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Trending Blog
Feb 03, 2025
Avoiding common mistakes in dental insurance claims
A dental practice needs to handle patients with priority and care. A satisfied patient leads to a repeat visit and a source for potential patients.…
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Why Remote Dental Billing Partners Are Essential in a Dental Practice
May 15, 2024
The primary purpose of a dental practice is patient care. However, one can observe that many of them consume a considerable amount of time and resources on billing, insurance, and claims. It is imperative that there needs to be a strong focus on billing and collections as it helps maintain a positive cash flow for […]
Keeping Your Smile Bright: A Guide to Dental Compliance For Busy Practices
May 10, 2024
Dental Compliance denotes a set of guidelines and regulations that a dental practice needs to follow. This ensures that a patient receives safe and effective treatment and services. Depending on the location and kind of practice, the regulations can vary. Some basic compliance demands include the maintenance of records and patient privacy. The Need for […]
The Benefits of Hiring A Medical Compliance Consultant
May 10, 2024
The provisions and demands concerning privacy, security, and breach notifications are quite intricate. The teams at any dental practice might not possess the necessary skills to ensure compliance with the legislation. Moreover, even the IT team might lack any capacity to undertake the analysis and administrative duties essential for compliance. Here is where hiring a […]
What is the Difference Between Insurance Verification and Prior Authorization?
May 03, 2024
Navigating the intricacies of dental insurance involves two pivotal processes: insurance verification and prior authorization. While they operate at different stages of the dental billing process, each serves distinct purposes, ensuring a seamless and hassle-free experience. What is Prior Authorization? Prior authorization entails dental care providers obtaining approval from a patient's insurer before administering services, […]
Maximizing Dental Coverage: The Role of Secondary Insurance
May 03, 2024
A patient can be covered by more than a single dental insurance plan, leading to what is known as dual dental coverage. This occurs when a patient has access to two different dental insurance plans, perhaps through their employment or a spouse’s plan, thus providing additional coverage. One insurance plan is designated as the primary […]
How To Reduce Dental Claim Denials
Apr 25, 2024
Reducing dental claim denials involves proactive measures to ensure accurate claims submission and compliance with dental insurance providers. That includes patient eligibility verification for coverage, submitting claims with correct procedure codes, providing adequate supporting documentation, and following up on denied or pending claims. It's also crucial to maintain up-to-date knowledge of relevant regulations and guidelines […]
Dental HMO Vs. PPO Insurance Plans: What are the Differences?
Apr 19, 2024
Dental insurance plays a crucial role in managing the costs of dental care, covering preventive, diagnostic, and prosthodontic treatments. Before choosing between a Dental Health Maintenance Organization (HMO) and a Preferred Provider Organization (PPO), it's essential to understand the contrasts between these two popular insurance plans in the United States. A Dental Health Maintenance Organization […]
Grow Your Practice With Help From PPO Experts
Apr 19, 2024
A Preferred Provider Organization (PPO) plan provides patients with a network of dental practices offering services at predetermined rates, giving patients a broad selection of dental care providers. Joining a PPO network as a dental practice begins with credentialing, a process that can be time-consuming, especially when aiming to network with multiple insurance providers. PPO […]
Using CDT, CPT And ICD-10 Codes – What Dental Practices Should Know
Apr 12, 2024
In a dental practice, understanding the numerous coding systems is vital for dental billing, insurance claims, and record maintenance. A breakdown of dental coding and systems that are prevalent is as follows. CPT Current Procedural Terminology or CPT is a set of important codes published and maintained by AMA or the American Medical Association that […]
Six Common Dental Billing Errors That Cost Your Practice
Apr 12, 2024
Billing is a complex process for any dental practice. Errors and lapses in billing can tarnish a practice's reputation and lead to legal repercussions if the mistakes made are unlawful. Regulations are constantly changing, and billing codes are frequently updated. There are numerous details and rules to adhere to, and errors can lead to claim […]
6 Reasons To Outsource Dental Insurance Verification
Apr 05, 2024
A dental practice is like any other business. The main goal is to provide excellent patient care while paying attention to the practice's profit. A dental practice is successful if it generates adequate profit. Outsourcing to trusted dental insurance verification companies like Capline Dental Services ensures reimbursement and increases practice revenue. Dental Insurance Verification Challenges […]
How Does Secondary Dental Insurance Work?
Apr 05, 2024
A common question arises among dental professionals: How does secondary dental insurance work if patients have two or more dental benefit plans? Secondary dental insurance kicks in after the primary dental insurance has contributed its share. The cash flow of the dental office depends on accurately and compliantly submitting claims. In this article, Capline Dental […]
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