Dental Billing Services
Optimize Your Dental Practice with Seamless Billing
Dental practices offers a wide range of treatments such as from simple cleanings and preventative care to root canals, implants, and oral surgeries, so this kind of dental procedures or treatment requires more specialized dental billing. Dental billing is complicated by the fact because it has many procedures and treatments need to be coded in minute detail, often with different insurance policies applicable for medical and dental plans. Precise dental billing is very crucial to proper reimbursement and fewer denial claims, especially in practices dealing with general dentistry and specialty services like orthodontics, periodontics, or oral surgery.
The challenge to dental billing and coding relates to the specific dental billing codes like CDT, which need to be applied carefully to each procedure, ranging from examination, X-rays, fillings, extractions, crowns etc. Adding to these, at times coordination of dental and medical benefits must be done by a practices. The same goes for cases such as oral surgeries or TMJ treatments that requirea coverage from both. Improper or incomplete documentation leads to delayed claims or even denied claims, affecting cash flow for that dental practice.
Probably one of the biggest difficulties in dental billing involves dealing with payer-specific policies, given the fact that dental insurance is usually far more restrictive than other types of insurance in what they will cover for certain procedures. For instance, cosmetic treatments, orthodontics, or implants. The practice must be kept current with always changing payer policies and treatment has to be billed correctly to avoid underpayment. There is also additional complexity involved in managing care outside of the network, pre-authorizations, and patient payment plans, requiring intensive record-keeping and a deep understanding of the code of insurance regulations.
Your dental billing can be streamlined with the help of outsourced services by our professional dental billing company. We ensure accurate coding and documentation of every claim and appropriate submission in accordance with the guidelines set forth by the payers, thereby reducing the risk of denial for claims as well as enhancing the overall management of the revenue cycle. Our expert billing team is well-informed about billings of dental practices and takes care of all, from routine cleanings to complex oral surgeries, so that your dental practice can be free to focus on patient care while financially stable and operationally efficient.
Advanced Dental Billing Solutions
Dental Billing and Coding Services
Our team codes the procedures for correct delivery which minimizes claim denials by making sure all practices are within compliance with all insurance regulations. We specialize in depth in capturing the complexity of dental treatments, from the simple one of preventive care to restorative procedures and orthodontics, thereby ensuring maximum reimbursement.
Dental Expenses Entry
Accurate expense entry ensures timely and correct billing of all treatments offered. We ensure that all procedures, from a routine examination to more complex dental work, are entered into the billing system correctly to avoid loss of revenue.
Dental Claim Submission
Properly coded claims are submitted to the insurance carrier to realize timely reimbursement. Our dental billing service ensures that the claims are submitted error-free, limiting denials and advancing a continuous stream of revenue.
Dental Billing AR Follow-Up
Our AR follow-up services ensure that every pending or late claim is taken care of in record time. Our specialists go all out in appealing denials, resubmitting claims whenever needed, and seeing to it that timely payments are given to keep your practice healthy.
Payment Posting for Dentistry
First and foremost, account reconciliation and outstanding balance are maintained through posting of payment. Posting of all the received payments from carrier and patient is done correctly in order to maintain financial integrity.
Denial Management of Dental Claims
Our denial management service include the analysis of refused claims to trace the error, lack of information, or coding problems. In resolving these problems, we enhance future claim accuracy and increase reimbursement rates.
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Frequently Asked Questions
1. Which ICD-10 code set is used by dentists?
Dentists primarily use the ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) code set for diagnosing and documenting dental conditions. This coding system includes a wide range of codes that cover various oral and maxillofacial diseases, injuries and disorders. Proper use of ICD-10-CM codes is essential for accurate claim submissions and ensuring that dental services align with the diagnoses provided, thereby facilitating appropriate reimbursement from insurance providers.