Revenue cycle management for dental practices
General and specialty dental offices billing dental plans, with medical cross-billing where treatment qualifies.
Billing for dental practices: what is different.
A dental office runs on a schedule set weeks ahead and a benefit design that changes with every patient. The revenue problems are predictable: benefits checked after treatment, claims sent without the attachments a payer needs, and balances that were never explained to the patient.
The challenges
Where the revenue slips in dental practices.
Specific to this setting. These are the points we check first when we take on a practice like yours.
Verification that happens too late
Remaining maximums, frequencies and waiting periods are available before the visit, but are often checked after the claim comes back.
Front-desk time spent on insurance calls
The same team that greets patients is also chasing claims, and both suffer.
Patient balances nobody explained
When the patient share is not estimated up front, it is harder to collect afterwards.
What we handle
Built around how this setting gets paid.
Verify before treatment is planned
Benefits and history confirmed ahead of the appointment.
Send complete claims
Radiographs, charting and narratives attached before submission.
Work every open claim
Follow-up by age, with denials corrected and appealed where supported.
Solutions
The services we would run for you.
Dental Billing
Benefit verification, claim submission with the right attachments, insurance follow-up and appeals for general and specialty dental practices.
Learn morePayment Posting
ERA and EOB posting, adjustment reconciliation, patient responsibility transfer and secondary billing.
Learn moreCredentialing
Provider credentialing and payer enrollment: applications prepared, CAQH kept current, payers followed up and recredentialing tracked.
Learn moreEligibility Verification
Coverage and benefits verified before the date of service, so a visit is billable before it happens.
Learn moreA/R Recovery
Insurance A/R follow-up, aging analysis, high-dollar and no-response claim recovery, and legacy A/R cleanup.
Learn moreDenial Management
Denial categorisation, root cause analysis, corrected claims, reconsiderations and appeals - plus removing the cause.
Learn more
Specialties
Specialties we see in this setting.
The setting shapes the workflow; the specialty shapes the coding. These are the specialty pages that apply here.
Find out where your revenue is slipping.
An assessment looks at your denials, A/R ageing and front-end errors against the challenges on this page, and tells you plainly what it finds.