Results Driven Dental Billing Company
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Overview of Dental Billing Services
With a whole new classification of coding, dental billing is quite unusual compared to medical billing of other specialties. Accuracy and precision are required throughout the billing workflow to guarantee clean claim submissions and high payment collections.
Medical billing for dental practices begins with verifying whether the patient is enrolled in a private dental insurance plan or covered by the Medicare Advantage plan. After a careful patient eligibility check, the dental billing expert must proceed to intricate coding, claim creation/submission, and A/R follow-up. Effective denial management is also a crucial component of dental medical billing.
Customized Dental Billing Services
There is more to dental billing than just accurate coding. It is a long and comprehensive process involving several subprocesses that must be completed with vigilance to boost a dental practice’s revenue cycle.
At MediBill MD, we provide end-to-end billing services for dental practices that can either be bought as an all-inclusive package or acquired separately based on your dental clinic’s unique medical billing needs.
Dental Credentialing
Become an in-network oral healthcare provider and get more referrals than you can count. We offer reliable provider credentialing services, from document collection to contract signing, to smoothen your onboarding.
Dental Insurance Verification
Confused by the varying insurance plans and payers? Let us do the due diligence. We thoroughly verify every patient’s dental insurance coverage to ensure payments for your services.
Dental Billing and Coding
Cracking codes like a master cryptographer! We provide comprehensive dental billing and coding services with a focus on using the correct CDT codes for accurate billing of procedures.
Dental Claims Submission
Want to get your claims accepted in the first pass? We use the appropriate dental claims forms and enter verified data for clean claims submission to the right insurance payer.
A/R Follow-Up
Every outstanding payment is a missed opportunity for revenue increase. We diligently monitor your accounts receivable (A/R) to ensure you get complete reimbursements on time.
Payment Posting
Successes should not only be celebrated but documented. We update your ledgers and record every payment received to track your practice’s financial performance and optimize the revenue cycle.
Denial Management
Tired of denials denying your revenue? We fight them for you! Our denial management services effectively address dental claim denials. We rework and resubmit claims or appeal them when necessary.
Reporting and Analytics
Improving your decision-making with real-time data analytics! We perform in-depth audits and submit detailed reports so you can monitor your practice’s financial health and make decisions accordingly.
Common Challenges in Dental Medical Billing
The claim denial rate for dental services and procedures is among the highest. Studies have shown that the denial rate for dentistry or dental care is 8%, while the average denial rate in the healthcare industry is between 5% and 10%.
Along with the complexity of determining a patient’s dental insurance coverage, dental billing specialists must assign accurate procedural codes for each service and ensure the claim is submitted to the authorized payer. Handling these coding and billing processes in-house while administering oral care to visiting patients can quickly become overwhelming, leading to erroneous claim submissions.
Varying Insurance
Coverage
Most medical insurance plans do not cover dental services. However, some private and government plans may offer dental benefits. Verifying a patient’s insurance coverage for specific services can be difficult.
Differing Coding
Guidelines
Coding guidelines are different for dental procedures. Instead of CPT codes, oral care practitioners usually use the Current Dental Terminology (CDT) codes issued by the American Dental Association (ADA) to bill services
Absence of
Trained Staff CPT
Dental clinics usually have limited staff, and the dentist/ hygienist or the dental assistant manages billing. The absence of a dental billing and coding expert increases errors in claims.
Balance Billing
Balance billing is quite common in dental billing. Most providers receive partial payments from insurance payers, and the rest is billed to the patients. It leads to lower patient satisfaction.
Outsource Dental Billing Services to MediBill MD
Even though most medical insurance plans do not cover dental services, around 88% of the US population is enrolled in some kind of dental benefits. They either have insurance coverage through their employers, Medicare Advantage, Medicaid, or are paying out of pocket. Combine that with the fact that, on average, a dentist sees 10-15 patients per day. Now, that’s a lot of claims to file with lots of different payers
However, if you outsource dental billing to a trusted dental billing company like MediBill MD, everything gets taken care of at a fraction of the cost.
