Medical billing and coding have now become crucial for healthcare facilities. In this competitive landscape, no hospital would be able to survive without paying attention to their billing process, since it is directly associated with your finances. Talking specifically about the dental industry, they too need to pay attention to their RCM process. For this outsourcing dental billing can be an ideal solution.
Many dental clinics are unable to perform billing themselves, so they must opt for outsourcing. So why go for this option and what companies are best to outsource your billing department? Let’s explore these answers.
What Is Dental Billing?
When a patient comes to the dentist, they receive some treatments and much equipment will be used during the procedure. Of course, you won’t charge them separately.
So here, the medical bill acts as a list to mention all treatments and supplies received by the patient.
Similarly, medical billing is the process of mentioning these charges in the bill. Here coding is also done since each medical service and equipment is associated with a specific code.
So medical billing is the process of identifying what services were given to the patient, mentioning codes in the bill for each service, and sending it to the patient.
Not only that, a biller has to work on claim applications as well because they have to send respected insurance payers of the patient a bill so that they can release reimbursement on behalf of the patient’s services.
When we talk about claim application, denial management is an important step to discuss. If any of the claims are rejected, billers will resolve the issue and help the clinic get the payment they deserve.
So in terms of a dental clinic, medical billing becomes dental billing and is no different than the normal billing process.
Leading Dental Billing Companies
To save your research time finding the best outsourcing dental billing company, here we have listed the names of some top industry leaders.
We have also mentioned some basic details about each so it makes your decision-making process simpler.
Astron EHS (United States)
Services:
- Insurance eligibility verification
- Patient demographics
- Charge entry
- Claim submission
- AR follow-up
- Payment posting
- Data indexing and maintenance
- Tracking claims applications
eAssist Dental Solutions (United States)
Services:
- Dental billing and collections
- Patient billing and collections
- Consistent income
- Accounting and bookkeeping
- Insurance ready credentialing
Dynamic Dental Solutions (United States)
Services:
- Dental billing
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission
- AR follow-up
Dental Claims Cleanup (United States)
Services:
- Dental claim scrubbing
- Claim submission assistance
- AR follow-up
Medusind (United States)
Services:
- Dental billing and collections
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission
- AR follow-up
Elevate Billing Solutions (United States)
Services:
- Dental billing
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission
- AR follow-up
Mydental Revenue (United States)
Services:
- Dental billing and collections
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission
- AR follow-up
AnnexMed (United States)
Services:
- Dental billing and collections
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission
- AR follow-up
Ossisto (United States)
Services:
- Virtual assistance and outsourcing provider
- Including dental billing and collections
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission
- AR follow-up
Get to Know the Whole Outsourcing Process
DCS (United States)
Services:
- Dental billing and collections
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission
- AR follow-up
EZ Dental Billing (United States)
Services:
- Dental billing and collections
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission
- AR follow-up
TruDent Services (United States)
Services:
- Dental billing and coding
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission and tracking
- AR follow-up and management
- Practice management consulting
Dental Billing Solutions (United States)
Services:
- Comprehensive dental billing and coding services
- Patient billing and collections
- Insurance verification and pre-authorization
- Electronic claim submission and tracking
- AR follow-up and denial management
- Practice management consulting and training
National Dental Billing (United States)
Services:
- Full-service dental billing and coding services
- Patient billing and collections
- Insurance verification and pre-authorization
- Claim submission and tracking
- AR follow-up and denial management
- Practice management consulting and software solutions
Dental Claim Express (United States)
Services:
- Dental claim scrubbing and error correction
- Claim submission assistance and support
- AR follow-up and collections services
- Dental claim audits and coding reviews
- Dental billing education and training
Is Outsourcing Dental Billing Really Necessary?
While some clinics can perform medical billing in-house, why are we emphasizing outsourcing? Here are some valid reasons behind this statement.
Many times in the case of a large-sized clinic, the chances of billing errors due to high workload are increased. If you go towards hiring more staff, of course, you will have to pay them and thus your expenses rise.
Have a look at these further pros and cons of dental billing outsourcing you must consider before making a decision:
Pros | Cons |
Access to Expertise | Less Control Over Billing Processes |
Improved Accuracy and Efficiency | Potential Communication Challenges |
Cost Savings on Staffing and Training | Dependence on Third-Party Services |
Focus on Core Dental Services | Data Security Concerns |
Scalability | Initial Setup Costs |
So what is the benefit of your clinic operating on a big scale where you can’t earn sufficient profit? Here outsourcing dental billing is the key.
No matter how large your patient base is, a professional billing firm has sufficient staff to work on your claims and with full attention to detail.
When they work out of pressure, they are more likely to pay attention to each bill, and in that way, your billing becomes more efficient and denials are reduced.
Also, if you outsource the billing aspect of your clinic, you can pay attention to other areas related to RCM. It helps you identify any concerning issues and enhance your healthcare performance.
When your bills are managed in an organized way, you can perform other tasks in the clinic without any worries.
Last but not least, since medical billers work with the patients as well to collect the bill amount, a company knows the most effective ways to reach out to a patient appropriately and receive the payment.
Many times clinics are unable to make patients pay for their services, here outsourcing dental billing can get you continuous revenue, without losing any penny. This means any of your pay won’t go unreceived now.
Following is the process of partnering with a dental billing company:
Step No. | Action | Description |
1 | Initial Assessment | Evaluate the current billing process and identify needs and challenges |
2 | Selecting a Vendor | Research and select a reputable dental billing outsourcing company |
3 | Contract Negotiation | Discuss terms, services, costs, and performance expectations; finalize and sign the contract |
4 | Data Security and Compliance | Ensure the vendor adheres to HIPAA and other regulatory requirements; establish data security protocols |
5 | Onboarding and Training | Provide necessary training to vendor’s team about clinic-specific procedures and systems |
6 | Data Migration | Securely transfer patient and billing information to the outsourcing company’s system |
7 | System Integration | Integrate the vendor’s billing software with the clinic’s practice management system |
8 | Claim Preparation | Gather and prepare all necessary documentation and patient information for insurance claims |
9 | Claim Submission | Submit insurance claims to payers via the vendor’s system |
10 | Payment Posting | Record payments received from insurance companies and patients into the system |
11 | Denial Management | Address and correct any denied claims, resubmitting them as needed |
12 | Regular Reporting | Receive regular financial and performance reports from the vendor |
13 | Performance Review | Periodically review vendor performance and conduct feedback sessions to ensure quality |
14 | Continuous Improvement | Collaborate with the vendor to implement process improvements based on performance data |
15 | Ongoing Support | Maintain continuous communication and support with the vendor to address any emerging issues |
The Revenue Shield
No doubt, today outsourcing dental billing is the only way you can secure your revenue. If you are working on a big scale or even have a small clinic setting, recognize the need of these companies and find out the best for your healthcare facility.