Dental Billing
Dental Billing and Coding
From Next Level Consultants
Our remote dental billing service is geared to increase your practice's revenue, speed up payment processing, and reduce stress in your dental practices. We handle insurance verification, claim submission, follow-ups, and other billing-related duties. We can seamlessly integrate with a variety of practice management software, ensuring compatibility and HIPAA compliance.
Administrative responsibilities like dental billing, insurance verification, and claim management heavily rely on having that one valuable team member you trust. Many times, dentists are beholden to that one person’s ability, and they determine the entire cash flow within the practice. In today's job market, it’s really hard to be flexible and reduce overhead costs. Relying on that one person causes a lot of stress for practice owners. It’s a huge responsibility within the dental practice and sometimes inflated payroll budgets stress financials even worse. Not only that, if your front office admin decides to leave and go elsewhere you're probably relying on the next person that walks in the door.
It's a tall order to keep up with the ever-changing insurance industry; codes are continually updated, and regulations are required by insurance carriers. It’s not always wise to place the financial well-being of your practice on one employee, especially if they are juggling multiple administrative duties up front. Late or denied payments from insurance companies can severely impact your practice's cash flow.
The cost of maintaining a full-time in-house billing specialist, including salaries, benefits, training, and software, can be very costly. Many dentists find that outsourcing dental billing and coding services provides a much better return on investment for their practice.
How We Handle Dental Claims Support
Dental Claim Submission
We prepare and submit insurance claims to the various insurance companies you partner with. Our service includes staying current with coding the dental procedures correctly, using the Current Dental Terminology (CDT) codes. We ensure all necessary documentation is attached with the proper narratives.
Dental Claims Follow-up
We track claims after submission and check their status, addressing any issues like denials or rejections and resubmitting claims, if necessary, with the corrected or additional information needed to ensure payment. This tedious process ensures that money is coming into the practice on a timely basis.
Dental Claims Appeals Management
Handling appeals when claims are denied involves gathering the necessary documentation, fully understanding the reason for the denial, and advocating on behalf of the dental practice to overturn the decision. Claims appeal management is a diligent process that requires timely and responsive action.
Verifying Insurance Eligibility
We can use software that integrates with dental practice management systems to automate parts of the verification process, using electronic data interchange (EDI) for real-time or near-real-time eligibility checks. We can determine the specifics of the insurance benefits, like covered procedures, waiting periods for certain treatments, or if the patient has met their deductible for the year.
Additional Support
Education and training are provided to your administrative team members. This might include training on software or billing practices so they, too, are aware of the patient's status. In addition, we offer reports that analyze claim acceptance rates, payment trends, and areas that may need to be addressed through clinical or administrative practices.
Strict Compliance
Ensuring all billing practices comply with legal standards like HIPAA, which protects patient health information.
Managing Accounts Payment Postings
Our service includes finding patient records matching the payments received from insurance companies to a corresponding claim and updating the dental practice's accounting records accordingly. If this is not done properly, an unclear or incorrect accounts receivable balance can result in bad debt or uncollected funds and can anger patients, causing a loss of trust and confidence in your practice's business practices.
Next Level Consultants’ Commitment to Dental Practice’s Success
Not only do we do dental billing outsourcing, but we also cover any and every aspect of dental practice management consulting. We have an extremely talented team of dental coaches who can approach any aspect of running your practice and provide immediate value to your practice. Our full practice management consulting service is a all-in-one solution.
We also have a focused program on just Dental Front Office Training that covers everything from patient communication, scheduling, and billing to new patient onboarding best practices and procedures.
Reach out to discuss how Next Level Consultants can support you, your vision, and your goals for transforming your dental practice into a business you're proud of. One that sets you up for long-term success and a financially free future all the way into retirement.