At MediBill MD, we up the coding game with certified dental coders! Apart from AAPC certifications, our dedicated dental billing team has the American Dental Coders Association (ADCA) certifications that qualify them as CDCs for accurate CDT coding. They, too, rigorously follow the annual revisions in the CDT coding guidelines.
Our revolutionary billing and coding software seamlessly integrates with your dental billing workflow to verify patient/ provider information, code sets, and insurance plan details while removing discrepancies and errors. Our tech-driven approach allows us to improve efficiency and file clean claims.
We are 100% HIPAA compliant and ISO-certified and follow all the dental billing industry regulations, whether federal or state, to save you from minor and major consequences. During medical billing for dental practices, we pay close attention to the ADA guidelines and payer policies to avoid litigations.
If your goal for this fiscal year is to cut costs, then MediBill MD is already on it. We reduce your administrative costs to one-third of the total by managing skilled staff and advanced technology all under one roof. You get a steal for the price of a deal!
Every step of our dental billing process is designed to ensure quality dental care to your patients. By handling the bulk of your non-clinical workflow, we let you focus on delivering oral health excellence to each patient who visits your clinic.
Be it your state’s statutes, rules and regulations, or administrative guidelines, we follow all.Through our virtual operations, we offer timely dental billing assistance without geographical constraints
Our specialized dental billing services are available across 50 states, helping hundreds of independent dental clinics and group practices secure their rightful reimbursements and achieve financial success. East to west, north to south, we’ve got you!
Streamline Dental Billing and Coding with MediBill MD
This specialty of medicine has one of the highest claim denial rates, and why not!? With more than 800 CDT codes, annual revisions in claims forms, a range of dental benefits and payers, and the need to turn to CPT codes for some dental procedures, things quickly become nightmarish.
MediBill MD’s tailored dental billing solutions overcome these challenges and prevent errors to reduce claim denials.
| Dental Billing & Coding Errors | MediBill MD Solution | |
|---|---|---|
| Incomplete or Incorrect Patient Information | During claims creation, we double-check patient and provider information from your electronic dental records (EDRs) to ensure that all the required information is complete and accurate. | |
| Inattention to Insurance Coverage Verification | We thoroughly examine your patient’s insurance plan to determine dental benefits and familiarize ourselves with the payment details of covered services such as co-pays, deductibles, etc. | |
| Using Outdated CDT Codes | Like CPT codes, CDT codes are updated annually by the ADA. Our dental billing specialists stay abreast of these revisions and follow the latest coding guidelines to reduce coding errors and prevent denials | |
| Separately Billing Bundled Procedures | Dental procedures that are often performed together are bundled into a single CDT code. Our CDCs are aware of bundle codes and use them appropriately instead of billing services separately. | |
| Late Claims Submission | We avoid late submissions and resulting claim denials by filing claims on the same day. Our staff follows the varying deadlines of each dental insurance payer to secure complete reimbursements. | |
| Using the Wrong Dental Claims Form | Like their CDT code sets, the ADA revises its dental claim form each year. Filling out and submitting an outdated claims form leads to denials. Our dental billers use the latest ADA form for claims submission. | |
Don’t let the inflated prices of dental billing services eat into your profits. Experience the MediBill MD difference with our unmatched pricing model and only pay for the services you need.
Price Comparison Calculator
Based on your annual collections, we will calculate the in-house medical billing cost and compare it with the MediBill MD service charges.
Get In Touch With Our Dental Billing Expert
In the competitive healthcare space, keep your dental practice alive. Contact us to hire a dental billing expert and eye revenue boost as we handle your finances.
FAQs
At MediBill MD, we offer specialized and all-inclusive dental billing services across the USA at market-competitive rates. Our dental medical billing team comprises certified coders, experienced billers, and RCM specialists who strive to file error-free claims for accurate and timely reimbursements.
Unlike the widely held belief, outsourcing billing services for dental practices requires a small investment. We only charge between 2% and 5% of your total monthly collections for our value-added services.
The most challenging aspect of medical billing for dental offices is CDT coding. There are over 800 CDT codes that dentists and other oral health professionals must accurately assign to dental procedures and adjunctive services. It is difficult to use the appropriate codes, especially when some services require CPT codes, such as diagnostic maxillofacial CT scans, single X-rays of teeth, etc.
