Seamless Integration
We Work With Your Existing EHR
Abaz Synapse Billing seamlessly connects with the industry's leading electronic health records systems to ensure zero disruption to your workflow.
Unlock high-value revenue streams through medical cross-coding. We expertly bill medical insurance for oral surgery and sleep apnea treatments.
For modern dental and oral surgery practices, relying solely on dental insurance leaves immense revenue potential untapped. Many complex procedures—such as surgical extractions, bone grafting, trauma repair, and sleep apnea appliances—are legally billable to a patient's medical insurance. However, navigating the translation from ADA (CDT) codes to medical CPT and ICD-10 codes is a massive administrative hurdle. Abaz Synapse Billing provides the specialized expertise to unlock these high-value medical revenue streams.
Our certified coders act as expert translators between the dental and medical billing worlds. We meticulously map complex oral surgeries, TMJ disorder treatments, and pathology biopsies to the correct medical CPT codes. We ensure that clinical narratives clearly establish the 'medical necessity' of the procedure, a critical requirement for medical payers. This is particularly vital for billing high-cost Obstructive Sleep Apnea (OSA) appliances (e.g., HCPCS E0486) to medical carriers.
Abaz Synapse Billing integrates with leading dental platforms like Dentrix and Curve Dental to streamline the extraction of clinical notes. We manage the entire, often grueling, medical prior authorization process for complex dental surgeries, shielding your front desk from endless payer hold times. By successfully billing medical insurance, you drastically reduce out-of-pocket costs for your patients, leading to higher case acceptance and a stronger bottom line for your practice.
We expertly crosswalk dental procedure codes to their exact medical CPT and ICD-10 equivalents to ensure clean claim submission.
Our team navigates the strict Medicare and commercial requirements for billing costly oral appliances for Obstructive Sleep Apnea.
We handle the complex authorization processes required by medical payers for high-dollar oral surgeries and TMJ interventions.
We securely receive your clinical notes, demographics, and superbills directly from your EHR system within hours of the patient encounter.
Our certified billers translate notes into accurate CPT/ICD-10 codes, then run the claim through our advanced rule engine to catch any compliance issues or missing modifiers.
Flawless claims are transmitted electronically to insurance clearinghouses, ensuring lightning-fast receipt and processing by the payers.
We meticulously post ERAs and EOBs. Any partial payments or delayed claims trigger immediate, aggressive follow-up by our resolution team.
Common questions about our medical billing services.
The key is establishing 'medical necessity.' We bridge the gap by expertly translating dental CDT codes to medical CPTs, and more importantly, linking them to robust medical ICD-10 diagnosis codes that prove the systemic necessity of the procedure.
We manage the complex prior-authorization process with medical payers for surgeries like bone grafting, trauma repair, and complex extractions, ensuring the clinical narrative satisfies the medical carrier's strict criteria.
Yes. We navigate the rigid Medicare and commercial policies for Obstructive Sleep Apnea (OSA). We ensure the required sleep study results and CPAP intolerance documentation are present to successfully bill costly E0486 appliances.
Apart from our base state of Virginia, Abaz Synapse Billing offers its assistance throughout the USA.
Abaz Synapse Billing seamlessly connects with the industry's leading electronic health records systems to ensure zero disruption to your workflow.
Discover why practices nationwide trust Abaz Synapse Billing.
"Transitioning our mental health billing was a nightmare until Nick John stepped in. He personally walked our staff through the new telepsychiatry modifiers and cleared a 3-month backlog in weeks. Because of Nick's incredible helpfulness and expertise, we are finally seeing the revenue we deserve. 5 stars isn't enough!"
"We were struggling with constant unbundling denials in our surgical wing. Martin Guptil took the lead and completely optimized our cardiology coding workflow. His attention to detail and willingness to jump on a call at any time saved us over $15k in the first month alone. Martin is a lifesaver!"
"Prior authorizations used to be the bane of our existence. Martin Guptil transformed that entire process for us. He is proactive, knowledgeable about complex surgical codes, and always one step ahead of the payers. Martin's helpfulness has allowed me to get back to my patients. Highly recommended!"
"Oncology billing is incredibly high-stakes, and Martin Guptil is the only person I trust with our J-code management. He helped us navigate a complex audit and secured 99% reimbursement on our high-cost biologics. Martin's dedication to our practice's financial health is why we rate him 5 stars."
"We were constantly under-coding our complex E/M visits out of fear of audits until Nick John audited our process. He showed us how to document our medical decision-making properly to reflect the work we actually do. Nick’s expertise in Internal Medicine billing has significantly boosted our bottom line. 5 stars!"
"Navigating the 270-day global billing cycle for our OB/GYN practice was a constant headache. Jimmy Adams stepped in and streamlined the entire workflow, especially for our high-risk cases. His helpfulness and deep knowledge of maternity modifiers have been a game-changer for our front office. Highly recommended!"
"The 8-minute rule and therapy caps used to be the primary cause of our claim denials. Frank Miller implemented a tracking system that simplified our entire rehabilitative billing process. We haven't had a timing-related denial in months thanks to Frank’s proactive support and helpfulness. He’s an asset to any clinic."