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Tennessee Dental Credentialing

PPO, DMO, HMO, DHMO, Medicaid, CHIP Credentialing in Tennessee

The pressure to do well and get everything done for a new practice can be quite overwhelming. Enrollment and Credentialing are two of the most common revenue cycle challenges that can perturb administrative staff. Credentialing can easily take up more time than usual even if there is a small mistake in the application. This can easily result in delayed payments as well as can make the reimbursement process longer than it should be.

Tennessee Dental Credentialing offers comprehensive provider enrollment and credentialing services starting from initial application to all the way to entering a formal contract with the insurance company. The group of experts who are part of our strong team collect and collate all the information in one place for quick and easy accessibility. It includes medical licenses and certification, practice history, feedback from previous employers as well as other information that is useful for vetting.

We are well aware of the fact that the insurance provider can be PPO, DMO, DHMO, HMO as well as Medicaid. This is why we make it a point to notify each and every provider about the credentialed dentist so that there are no obstacles while settling claims. At the same time, we also conduct regular follow ups and regular monitoring of all claims until they are settled. We are with you every step of the way right from applying for NPI to completion of your NAQH profile as it is our claim as much as it is yours.

Tennessee Billing and Collection

In order to ensure sustained growth of any dental practice it is essential that you overcome all challenges that come your way. This includes eliminating coding errors, minimizing claim denials, submitting claims before submission date deadline, timely payment posting among others. Only a person with some prior experience can do this which is why it is important to outsource this time-consuming task to experts. When you do this you are not only getting paid on time but freeing up your schedule to focus solely on patient care. Tennessee Billing and Collection is renowned for offering the right solutions when it comes to dental billing and collection. Over the years we have been fortunate to form strong ties with many offices by helping them streamline their revenue cycle and getting them timely payments. Read on to learn more about it.

Timely Reimbursements
Whether the billing and collection process for a claim is quite extensive or just a series of small steps we ensure that you get paid for both on time. When you get paid on time your practice can maintain low accounts receivables which will help you increase your collection. We have been in the industry for quite some time now and are well versed with both primary and secondary claims. We keep a close check on claims tracking, accuracy, payment posting and adjustment, denial management as well as prepare periodic reports which reflect the performance of the practice. Our patient statements contain crucial information like type of service, date, charges levied, demographic and personal information as well as description of treatments.

In order to keep collecting revenue in a smooth and hassle-free manner it is important to submit clean and error free claims. Once this process is initiated it is important to carry it out smoothly, both of which our trained team of professionals can easily do for you. A streamline revenue cycle gives your practice that boost of productivity as you and your staff can focus on in-house operations as well as patient care.

Tennessee Eligibility Verification

Eligibility verification is quite an important step when it comes to getting the money for the services you have rendered. The reason which makes it so important is the fact that if it is not done then the practice runs the risk of not getting paid for the services provided. Our team of eligibility verification experts check the eligibility of the patient, type of coverage as well as active benefits with the insurance company for you

Tennessee Eligibility Verification takes care of eligibility verification on your behalf so that you can spend more time on patient care. Our team of experts efficiently coordinate with insurance companies through fax, web and call to collect the latest patient data. They are well equipped with all the measures needed to procure the patient’s history and related information to get verification done in an accurate and timely manner.

Check below to see the step by step guide of our thorough approach:

  • Obtaining member ID of patient
  • Getting the dates from which the policy is effective
  • Collection of coverage details like limitations, frequencies, history and waiting period
  • Updating patient records with the information obtained
  • Getting the verification document from the insurance provider
  • Uploading the verification document in the patient record

Contact our specialists today to get the best of dental billing and collection, credentialing and eligibility verification.

Get started! 888-666-0604

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