Medical Billing for each specialty varies based on the intensity of the medical procedures and treatments, time involved during pre and post procedures. Dental billing is one such complex specialty with a separate set of codes “Current Dental Terminology (CDT)”. Billing process is comparatively difficult as not all healthcare policies cover for Dental Procedures, moreover, the rules and regulations for Dental Billing also vary which requires dedicated billers and coders who are trained and experienced to handle Dental Medical Billing. This article aims at detailing the key challenges of Dental Billing and ways to avoid them.
Key Challenges of Dental Billing
- Regular Updates And Changes in CDT Codes: CDT – the codes for Dental Procedures are regularly updated mandating the team involved to stay atop of the changes in existing codes, learn new codes and be knowledgeable about the deleted codes to prevent Dental Claim denials.
- Insurance Coverage Limitation: As not all insurance policies cover for Dental Procedures, Billers are required to cross-check, validate the patients’ coverage details prior to the appointment to determine the payment methods if the services to be rendered are not covered.
- Lack of Dental Billers and Coders: Staff retention is crucial to ensure the expertise and attention to meticulous process nuances are closely monitored targeting every claims to be processed successfully. Attrition, absenteeism and constant staff changes can affect billing quality leading to increased denials and revenue loss.
Having efficient Dental Verification and Dental Billing Support is mandatory for Quality Billing and Maximum Reimbursement. Acknowledging the possible challenges in Dental Billing and creating a streamlined and strategical approach reduces probable challenges in Dental Billing. Read through the below points to know how to avoid Key Challenges in Dental Billing:
- Indispensable Insurance Eligibility and Benefit Verifications
- Acquiring Prior Authorization and Referrals as and when required
- CDT Coders certified from American Academy of Professional Coders (AAPC)
- Experienced Billers with Claim processing and Denial Management expertise
- Timely submission of claims to avoid denials and delayed payment
- Accuracy in Data Entry Process such as Demographic Entry, Charge Entry and Payment Posting
- Skilled AR Callers to ensure maximum reimbursement
- Effective Billing Partner or Dental Billing Company for Qualitative Dental Billing
- Outsourcing to an established Dental Medical Billing Company with expertise handling Dental Claims Processing
Keeping an eye on meticulous details and nuances helps the billing company achieve its business goals while not affecting the quality of Dental Billing and Revenue Cycle Management Process. Choosing the right medical billing partner as your services provider is the key to a successful business and to achieve targeted financial growth.
About e-care
e-care India is one of the pioneering offshore Dental Verification and billing companies based in India that promises to avoid the risks involved with missed Charges. With 20 years of experience in the industry, e-care’s 3 delivery centers have been providing end-to-end Dental claims processing services seamlessly to its clients. To know more about e-care and its services call 1-813-666-0028 or log on to www.ecareindia.com