Importance of Healthcare RCM and Denial Management in Dental Billing

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Dental billing plays a pivotal role in the revenue cycle for every practice. Thus, creating a professional team to handle dental billing becomes necessary. For many practitioners, outsourcing dental billing services seems to be the best option. It betters patients’ billing experiences and gradually improves the revenue cycle while dental practitioners’ focus on the core i.e. patients’ dental care!

Dental billing in the RCM is the process that coordinates between patients, insurance companies, and healthcare providers. It ensures that your practice receives appropriate reimbursement, especially now requiring heightened care for efficient and accurate approval of claims to improve the revenue cycle.

Let’s take a look at the benefits of Healthcare RCM and Denial Management in Dental Billing below:

  • It simplifies the cycle of dental billing by keeping track of treatment incidents and following-up on the submitted claims till the claim gets approved.. 
  • It allows the correlation of patient details and knowledge about health benefits to the care. 
  • In most of the cases it incorporates directly into the Electronic Health Record (EHR). 
  • It effectively reduces the time between seeking medication and obtaining payment, the two-way benefit for both, the patients, and the practice.
  • It is an automatic system that saves time and costs on previously manually performed duties.
  • It reduces claims denied and re-submissions and enables patients to pay online bills, a win-win situation for your practice. 
  • It enables companies to buy analytics tools and use dashboards to recognize expectations for cash flow and sales.

Complexities of the dental billing processes and evolving healthcare insurance programs make dental claims management in-house very difficult. Outsourced strategies provide dentists with a robust range of dental billing tools to adequately pay for their care and focus on their key activities. 

The following points explain the benefits/importance of denial management and healthcare RCM in dental billing. 

  • Faster claims approval

When the rejected or unpaid claims are processed in the right way, the rate of claims getting approved improves and saves a lot of time, of both practices and patients. The denial management team in sync with the healthcare RCM team works closely to file claims while abiding by the guidelines of a particular insurance provider to deliver accurate information. This directly improves the revenue cycle management and patients have a reason to smile with your dental billing services. 

  • Spend more time on patients’ care and less time on paperwork

The primary goal of a dental practitioner is to focus solely on patient care, not on billing, claims, or any other administrative task! When a dedicated denial management and healthcare RCM team is in place to handle everything related to claims, billing, and revenue; you will have more time to spend on patient care rather than focusing on other things. 

  • Reduced denials, increase RCM efficiency

Filing clean claims haven’t been an easy task for many dental practices. The denial management team does this task really well and obtains less rejected claims. This helps you to get paid faster for your work. An expert in billing and coding ensures that your practice submits precise and thorough claims which are accepted the very first time. 

Importance of outsourcing billing services?

Outsourcing the dental billing services including denial management becomes a necessity for dental practices when the claims add up but not the income and you do not have an in-house team of billing experts. This is a sure sign that due to timely filing rules, an organization will not collect all of the revenue it owes. It directly impacts the entire billing process and revenue cycle that makes it vital for an effective dental billing process. 

If there is not enough time in the day to work, the claims denied or the rejection follows-up. Patient care is a priority, but if the demands of the sales cycle tend to move to tomorrow, then the practice needs to determine whether current workflows can be changed, the company is understaffed, or the requisite experience in billing and coding is lacking.

Dental billing systems are geared at acting as an expanded arm of the clinic, handling the billing section carefully so the primary staff can concentrate on the work. This helps you to increase productivity and even manage more customers with fewer billing and claims concerns.