The purpose of any dental practice is beyond just delivering quality care. The practice also needs to be profitable to grow the customer base and sustain operations. Effectively handling the revenue cycle management process can help maximize profits and collections by ensuring that the practice receives payment for all the treatment rendered to patients.
Since revenue cycle management is a crucial factor for a dental practice, it makes business sense to consider outsourcing the services of the best dental revenue cycle management companies as an option to boost revenues and simplify the workflow.
Outlined below are reviews and details of ten dental revenue cycle management companies that are hired by dental practices across the country. Comparisons have been made based on the history, services offered, and reviews. All the information collated is from the website of the revenue cycle management company.
It is based in Dallas and began business in 2011, and provides services based on the needs of a practice, such as:
Front-end revenue cycle services include insurance eligibility verification & comprehension of benefits, patient scheduling and appointment management, patient registration, as well as prior authorization services, which are offered by the company.
Mid-Revenue cycle services: Charge entry and audit, coding services/audits, and clinical documentation improvement are included here.
Back-end services: These include remittance processing, handling of claim denials, accounts receivable management, and credentialing services, which are provided by the company.
Pricing is generally not listed on the websites of most companies.
On a rating score of 5 stars, the company gets 4.2 on Google reviews from customers and 4.1 on Glassdoor from employees.
The company is a leading player in the dental managed services market and is based in Houston, Texas. It began operations in 2016 and offers dental practices across a range of services. A reputed company, services offered to practices include:
Capline Services manages RCM and billing services to enable practices to focus on patient care. The team has expertise in billing, CDT coding, and staying compliant as per regulatory guidelines, and can support dental practices located in a single or multiple locations efficiently.
The team provides accurate verification of insurance plans before treatment commences since patient eligibility is a major cause of claim denials.
On a rating score of 5 stars, the company gets 4.9 on Google reviews from customers and 3.4 on Glassdoor from employees.
Based in Kissimmee, Florida, the firm started business in 2015. It offers dental practices a range of services for managing the revenue cycle. These services include:
Receivables management – the practice receives complete reports on receivables that include front office dashboard tracking, scorecard KPIs, analytics dashboards, etc
Their team also manages aging reports both in summary and detailed formats. The insurance revenue cycle aging service offered by the Company includes claims modules, insurance aging reports, and claims reports. The patient revenue cycle aging service offers patient aging reports, text-to-pay service, and statement dues.
On a rating score of 5 stars, the company gets 4.2 on Google reviews from customers and 3.9 on Glassdoor from employees.
Commencing business in 2012, it is based in Savannah (Georgia).
As a leading player, it has services that include:
Dental provider credentialing – the team adds in-network providers for the dental practice that gets regular customer referrals from leading insurance networks. For large and established dental practices, it helps in branch expansion, offering dental credentialing services in new locations by handling all the cumbersome paperwork. It also offers regular dental credentialing services for getting dental practitioners credentialed or re-credentialed based on requirements.
Insurance verification services – The team can assist the practice by updating all patient records before the scheduled date of the patient visit. It provides a detailed breakdown for all patients who are scheduled for treatment. It has expertise in all leading PMS solutions such as Open Dental, Eaglesoft, Dentrix, etc.
Insurance claims management – The team does the posting of all insurance cheques and EFTs received from insurance companies. It analyses insurance aging reports for the next steps
that need to be taken. It manages all adjustments that need to be done, collating incomplete patient information, appealing denied claims, and deposit reconciliations.
Patient billing – These services include generating automated statements, providing patients with payment options, analysing outstanding balances, and sending payment reminders. This helps to save time and cost for the practice.
Oral surgery billing – the team follows up with reimbursement from applicable dental benefits, usage, and confirmation of appropriate codes, as well as ensuring that all supporting documents needed in billing are duly attached for successful claim submissions.
Dental practices and start-ups can use DCS services and can select a bundle of services based on their requirements.
On a rating score of 5 stars, the company gets 4.9 on Google reviews from customers and 4.7 on Glassdoor from employees.
It is an Oregon-based company located in Lincoln City, and services offered include:
Insurance verification – Insurance verification reports, a live insurance verification dashboard with real-time appointment status, and verification of the patients' plans, such as maximums, deductibles, etc.
Claims collection and Aging reports – Billing in defined timelines, aging report follow-ups, handling of appeals and unresolved claims, etc.
Credentialing – Credentialing services of all types are offered to practices, including Medicaid, Medicare, PPO, and HMO credentialing, fee schedule negotiation, etc.
Patient statements and collections – Patient statement reports, collection of patient dues, etc.
On a rating score of 5 stars, the company gets 5 on Google reviews from customers and 2 on Glassdoor from employees.
Services provided by this company, located in Downers Grove, Illinois, and started operations in 2008, include:
Tier-based pricing depends on the quantum of services selected, the practice's billing, etc.
Dental Revenue Group tiers prices based on volume and the service selected by the practice.
On a rating score of 5 stars, the company gets 4.7 on Google reviews from customers.
Founded a few years ago in Miami in 2018, services offered include: • Revenue cycle management/insurance eligibility verification
Based in American Fork, Utah, eAssist Dental Solutions began business in 2011, and the services offered include dental insurance billing, insurance eligibility verification, credentialing, accounting and bookkeeping, etc.
Pricing is determined on monthly collections and the size of the practice.
On a rating score of 5 stars, the company gets 4.9 on Google reviews from customers and 3.5 on Glassdoor from employees.
Established more than two decades ago in 2002, it is based in the city of Orlando in Florida. The services offered are as follows:
On a rating score of 5 stars, the company gets 2 on Google reviews from customers and 3.3 on Glassdoor from employees.
Recently set up in 2022, it is based in the city of Edmund in Oklahoma, and the services offered are as follows:
On a rating score of 5 stars, the company gets 3.7 on Glassdoor from employees.
The dental team needs to compare all data collated and engage in a dialogue with the shortlisted parties. The team needs to evaluate billing processes set by the company, credentials, pricing, etc. It can then partner with any one of the top dental revenue cycle management companies to increase productivity and efficiency.
