Dental Billing Services & Solutions – Dental Billing Services & Dental Billing Data Services – Dental Credentialing Services – Dental Insurance Verification
We are proud to offer our services in patient reconciliation and audits. Additionally, we specialize in creating personalized collections letters tailored specifically to your needs. Furthermore, we excel at efficiently eliminating bad debts from our accounts receivables.
If you’re looking for assistance with medical insurance billing or need help getting reimbursements for accidental claims, you’ve come to the right place! Our team of experts is here to provide the support and guidance you need. Let us take care of the process so you can focus on what matters most. We appreciate the opportunity to be of assistance!
We are here to support dental practices in getting credentialed with insurance companies. Whether you need assistance for the first time or adding a new provider, we are dedicated to meeting the unique needs of every practice. Count on us to provide the help you require and ease your credentialing process.
Dental insurance billing, patient billing, credentialing, and medical/dental cross-coding are all important aspects of managing the financial and administrative side of dental practices. Here’s a brief explanation of each:
Dental Insurance Billing: Dental insurance billing involves the process of submitting claims to dental insurance companies for reimbursement of services provided to patients. This includes verifying patient eligibility, accurately coding dental procedures using dental procedure codes (CDT codes), and submitting claims electronically or via paper submission. Dental insurance billing aims to ensure timely reimbursement for dental services rendered.
Patient Billing: Patient billing in dental practices involves generating and sending invoices or statements to patients for the portion of treatment costs not covered by dental insurance. This includes deductibles, co-payments, and any services not covered by insurance. Patient billing also includes managing payment plans, processing payments, and addressing any billing inquiries or issues that patients may have.
Credentialing: Credentialing is the process of verifying and validating the qualifications and professional credentials of dental practitioners. This is typically done to become an approved provider with dental insurance plans. Credentialing involves submitting documentation, such as proof of education, licensure, malpractice insurance, and professional references, to insurance companies or third-party credentialing organizations. Once approved, dental practitioners can participate in insurance networks and receive reimbursement for services provided to covered patients.
Medical/Dental Cross Coding: Medical/dental cross coding is the practice of translating dental procedures and diagnoses into medical codes for the purpose of filing claims with medical insurance companies. Dental procedures that may have a medical necessity or connection, such as oral surgery or treatment of oral diseases, can be cross-coded to potentially receive reimbursement from medical insurance. Cross-coding requires knowledge of both dental procedure codes (CDT codes) and medical diagnosis codes (ICD codes).
Efficient management of dental insurance billing, patient billing, credentialing, and medical/dental cross-coding is crucial for dental practices to ensure accurate reimbursement, minimize claim denials, and maintain financial viability. Utilizing dental practice management software and staying updated with industry regulations and coding guidelines can help streamline these processes and optimize revenue cycle management.
Dental credentialing services, dental insurance verification, accounts receivable follow-up, fee schedule maintenance, payment posting, accounts payable outsourcing services, and solutions are all important administrative functions that dental practices may consider outsourcing or seeking assistance with. Here’s a brief explanation of each:
Dental Credentialing Services: Dental credentialing services involve the process of verifying and managing the credentials of dental practitioners to become approved providers with dental insurance plans. Outsourcing dental credentialing can save time and ensure compliance with insurance company requirements.
Dental Insurance Verification: Dental insurance verification is the process of confirming a patient’s insurance coverage, eligibility, and benefits before providing dental services. Outsourcing this task can help streamline the process and ensure accurate information is obtained.
Accounts Receivable Follow-Up: Accounts receivable follow-up involves managing and following up on outstanding payments and unpaid claims from dental insurance companies or patients. Outsourcing this function can help optimize revenue collections and reduce accounts receivable aging.
Fee Schedule Maintenance: Fee schedule maintenance entails regularly reviewing and updating the fees charged for dental services to reflect changes in insurance reimbursement rates and market trends. Outsourcing fee schedule maintenance ensures accurate and up-to-date fee structures.
Payment Posting: Payment posting involves accurately recording and reconciling payments received from dental insurance companies and patients. Outsourcing payment posting can help streamline the process, ensuring accurate and timely payment application.
Accounts Payable Outsourcing Services: Accounts payable outsourcing services involve managing and processing payments to vendors, suppliers, and service providers on behalf of the dental practice. Outsourcing accounts payable can help streamline payment workflows and ensure timely payments.
Outsourcing these administrative functions to specialized service providers or adopting software solutions can help dental practices focus on providing quality patient care while ensuring efficient revenue cycle management. It is important to choose reputable service providers or software solutions that align with the specific needs and requirements of the dental practice.