Ultimate Guide to the Dental Billing Process

Dental practices are demanding but integral to the industry’s eventual technological realities. Aside from general oral examination and teeth cleaning, there is a lot that practitioners in the field can do. Patients can pursue cosmetic dentistry, prosthodontic, preventative dental, periodontal treatments, orthodontic, and pediatric dental services.

Expanding your services can significantly improve your practice profitability. But how you go about the whole process is imperative. The solution? A detailed suite of dental billing services can help, and https://smartdentalbilling.com is one platform that can help immensely.

It will easily handle all billing problems an individual practitioner or dental clinic can encounter. However, there is a lot you may not know before you can pursue such a service. The good news? This article will offer all the crucial information you need. Keep reading!

What Dental Billing Entails-Key Things to Know 

Dental billing services are the solution to eliminate administrative work involved in processing bills and the accompanying claims for dental business. But what is dental billing? Generally, high-quality billing procedures will help you get paid and play an integral role in your revenue cycle management.

The process involves every aspect of sending details of dental services performed to an insurance agency for payment. It’s broken down into patient billing and the insurance claim process. These two stages make the primary source of revenue for your dental practice.

  1. Dental Billing Process Steps

A brief checklist of the life-cycle of a dental patient and claim entails the following:

  1. Collecting Patient Information

This stage occurs during an appointment with a dentist, where the patient provides their name, addresses, phone numbers, email addresses, dates of birth, and contract preferences. Other crucial details include the insurance company name, plan, subscriber’s employer, phone number, and ID.

  1. Verification of Patient Insurance Coverage

Verification of insurance is crucial by calling the insurance carrier. You can also log into your insurance portal and get an analysis of your plan or benefits.

  1. Recording of Dental Treatment or Service Data

An in-house team will record necessary details in the dental clinical notes or database during a specific procedure. The team will document, review, and ensure the correct information is electronically captured and signed by the provider. Dental entry into the dental software will take place during this phase.

  1. Submitting and Tracking Claims and Necessary Attachment 

The dental software makes it easy to access recorded data. Now you can create, combine, and submit insurance claims. Details to attach include codes of dental procedure or services provided. Patients’ personal and insurance information is also essential. Include clinical notes, narratives, x-rays, intraoral photos, and periodontal charts, among other procedures.

  1. Resolving Problems on Your Claims

Follow up on the claim if it is denied or 30 days have passed after failing it. The official offering billing services will get a list of outstanding claims and details of the insurance company and determine what went wrong. When all is resolved, it’s time to appeal the claim for reimbursement.

  1. Billing Patients 

The revenue model you use is imperative. You can bill the patient for the entire amount of the dental procedure up-front (fee for services offered). Alternatively, you can bill the patient the balance after subtracting their insurance plan benefits.

  1. Posting Agreed Payment 

Post the payment details to your dental practice management software once the insurance claim has been cleared and the money deposited into your account. You will ensure every detail about your earnings is well documented and recorded. Transparency also helps ensure patient bills and cash flow details are accurate.

  1. Review of Billing Activities

Look at the billing activities of the day, week, month, or year, and gauge their efficiency. Check any outstanding claims or patient balances that need your intervention.

To Sum Up

Smart Dental billing is not that daunting if you know the criteria involved. You will rejoice in an opportunity to work with the best dental billing services provider. Most importantly, you will rest assured of streamlined backend operations, increased earnings, and good customer relations.

Learn more about the cost of dental treatment and how to reduce it to minimum, on this website: www.natural-remedies-nurse.com

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