Mastering Clean Dental Billing Claims

Almost all dentists understand the need to streamline insurance claim management. Dental billing is the lifeblood of your practice as well as your primary revenue stream. Without dedicated management, claims can fall through the cracks, leading to an ever-ballooning AR and stopgaps in cash flow. eAssist Dental Solutions has created an effective, profitable way to manage your dental billing and help you and your staff achieve peace of mind in collections. Here are 3 ways eAssist works with your practice to make sure every claim submitted is a success:

1. All providers are credentialed as soon as they are ready to join the practice

Everything starts with credentialing. eAssist works to make sure everyone in your practice is ready to provide professional, exceptional treatment the moment a patient walks through the door by:

• Ensuring provider AND location are credentialed
• Starting the credentialing process as early as possible; have an internal protocol for scheduling while provider is waiting for credentialing
• Asking insurance carriers if credentialing is effective on application date or approved date
• Adding calendar reminders for when credentialing is 90, 60, 30 days from lapsing
• Creating a spreadsheet with all of your information in a centralized place

2. Submit dental claims using the most current ADA format

If you have frequent denials or rejections, here are some things to look for in your claims:

• Be sure you check your claim setting in your PMS for the correct ADA claim form
• Insurance companies may not tell you if your claim format is out of date or incorrect on the EOB, it may come back as a denial, so always be sure to check

3. Use the correct CDT codes for dental billing claims

The “language” of dental billing claims, CDT codes must be utilized correct when submitting claims. The newest changes and deletions can be found at the industry-leading coding provider Practice Booster, partnering with eAssist to streamline claim rejections by eliminating the guesswork of coding changes. Here are some tips for correct CDT code usage:

• With recent coding changes/additions, best practice is to match the CDT code with the most applicable nomenclature
• Specify teeth numbers, quadrants, or arches if the CDT code requires it
• Using the correct CDT code on the claim opens the door for more successful appeals if the service is denied

eAssist provides you with the solution to optimized claim management

With over $9 billion collected for dentists just like you, eAssist Dental Solutions is the answer to your claim management. We invented optimized revenue cycle management and front office services for dentists. For more than 10 years, the eAssist platform has been putting more money back in the pockets of the nation’s dedicated dentists, reducing the stress of their teams, and creating more reliable cash flow. If your practice is ready to jumpstart your revenue and reduce insurance AR, drop us a line below.