ORTHO INDUSTRY NEWS Technology To Transform Insurance Claim Process NovoHealth Dental is cutting-edge technology designed to transform the insurance claim verification process of your prac-tice by automating the detection of missing documentation, such as x-ray images, charts, and corre-spondence, based on payer-specific guidelines for dental procedure codes. NovoHealth Dental also ensures that the anatomical references in the claim are clearly visible in attached images, alerting dental offices promptly if any essential docu-mentation is missing. This dental AI helps providers correct incom-plete insurance claims prior to payer review. And, by adding intelligent automation early in the claim submission workflow, NovoHealth Dental Claim Quality Assurance also brings greater consistency and transparency to the system, making it easier for dentists and their patients to know when their claims qualify for payment,” said NovoDy-to ascertain if the evidence provided meets the criteria for payment based on the insurer's guidelines. The software can iden-tify potentially questionable submissions. When a claim adheres to the payer's standards, it can be expedited for auto-adjudi-cation. In cases where NovoHealth Dental raises concerns that may warrant denial, it annotates, flags, prioritizes, and automatically routes the claim for clinician review. This approach results in enhanced review productivity, consistency, and cost savings for payers, as well as faster, more accurate, and more predictable claim decisions for providers and their patients. The platform, which uses Novo-Dynamics AI to automatically analyze dental insurance claims in real time at enterprise scale, allows NovoHealth Dental to quickly assure claim quality, accurately support clinical assessments, and reliably detect fraud, waste and abuse. namics Dental Director Joseph Borg, DDS, in a press release. “ Historically, insurance personnel have had the challenging task of manually assessing claim attach-ments for the required clinical review images. With the enormous volume of submissions, clinicians could only inspect a small fraction, leading to incomplete claims being either paid or causing delays in the review process. This resulted in unnecessary costs and inconsisten-cies in payment outcomes. Additionally, the system goes beyond assessing completeness by also performing clinical analyses AGpO's Expert Instruction: Train To The Next Level The Academy of Gp Orthodon-tics is a non-profit educational and professional organization which was founded by Dr. Charles Yates in 1987. Its membership is composed of dentists and dental specialists who provide quality orthodontic care for their patients. The orga-nization's goal is to facilitate the sharing of knowledge and new technological developments in the field of orthodontics through comprehensive orthodontic expe-riences with direct patient care. AGpO has over 36 years experi-ence providing comprehensive orthodontic continuing education courses where students treat patients. The12-session course meets one weekend every two months and consists of classroom lecture and comprehensive clinical hands-on training session with direct patient treatment. These courses are designed to be the closest CE course to an orthodontic residency for the general practitioner. AGpO also offers Hands-on Ortho Training for GPs, Orthodontic Training for Assis-tants, Online Clear Aligner Training, annual meeting trainings, online CE courses, and networking opportuni-ties. Let us help you take your career to the next level; visit www.acade-mygportho.com. www.orthodontics.com Fall 2023 7
Journal of the American Orthodontic Society Fall 2023: Page 7
