Dental Insurance mistakes and impacts on billing

1. 6 Typical Dental Billing Mistakes that Impact Billing It can be difficult and time-consuming to bill for dental billing services. Some frequently performed dental procedures have poor reimbursement values. Dental practises may begin to experience financial losses if impact-free claims are not submitted on time. Therefore, it is crucial for dentists to keep an eye on the practice's billing processes. They will be able to spot billing mistakes that effect revenue and raise alarms for insurance audits thanks to this. Here are six common dental billing impact that can affect the revenue of a dentalpractice: not including the correct treatment date in the claim submission failing to demonstrate other insurance protection Regularly failing to collect the full co-payment or deductible Co-payments and deductibles are waived. Where a non-covered service was performed, claims for covered services must be submitted. not using the proper code for services rendered These mistakes result in substantial revenue loss for the practice. It is necessary to ensure that a procedure is billed only if it has been performed. This mistake is caused when billing gets initiated at the beginning of a treatment or during the treatment. If the billing staff is not trained, he / she just bills as per the dental treatment plan assuming that all the procedures were performed even if they were not completed thatday. Finding Methods to Replace Lost Income In case of Medicare the government doesn’t accept “clerical impact” as a defense. Once improper billing procedures have been identified, dentists need to find ways to recover lost revenue. Observe the billing process They need to get involved in the billing procedure because fraudulent billing practices can prove to be very expensive. By being proactive and monitoring all the billing patterns, any type of billing issue can beprevented. www.prospabilling.com Email Us: info@prospabilling.com

2. Dentists should review the third party payer contracts on their own rather than leaving this responsibility on a staff. They should review and / or audit the insurance claims history in a periodic manner to find out any inconsistencies. A patient’s financial chart should also be reviewed to make sure that all treatment has beenbilled. Age Tracking for Dental Insurance Special attention should be given to the batch of claims that have not been paid by the insurance company. Loopholes in documentation should be removed because insurance companies deny claims if there are errors in the documentation. If there are suspended claims waiting to be processed, immediate attention should be given to get themcleared. Patient Education on Payments Informing the patients about the dental practice’s collection policy for deductibles and co- pays is also very important. The front desk staff should be trained to offer this information to every patient at the time of schedulingappointments. Similar to any other medical specialty, dentists are also held responsible in case of fraudulent billing practices. But considering the increasing paperwork, documentation requirements, coding complexities and compliance to HIPAA and other reforms, many dentists have started to outsource Dental Billing Service to companies likeprospabilling.com. Outsourcing partners for dental billing like Prospa Billing have a team of coders who are acquainted with ADCA (American Dental Coders Association). They are well versed in dental coding techniques and the industry requirements that are necessary for dental billing. Prospa Billingis the perfect choice for dentists looking for dental billing services in California Tennessee California Indiana. While an expert team handles all dental billing requirements, dentists can use their time to concentrate on quality careprovision. www.prospabilling.com Email Us: info@prospabilling.com