Understanding How Dental Billing Company Charge Patients

Understanding How Dental Billing Company Charge Patients

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When people think of dental billing as an office manager or dental professional, they might think, “Oh that is our system to help us collect money.” They are right, and it is more than that. The health of the company’s billing system will break or make a dental practice, and knowing the process is how these professionals maintain and improve that health.

Trusting billing that it will be okay is very risky in the long run. Not dentists should need to suffer from low financial collections because they do not understand how their system should work. Here is what people need to know about this system, with special help to know and understand insurance billing. If professionals want a healthy practice, it is very important for them to know and understand how these things work clearly.

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Support has been working for many years to know, understand, streamline, as well as optimize the process for offices. Through these experiences, companies see that most teams do not understand some simple questions like how this process actually works.

This article will take a closer look at how these things work. It looks pretty simple but understanding how the process works, as well as what it entails, will help professionals optimize it in ways that will bring in more income from both insurance claims and patients. This article will also provide a couple of tips that people can use throughout the process. These are some frequently asked questions that will help teams bill and collect effectively and efficiently at their dental practice.

What are dental billings?

Dental billings are activities that collect payments for services performed by dentists.

What is the dental billing process?

This process refers to all steps involved when receiving payments from patients and insurers for services the clinic provides. It may be broken down into insurance claims and patient billing claims processing – the two primary revenue streams of this type of practice. Like other processes, there are steps professionals can follow to move through this procedure with ease. Listed below is a checklist of steps when it comes to this procedure.

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Collecting patient or customer details

It is done during the initial interview with the client when they call to schedule their appointment. This info will include their complete name, telephone or mobile phone number, billing address, email address, date of birth, contact preferences, name of the plan or subscriber’s employers, insurers, the carrier’s phone number, and insurance identification number.

Verifying the patient’s insurance plan coverage

Once the clinic collects the patient’s insurance and personal info, they will verify it by either calling the insurer or logging into the portal. It will provide customers a full breakdown of their plan benefits that will let them know the state of their plan.

Recording treatment and code info

AS patients receive treatments during their appointment, someone in the clinic will record the necessary info in the patient’s clinical notes and code the procedure performed. Usually, the administrator of the team makes sure that it is properly documented, reviewed, as well as electronically signed by the insurer in the customer’s insurance provider portal. A daily sign on their daily sheet is an excellent practice always to verify what happened inside the clinic, what is recorded in the portal, and what is recorded in the patient’s ledger to be invoiced.

Submitting and tracking insurance claims, as well as the necessary attachments

With the details the customer recorded in the portal, they will now create, batch, as well as submit their claims. This claim will include codes of procedures performed, the patient’s insurance and personal information, and any necessary attachments needed to process the claim. Attachments that dental accounts receivable companies need may include x-rays, clinical notes, periodontal charts, primary Explanation of Benefits, intraoral images, narratives, etc.

Resolving issues on outstanding claims

If the claim has been denied, or thirty days have passed, and it has not been reimbursed, individuals will need to follow up on it. It is called working the aging report. The biller gets a list of current or outstanding claims, contacts the insurer, figures out where it went wrong, then works to appeal the reimbursement. It is a very important stage where the biller’s skills and expertise, as well as efficiency, determine whether the client sees a high collection rate or a high overhead and low rate.