion with regard to Dental to Medical Cross Coding, we have created a list of the guidelines that the insurance plans normally will pay for, as always it’s a good idea to get a prior authorization before you treat the patient.

Preventive Dental Services:

Space maintainers are allowed for: Accidental dental Cancer Cleft palate (congenital abnormalities) TMJ Preventive dental services are never covered Diagnostic, Restorative, Endodontic, Periodontics, and Prosthodontics Services.


Certain diagnostic, restorative (basic and major restorative), endodontic, periodontics, and Prosthodontics services are eligible for:

1. Accidental dental.

2. Cancer

3. Cleft palate

4. Transplant preparation (does not include prosthodontics)

5. Initiation of immunosuppresses (does not include prosthodontics) Dental Implants: The following applies to CPT codes 21248 and 21249, and dental implant CDT codes: Dental Implants are rarely covered. See your patient individual Coverage Limitations and exclusions. Dental Implants are allowed for certain accidental dental situations.


Medical Oral Excisions: Certain oral excisions are allowed under the medical plan the same as any other illness. This includes biopsies of oral tissue (soft and/or hard tissue), surgical excisions of lesions, tumors, Neoplasms, and non-per apical cysts. Clinical Guidelines for Medical Oral Excisions: 21030 – Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage. 21040 – Excision of benign tumor or cyst of mandible by enucleation and/or curettage. 21046 – Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (e.g., locally Aggressive or destructive lesion(s)) 21047– Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion(s)) 21048 – Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally Aggressive or destructive lesion(s)) 21049 – Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion(s)) Guidelines: 21030, 21040, and 21046 – 21049 are covered if not dental related. These codes are not covered if done in conjunction with third molar removal or with endodontic surgery. 40810 – Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair. 40812 – Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair. 40814 – Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair 40816 – Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle.


Accidental dental benefits are available when:

1. Treatment is necessary because of accidental damage; and

2. Dental services are received from a Doctor of Dental Surgery, “D.D.S.”, or a Doctor of Medical Dentistry, “D.M.D.”; and

3. When the following criteria is met for Notification, Types of Covered Injured Teeth, Initial Contact Timeline and Treatment Timeline. Notification/Prior-Authorization: Except for the initial visit, notification/prior-authorization by the enrollee is required. Without Notification/prior-authorization benefits may be reduced or denied depending on plan design. Refer to the patient’s specific plan document for details.


Types of Covered Injured Teeth: The types of injured teeth covered depend on:

a. Benefits are available only for treatment of sound, natural teeth. The Physician or Dentist must certify that the injured tooth was:  A virgin or unrestored tooth or a tooth that has no decay and no filling on more than two surfaces, no gum disease associated with bone loss, no root canal therapy, is not a dental implant and functions, normally in chewing and speech. Benefits are available for sound natural teeth OR restored teeth.

Initial Contact Timeline: Accidental dental coverage requires that the dental damage is severe enough that initial contact with a Physician or dentist occurred within 72 hours of the accident.


Note the following:

1. An extension of this time period is normally not allowed.

2. An extension of this time period may be granted if the request for an extension is made within 60 days of the Injury and if extenuating circumstances exist due to the severity of the injury. Treatment Timeline:


Final treatment to repair the damage must be both of the following:

1. Treatment is started within 3 months of the accident. Note the following: An extension of this time period is not allowed.

2. An extension of this time period may be granted if extenuating circumstances exist (such as prolonged hospitalization or the presence of fixation wires from fracture care). And 2. Final treatment is completed within 12 months of the accident. There are no exceptions Allowed to the 12 month completion date. Dental services are generally not covered.


The dental exclusion includes but is not limited to:

1. Diagnostic – including, but not limited to, oral evaluations, examinations, x-rays/films, lab tests, and casts.

2. Preventive – including, but not limited to, dental prophylaxis (dental cleanings), topical fluoride treatments, nutritional counseling for dental disease, tobacco counseling for oral disease, oral hygiene instructions, sealants, and space maintainers.

3. Restorative (basic or major) – including, but not limited to, amalgam restorations (silver fillings), resin restorations (white fillings), gold foil restorations, inlay/onlay restorations, crowns, core buildups, and posts.

4. Endodontic – including, but not limited to, pulp capping, pulpotomy, pulpal therapy, root canals, and apicoectomy.

5. Periodontic – including, but not limited to, gingivectomy, gingivoplasty, crown lengthening, osseous surgery, grafting procedures, provisional splinting, scaling and root planing, full mouth debridement, and periodontal maintenance.

6. Prosthodontic (removable or fixed) – including, but not limited to, complete dentures, partial dentures, interim dentures, denture repairs, denture rebase, denture reline, denture pontics, denture inlays/onlays, denture crowns, and other removable or fixed denture services.

