Dental offices can experience claim denials for a variety of reasons. From coding inaccuracies to incomplete information, these denials can be frustrating for front office staff as they often have to work hard to ensure that claims are handled accurately and in a timely manner.
Unfortunately, some claim denials cannot be avoided, but it doesn’t mean that the dental office should immediately give up – there are ways to minimize potential denial rates, which can help to reduce stress and improve efficiency within the practice.
One of the main ways is by using a remote dental billing service. Let’s take a deeper look.
Common Issues That Lead To Insurance Claim Denials
Here are some of the common issues that lead to dental insurance claim denials.
Coding Inaccuracies: One of the most common causes of denied claims is incorrect coding due to human error or lack of understanding when it comes to coding. Practices should ensure they use the most up-to-date ICD, CPT, and HCPCS codes when submitting claims in order to reduce the chances of incorrect coding causing a denial.
Incomplete Information: When submitting a claim, it is essential that all required fields are completed accurately and completely. If any pertinent information is missing from a claim, it can cause it to be denied. To prevent this from happening, practices should make sure all relevant information, including diagnosis codes and patient information is included in every claim submission.
Outdated Provider Information: Insurance companies may require updated provider information each year. Practices should take care to update this annually in order to ensure their claims will not be denied due to stale provider data on file with most insurance companies.
Incorrect Reimbursement Rates: It’s possible for an office’s reimbursement rates from an insurance carrier to change year over year leading to claims being denied due to incorrect fees based on outdated rates. Practices should request copies of their current fee schedules annually, so they know precisely what rate they need to submit with their claims in order avoid rejections due to incorrect fees.
Solve These Issues With Dental Remote Billing Services
Dental practices often struggle with denied claims, which can lead to frustration and stress for front office staff. To help combat these issues, many practices are turning to remote billing services as a way to streamline the insurance claim process and reduce the potential for denial.
Using a remote billing service can help dental practices minimize a denied claim situation resulting in less frustration and better experiences for both patients and billing staff alike!
Having skilled professionals on hand who can accurately code documents, get preauthorization and double check them for completeness can go a long way toward reducing the risk of denial from health insurers when submitting your next claim!
Quicker Payments
Remote billing services provide an efficient, accurate and cost-effective solution that can help you get paid faster by health insurance companies.
One of the main benefits of using remote billing services is their ability to accurately code patient documents prior to submission to the insurance company. These experts have up-to-date knowledge of current codes and regulations, so they can ensure all paperwork is coded correctly before submitting it. This will prevent rejections due to coding errors, which could significantly reduce payments delays.
Ledgers Are Kept Updated
Keeping patient ledgers accurate and up to date is essential for dental practices to ensure they receive their full payment from insurance companies. That’s why many are turning to remote dental billing services which provide accurate, efficient and cost-effective solutions that can help them keep their patient ledgers up to date.
One of the main benefits of using remote dental billing services is their ability to accurately post payments and adjustments from EOBs (Explanation of Benefits) and EFTs (Electronic Funds Transfer) to patient ledgers. Remote billers have expertise in coding and insurance regulations, so they’ll be able to correctly code each claim prior to sending it off to the insurance company. This prevents rejections due to incorrect coding with a health plan or other errors, which could delay payments – often significantly.
Claims Are Tracked
Remote billing services provide an efficient, accurate and cost-effective solution that can help you make sure all your insurance claims are tracked. This is especially important when tracking claims older than 30 days as these may require additional research and action to be taken depending on their status.
One of the main benefits of using remote billing services is their ability to accurately track all claims from start to finish. They will enter all patient information and other relevant data required for submission into the practice management software prior to submitting it to the insurance company. This attention to detail helps prevent rejections due to incomplete or inaccurate information resulting in quicker payments from insurance companies down the road.
Free Up Staff Time
Remote billing services provide a cost-effective and efficient solution to help free up staff resources. By taking the tediousness of insurance claims processing off your plate, you can keep the focus on increasing revenue flow and providing exceptional care for your patients.
Using a remote billing service is an excellent way for dental practices stay on top of freeing up staff resources while at the same time taking advantage of better payment times due to fewer mistakes with coding or incorrect information being submitted!
A Dental Remote Billing Company Near Me
Adams Dental Consulting offers unparalleled remote dental billing services designed to maximize your collections and free up staff resources. We provide comprehensive and efficient processes designed to enable you to focus on providing exceptional care for your patients while at the same time increasing revenue flow.
The team at Adams Dental Consulting utilizes a combination of technology and extensive industry knowledge to deliver top-notch services to healthcare professionals. Our state-of-the-art software enables us to accurately track all claims from start to finish, including entering patient information such as name, date of birth, address, etc., diagnosis codes, procedure codes and other relevant data required for submission into the practice management software prior to submitting it off to the insurance company – helping ensure that any rejections due to incomplete or inaccurate information are avoided.
Adams Dental Consulting also double checks all paperwork for accuracy before submission and remain up to date with current coding and regulations so we can properly code documents prior to submission. This helps healthcare providers avoid rejections due to coding errors, which can significantly reduce delays in getting paid.
We take care of keeping track of all insurance claims over 30 days old by researching them and documenting details in the practice management software. This helps reduce the amount of time spent on monitoring unpaid claims and allows for faster resolution of overdue invoices – resulting in increased collections.
By using Adams Dental Consulting’s remote dental billing solutions, you can trust that you will receive a superior level of service at an affordable cost – enabling you to focus your attention on providing exceptional care while still achieving maximum return on investment in terms of collections. Avoiding claims denials is our mission!
Contact us today to get started.