Staying ahead in the competition is becoming increasingly difficult for dental practitioners; considering the requirement to maintain high standards of care amidst time constraints and increasing healthcare reform pressures. Recently MBC has been helping numerous practitioners across US maintain high standards in dental care and remain successful.
MBC dental billing experts believe that “the key to this lies in striking a balance between providing good dental care services along with efficiently handling billing challenges”. To manage this MBC has been trying to get to the root cause of concern by understanding the main problem areas.
Identifying the most prominent dental billing woes –
• Dental vs. medical billing– distinguishing and billing for a procedure which involves both medical as well as dental carrier is a highly frequent dental billing challenge
• Dental-medical cross coding– involves establishing the medical necessity which is very important for successful cross coding, requiring a suitable diagnosis that appropriately determines the medical necessity of the procedure
• Dental insurance eligibility- nearly 75% of dental claims get denied due to inaccurate assessment of dental insurance eligibility
• Updates frequency- dental codes in case of additions, deletions and revisions, which are published in their respective manuals, need to be kept track of regularly, as outdated codes will lead to rejection
• Issues- related to coding surgical procedures, appeals process, understanding an EOB and medical carrier credentialing are also challenges faced during dental billing
• Collections procedure – can be a little overwhelming due to the high number of patients along with various type of procedures or tests requiring diverse codes during billing
• Insurance payers- are constantly finding ways to deny claims which considerably slows down the revenue process