Services
About
Dental RCM Service
Dental RCM (Revenue Cycle Management) services are designed to streamline and optimize the billing and payment processes for dental practices. These services encompass the entire revenue cycle, from patient registration to payment collection, to ensure that dental practices receive accurate and timely payments for their services. By outsourcing dental RCM services to a specialized provider, dental practices can free up their time and resources to focus on providing high-quality patient care. They can also benefit from the expertise and experience of dental billing professionals who can help them navigate the complexities of insurance billing and payment processes. Overall, dental RCM services can help dental practices optimize their revenue cycle and maximize their revenue, while also improving their operational efficiency and reducing administrative burdens.
Our Dental RCM Services
Credentialing and Re-Credentialing
Credentialing and re-credentialing are critical aspects of a successful dental practice. It involves verifying and validating the qualifications, licensure, and expertise of the providers. This process is time-consuming and requires a significant amount of attention to detail. Our team of experts can manage the entire credentialing and re-credentialing process for you, ensuring that your practice meets all regulatory and compliance requirements.
- New Credentialing
- Re-Credentialing
- Documentations
Eligibility Verification
In the entire RCM process, eligibility verification step is the key factor which determines whether a patient’s insurance policy covers the services provided by a dental practice or not. Our structured and fool-proof process ensures your practice receives suitable reimbursement for the services rendered while reducing the risk of claim denials and optimizing the revenue loss.
- Swift TAT — same day/next day
- Comprehensive verification for present & future patient visits
- Optimized insurance coverage by creating a customized benefit plan
- Expert advice on group benefit administration
- Maximize revenues with our streamlined billing and claim management processes
Accounts Receivable
Effective management of accounts receivable in healthcare requires accurate billing practices, timely submission of claims, and efficient follow-up on unpaid claims. It also involves navigating the complexities of insurance billing and payment processes, including appeals and denials.
- Accurate and consistent follow-ups on claims outstanding
- Timely document submission to ensure maximum reimbursement
- Analysis of RCA for denials and resubmissions accordingly
- Appropriate trend analysis to avoid future denials
EOB Posting
EOB (Explanation of Benefits) posting is an essential task in the revenue cycle management process. Our team of experts ensures timely and accurate posting of EOBs to your billing system, which helps in faster claims processing and reduces claim denials. We make sure that each EOB is thoroughly reviewed and the necessary adjustments are made to the patient's account. This ensures that your practice receives accurate reimbursement and there is no revenue loss due to errors or missed payments.
- Lock Box
- SFTP
- Insurance Websites
- Checks sent via mail to our office
Fee Schedule Mantenance
Fee-schedule maintenance is an essential part of dental RCM services. We ensure that all fee schedules are up-to-date and accurately maintained. This helps practices avoid undercharging or overcharging for their services, which can negatively impact their revenue. Our team monitors fee schedules and updates them regularly to ensure that practices receive maximum reimbursement for their services.
- PPO Fee
- UCR Fee
- HMO/DMO Fee
- Specialty Fee
Electronic Claim Submission
Electronic Claim Submission is a key component of dental revenue cycle management that streamlines the process of submitting insurance claims electronically. Our team of experts ensures that claims are submitted accurately and on time, reducing the possibility of errors or delays in reimbursement. This helps dental practices to expedite the reimbursement process and optimize their cash flow.
- Ledger Review
- Charge Correction
- PT & Provider Information review
- Document Attachment
Post-Closing and Investor Delivery
Quickly sell the originated loans to the investor with our post-closing support
- Deliver loans to the investor
- Process Purchase Advise
- MERS registration and transfers
- Process Letters
- Post Consummation CD Process
- HMDA Review
- Conditions Review Submissions
- Trailing Docs
Denial Management
RDenial Management is a critical process to maximize revenue in dental practices. Our team of experts will identify the root cause of denials and help to resolve them quickly. We will also implement strategies to prevent future denials and ensure that claims are reimbursed accurately and timely. Our goal is to increase your revenue and reduce your administrative burden.
- Denial Review
- Corrective Steps for Submission
- Secondary Claim Submission
- Identifying Patient Responsibility
- Sending primary EOB if needed
BizProc’s dental billing solutions have you covered!
Our cutting-edge technology and experienced team ensure that your claims are accurate and compliant.
Error-Free Claims
Our cutting-edge technology and experienced team ensure that your claims are accurate and compliant, minimizing the risk of rejections and denials.
Faster Reimbursements
With streamlined processes and expert support, we accelerate your reimbursement cycle, getting you paid faster and improving your cash flow.
Comprehensive Support
From claim submission to follow-up, our dedicated team is here to handle the complexities of dental billing so you can focus on what you do best—caring for your patients.
We assist dental practices in surpassing their revenue and growth goals by removing repetitive administrative tasks.
Why you should choose our services
- BizProc is a leading Dental Care Service provider specialized in providing comprehensive RCM solutions to dental practices across the United States.
- Our service offerings are customized to streamline your billing, verification, payment, and administrative processes and empowering your staff to focus on patient care.
- Service Excellence is what our dedicated team of experts bring to the table with over a decade of experience in the industry.
- Our global presence allows us to provide your 24/7 support.
Benefits of outsourcing dental billing
| Orthodox Dental Billing Practices | BizProc Dental Services | |
|---|---|---|
| staff | limited capacity | streamline efficiency |
| patient Scheduling | time consuming | efficiently managed |
| insurance verification | cumbersome | swift & accurate |
| claims submission | Delayed & inconsistent | timely & Consistent |
| denial management | missed opportunites | Effective approvals |
| payment posting | menual and time consuming | fully automated |
| AR follow-up | Delatyed & inconsistent | prompt & persistent |
| reporting & analysis | limited visibility | Actionable insights |
FAQ's
Frequently Asked Questions
- Will you refile the claim if the insurance company requests more information?
- Yes, we will resubmit the claim electronically for you, provided that you grant us access.
- When do you call on a claim?
- Usually after a claim has reached 30 days and not yet paid, we will call to find out the status.
- Will we receive a report on the claims you've followed up on and any actions required from our end?
- Yes, you will receive a weekly report. If any claims require your attention, we will highlight them for you.
- Why is fee schedule maintenance important?
- Regular maintenance ensures that fees remain competitive, comply with regulations, and align with industry standards, which can impact reimbursement rates and financial performance.
- Does BizProc negotiate fees?
- No
- How do we send you EOBs to post?
- You can either scan a copy of the check and the supporting EOB and save it in a shared folder, or BizProc can provide you with a secure FTP site to upload the EOBs.
- How can I check the amount BizProc has posted in my PMS?
- We will provide you with a daily report.
- How will you handle denials?
- We will familiarize ourselves with your protocols and manage the denials in accordance with your guidelines.