7. Dental Implants – including, but not limited to, dental implants, dental implant surgical base, post, crown, abutments, retainers and denture

8. Oral and Maxillofacial Surgery – including, but not limited to, extractions, surgical extractions, alveoloplasty (surgical preparation for dentures), and vestibuloplasty (surgery to increase alveolar ridge height)

9. Orthodontics – including, but not limited to, limited, interceptive and comprehensive orthodontic treatments including appliance therapy, orthodontic braces, and retainers. Except for certain state mandates, orthodontic treatments are never covered. 10. Adjunctive Dental Services – including, but not limited to, anesthesia, other dental examinations, visits, consultations, occlusal guards (bite plates/guards), athletic mouth guards, occlusal adjustments to teeth, and teeth bleaching.


For exceptions to the dental exclusion please see the Indications for Coverage section above Accidental Dental: For plans that cover accidental dental the following may not be covered under Accidental Dental:

1. Otherwise eligible accidental dental services that exceed the accidental dental dollar limitations on the plan.

2. Services that do not meet the criteria listed in the Indications portion of the patients plan.

3. Damage to teeth as a result of activities of daily living such as chewing and/or biting.

4. Skeletal damage (covered under medical).

5. Dental implants. (See Indications for Coverage section or call the plan)

6. Orthodontia (i.e. dental braces). Except for certain state mandates there are no exceptions to this exclusion.

7. Repair to bridges.

8. Repair to crowns. Some plans do not cover accidental dental services. For these plans accidental dental services are not covered regardless of the situation.


Please see state mandates for state mandated dental benefits. We hope this clears up any questions you might have, of course if we can be of any help please do not hesitate to contact us at 1-877-428-6606 or via email for more information.

Written By: Jill Coon

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Is Professionalism Important For Your Brand?

Are you a business owner who expects your employees to be professional?  Are you professional?  I know when we are at work, we always try to be professional in front of our patients and potential clients.  Are you professional after work or online?  Do you care how your patient or other peers see you or the way you behave after hours?  Do you think poor behavior can affect your business or your brand?

Facebook and other social media platforms have allowed us to be more open with our discussions.  Many people see it as having free reign to say and do whatever they feel online.  Many people don’t even relaize how quickly their actions on the social media sites (Facebook, Twitter, Linked In, Youtube, Google+, etc) can affect their livelihood and home life.  It is important when posting to think about consequences of what you are posting or commenting on.

People are becoming less professional and are being received as less professional because of what they write or portray. What surprises me more is that there are people on these social networks who try to represent themselves as good, reputable people and work hard to build a name for their business and themselves, yet these are some of the people who are making fun of another professional or peer in the same industry in a forum amongst other fellow professionals.  Others feed into the conversations and some don’t.

Do you feel a forum is a place for a professional to badmouth another professional or person?  I personally don’t get involved in forums where someone is being badmouthed nor do I recommend any of my friends to take part in any type of negative discussions.   My mother always taught me: “If you have nothing nice to say then say nothing at all”—-let alone put it in writing on a social site!

People who are posting freely may be subject to consequences as a result of their poor behavior.  People are paying heavy prices for their actions.  Think about a more recent event as to what the teacher who wrote a blog about her students and was recently fired.  Ironically, she never named the students or the parents in her blog.  She was fired because she represented the school and the school frowned upon her writing.

It is quite obvious that poor behavior most certainly can affect your brand.  It certainly can affect your brand in person and online!  Why do you think employers want your username and passwords to your social accounts?   I personally would NEVER refer to individuals that own their own business who speak negatively online about others in their industry. If I would not air out dirty laundry on Facebook or any other social media site either.



Emotional Strength of Your Brand

I am so excited to share my latest article regarding emotional branding. Emotional branding is very important in marketing and my article clearly explains why!   Click here to read.  Feel free to leave comments!



Have you filled someone’s bucket today?


One of my  favorite children’s book is “Have You Filled Someone’s Bucket Today”  written by Carol McLeod  and illustrated by Dave Messing.  The message is a great message for children and even adults!  Basically, the message is that we all carry imaginary buckets around with us.  It is up to us to fill someone else’s bucket in order for our own buckets to get filled.  Instead of hurting someone’s feelings, try to find something nice to say to that person.  You will make that person feel good and in turn, you will also feel good.


Today, I want to thank my friend, Al Ferretti from Making Mobi for doing a fantastic job with my client’s mobile website.  There is nothing better than receiving a great testimonial from a client or patient.  My client was extremely satisfied and wrote this:  “Wow. The mobi site looks great. I like the facebook and video links. Really cool. Maybe we will get more friend requests.  I like it”.  Al Ferretti filled my client’s bucket by doing a great job and also filled mine as my recommendation made my client happy.   The customer service that Al Ferretti gives is exceptional.


Does your business have a mobile website?  If it doesn’t, now is the time to have one.  Now is the time to have your mobile site positioned on the mobile web and having traffic directed to your mobile site will increase you visibilty on the search engines.  This means more people will find your business and call!  More and more people are accessing the internet with their mobile devices instead of using their desktop or laptop computer.  Regular websites are too difficult to read from our mobile devices and they load real slow on mobile devices.   Some people will try to view your website at a later time from a desktop or laptop but honestly, the likelihood of it happening is slim to none as life gets busy.


Give Al Ferretti a call today at 763-438-1162 to have a mobile website made for your business.  Let him know that Jill Coon referred you.