Every specialty in Medical Billing has its own challenges and complications due it is the comprehensiveness and complexity of handling the procedure and also due to the extensive rules and regulations involved in Billing and insurance policies. Dental billing also faces challenges owing to various reasons like constant changes in Dental Codes – Current Dental Terminology (CDT) and many more. This article aims to list out the possible challenges in Dental Billing and offer prompt solutions to fix them.
Major Challenges in Dental Billing
- Lack of Coding Expertise: Dental billing needs specialty-based coders with knowledge of Current Dental Terminology (CDT) unlike the coders for other specialties with Current Procedure Coding experience.
- Dental Billing and Coding Guidelines: It is essential to be aware and to strictly comply with the changing updates in billing and coding guidelines for Dental Billing to avoid claim rejections and denials. Closely following American Dental Association (ADA) for clinical guidelines will help to be notified of regular updates and changes.
- Dental Insurance Coverage Policy: Dental Insurances also amend and update their coverage policies to meet up the changing procedural upgradation and advancement in Dental treatments. The Medical Billing team should ensure they are understanding the policy clauses clearly to bill appropriately.
- Dental Claims Denials and Rejections: Dental Claims are the most vulnerable to denials and payment rejection owing to their specialty-based and coding specifications. Deploying the right Dental Billing strategy can help curb denials and rejections.
- Collection Issues: Dental Insurance can have varied policies with regard to Copay, deductibles, Co-insurance, reimbursement percentage, etc. It is mandatory the Billing Company is completely aware of these nuances to productively handle Dental claims and get them paid.
- Time Constraint: Dental claims processes are time bound and need utmost care to have them clearly submitted within the Timely Filing Limit (TFL). However with the challenges involved, often times claim submissions are delayed beyond the TFL affecting the cash flow.
The solution to Dental Billing Challenges
- Engaging reliable and experienced CDT coding experts will have a positive impact on Dental Coding and fetch guaranteed results.
- Auto- Checking Insurance Coverage for updates and recent changes can help improve Dental Claim Quality and thereby improve the collections
- Being aware of Insurance policy coverage and benefit information can help plan payment collections from patients and insurance pertinently.
- Dental Insurance and Benefit Verification can be the best solution to reduce claim denials, and rejections and ensure full payment.
- Outsourcing Dental Billing and Coding can provide a one-stop solution to all the above challenges and also provide stress-free and healthy Dental Billing Services.
Benefits of Outsourcing Dental Billing
Outsourcing Dental Billing to a Top Medical Billing Companies with vast experience in relevant specialties grants immense benefits comparatively. Partnering with the best Outsourcing solution for Dental Billing can relatively bring down most of the challenges and can guarantee greater results productively and profitably.
About Ecare
Ecare with over 20+ years in the US Healthcare and Medical Billing Industry has gained immense knowledge and experience in various specialties. Dental Billing is one of the top areas of our expertise and has a huge clientele of dentists, Dental Clinics, and groups. Over the years Ecare has been established as the best offshore Partner with 120+ clients and expertise in over 35+ specialties. To know more about Ecare and our services call 1-813-666-0028 or log on to Top Dental Insurance Verification Company | Outsource Dental Billing & Coding (ecareindia.com)