10 dental-audit check-points on one card.
A printable field reference card for the dental billing specialist at the booth — ten dental-audit check-points a coordinator runs on a dental-as-medical packet (Box 19 narrative, Box 21 cross-reference, Box 23 auth reference, Box 11d COB, Box 17a attending, POS justification, same-day E/M, cross-form linkage, trauma coding, and audit-trail fingerprint) and the citation source behind each one. Single A4 page so it fits in the desk and survives the conference.
Join the booth list for the field-reference card.
Drop your email below and the plan tier you want Stampwright to scope the pilot against. We reply the same business day with pilot scope and a quote, and we send the field-reference card PDF straight to your inbox. You can also join the waitlist directly if the inline form does not fit your workflow.
Single A4 page. 10 check-points. One citation per row.
The printable PDF below mirrors the 10 check-points on a single A4 portrait page. Hit download for the print-ready file — ASCII-clean so the renderer draws the entire card on one page. The web layout above the card is the same story on the long screen; the PDF is the version meant for the desk.
Take the audit card to the booth.
A single-page PDF with 10 dental-audit check-points and the rule citation behind each one. The footer points the reader to /methodology for the pipeline and /waitlist to join the pilot.
- 10 check-points
- Citation per row
Single A4 portrait. Stampwright branded. ASCII-clean for the pdf renderer.
The line-by-line breakdown behind the field-reference card.
The same 10 check-points the PDF names, on the long screen — each one with the field on the form (Box 19 narrative, Box 21 cross-reference, …) and the citation a coordinator resolves it against. The PDF hoists the audit-trail fingerprint and the POS justification row into the notes block so the card fits a single page.
- 01
Box 19 narrative
Medical-necessity paragraph missing from the CMS-1500 itself; not "see attached op-note". [NUCC 1500 Instruction Manual, Box 19.]
- 02
Box 21 cross-reference
ADA claim CDT line missing the CPT-pointer to the CMS-1500 medical claim (e.g. D7240 -> 41899). [ADA CDT 2024, NUCC 1500 Box 21.]
- 03
Box 23 auth reference
Pre-authorization reference missing on any orthognathic, frenectomy, or sleep-appliance line that requires pre-cert. [BCBS / Aetna / Medicaid pre-cert policy docs.]
- 04
Box 11d COB
Primary-vs-secondary assignment wrong when a school-sponsored wrap covers the under-21 line; auto PIP / MedPay missing primary on trauma-coded repairs. [NUCC 1500 Box 11d; state COB rules.]
- 05
Box 17a attending
Resident-rendered line missing the attending paragraph (preceptor by name + attending NPI on the dental side). [CMS-1500 Box 17a instructor guidance.]
- 06
POS justification
POS 11 vs POS 22 not named on the dental-form when the same-day medical line is billed at the hospital. [NUCC POS code set, payer carve-out docs.]
- 07
Same-day E/M
Modifier -25 not on the medical claim (medical claim only) when a separately identifiable medical-necessity visit ran with the dental visit. [AMA CPT modifier -25 guidance.]
- 08
Cross-form linkage
ADA -> CMS-1500 link missing on the packet cover (same patient, same DOS, same tooth where applicable). [Clearinghouse cross-form rules.]
- 09
Trauma coding
Trauma ICD-10 S02.5xx / S03.2xx missing the external-cause V43.xxxx / Y92.xxx on the medical claim. [ICD-10-CM Tabular List, injuries chapter.]
- 10
Audit-trail fingerprint
Submission fingerprint not recorded on the filing row before send; reviewer cannot scan to verify. [21st Century Cures Act information-blocking, audit-log expectation.]
Pair the field-reference card with the readiness checker.
The field-reference card is the desk-side version of the audit. The dental-claims readiness checklist is the long-form version a coordinator runs through during the second pass: narrative gaps, eligibility / authorization gaps, and the dental-as-medical carve-out triggers. The /methodology pipeline one-pager is the reviewer pitch (HIPAA residency, encryption, access, audit, BAA, retention). And the persona page for the IC\'d incoming traffic is /for/dental-offices.
Readiness checklist
The long-form version of this audit card — three checklists (narrative, eligibility, carve-out triggers), the hold thresholds, and a sister downloadable one-pager on /resources/dental-claims-readiness-checklist.
Methodology pipeline
The six-step pipeline Stampwright runs on every CMS-1500 dental claim. Same A4 one-pager this card pairs with — keyed to the same rule mirror. See /methodology.
Vertical / for
The dental-offices persona breakdown — the four pillars a billing coordinator runs against (satellite clinics, multi-payer stack, supervision rules, HIPAA posture).