Más contenido relacionado Más de Medical Billers and Coders (20) Dental billing and coding tips for claim settlement delays1. End to End Medical Billing Solutions
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Dental Billing and Coding Tips for Claim
Settlement Delays
Delay in claims settlement is one of the major reasons of reduced profitability for
dental practitioners. This is despite the introduction of favorable medical billing
and coding changes in the healthcare industry. With more than a few dentists
having to leave 16 - 30% of their revenue on the table due to rejected claims,
further delay in the claims settlement can negatively impact the overall financial
viability of their dental practices. Even though it is not restricted to dental billing
alone claims settlement delays due to carrier processing and specification
becomes more common with the cross coding concept frequently adopted by
dental billers.
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Following dental billing and coding tips can help your dental practice cope with
claims settlement delays and further reduce the delay period over a long term –
Clarify cross coding complexities and intricacies with the insurance carrier
in the claims proposal itself. Most claim settlement delays happen due to
initial incomplete information or confusion in the documentation
pertaining to the proposal. By simply clarifying the procedures that are
cross coded in your dental claims you can save the processing time.
As soon as the insurance company receives your claims proposal they
confirm the coverage of patient and the extent of it first. By ensuring
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eligible coverage of patient in advance, you save on time that is spent by
the insurance carriers behind this procedural formality. However, to
achieve this, your billing team should adopt the practice of collecting
coverage related information from patients at the time of walk in.
Share all relevant data of patient with the insurance carriers in the claims
proposal.. In the event of any missing information most carriers have a
specific procedure and a pre-specified time frame within which the dental
practitioner should provide the requisite information and close the query.
This period invariably gets extended as most dental practitioners are not
able to revert with the required documents and patient records within the
specific turn-around time. Thus, it is essential that your dental billing team
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follow up with the filed claims and aggressively track its processing. This
way, any documentation related queries by the carriers can be effectively
resolved, expediting the claims settlement process as a result.
Avoid non-disclosure of information - both intentional and inadvertent.
Sometimes dental practitioners refrain from sharing complete patient
records with insurance carriers such as health status, occupation, physical
disabilities, habits, etc. While this may allow better adherence to HIPAA
guidelines it can still hamper your processing of claims and give way to
another claims rejection or even worse, a medical audit. Therefore, share
all the relevant patient and procedural information with your insurance
carrier.
5. End to End Medical Billing Solutions
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Even though these tips are simple to adopt in your current billing and coding
practices, you may face various challenges in pursuing your carrier for speedier
claims settlement. MedicalBillersandCoders.com can become a valuable billing
partner for your billing service in such scenario. Our dental and medical
consultants follow up each claims proposal and appeals to ensure timely
settlement and improved profitability for your dental practice.
6. End to End Medical Billing Solutions
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http://www.medicalbillersandcoders.com
www.medicalbillersandcoders.com
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