Billing and Coding for Dental Specialty
For accurate billing and coding of dental services, documentation, coding and reimbursement process has to be efficient. Routine cleanings, fillings, root canals and dental implants- each of these treatments need specific codes for correct and well-timed reimbursements. Without a great billing and coding system, dental practices get late payments, denials and even audits.
We, at Instapay Healthcare Services understand the intricate nature of dental billing and coding. By offering end-to-end solutions fitted to the dental field, we make sure your entire dental billing process is error-free, submitted on-time, and are compliant with industry standards.
Contact usOur Process
Patient Appointment Scheduling
The billing process begins the moment a patient schedules the appointment. Appointments can be made via calls, texts, emails, or in-person visits. Instapay Healthcare Services streamlines the billing process by using a user-friendly appointment scheduling system. This system integrates seamlessly with practice scheduling and dental practitioner’s calendar.
The appointment scheduling system is automated. It reduces human errors, lowers scheduling conflicts and improves patient satisfaction because of a self-schedule feature. Emergency cases like abscess in gums, dislodged tooth, bleeding in gums, need immediate care. With our same-day scheduling, we ensure your patients receive the timely care they deserve.
Patient Enrollment and Documentation
Once the patient visits for the appointment, accurate documentation is the next step. Our team at Instapay Healthcare Services ensures that all the needed patient information- personal details, insurance data, medical history and the reason for visiting- is collected and recorded in a practice management system (PMS). This step is important as it ensures coding and billing accuracy. Proper documentation of these details reduces billing mistakes, and claims are submitted well for timely reimbursement.
Insurance Verification and Patient Eligibility
After gathering all the needed patient information, we proceed with insurance verification to confirm the patient's eligibility for the services that will be rendered. Instapay Healthcare Services reviews insurance policy of the patient, checks plan coverage details, co-pays, and deductibles. Patient’s personal information and insurance details are also verified to avoid discrepancies. This upfront verification prevents billing issues and clearly defines the patient's financial responsibility.
Diagnosis and ICD-10 coding
Correct diagnosis coding leads to accurate claims submission. Based on the patient's dental condition, Instapay Healthcare Services assigns correct ICD-10 codes. From routine exams to periodontal disease to malocclusion to a tooth fracture, we are proficient in specific codes required in dental procedures. This way, claims are submitted for reimbursement. Usual ICD-10 codes used in dental practice includes:
Good coding leads to practice being paid well for services performed, lowering risk of claim rejections.
CPT and CDT Coding for Dental Procedures
CPT and CDT codes are used to describe dental procedures. By utilizing both, we offer details on services performed during a patient visit. For instance, for a patient undergoing filling or root canal, CDT codes like D2750 for a crown or D3310 for an anterior root canal will be used. With correct coding, fair reimbursement for procedures is provided.
We also use modifiers to show specific details like bilateral treatments or added complexities that help increase reimbursement rates.
Coordinating with Other Healthcare Providers
In cases where patients have to be referred to or treated by other healthcare providers- oral surgeons, periodontists, orthodontists, Instapay Healthcare Services coordinates with these providers to make sure all services are documented and billed precisely. We also ensure no duplication. With us, your dental practice is away from billing conflicts for a smoother reimbursement process. This benefits providers as well as patients.
Charge Capture and Charge Entry
Once dental services are rendered, promptly capturing and entering the charges is very important. Working closely with your dental practice, Instapay Healthcare Services documents all the charges and enters them into the system. Our well-coordinated electronic health records (EHR) and practice management systems (PMS) ensure data is transferred without errors, minimizing billing mistakes.
Claims Auditing
We, at Instapay Healthcare Services, conduct thorough claim audits before the final submission. We do this to ensure accuracy. Our billing experts review all the billing codes so that the claim matches the services rendered. This way, your dental practice is safe from audits and penalties as chances of errors are reduced.
Claim Submissions
After all the information is documented and appropriate codes are applied, Instapay Healthcare Services submits the claims to the insurance provider. We use clearinghouses for electronic claim submissions, making sure they meet all payer-specific requirements. Claim rejections are reduced this way, securing your dental practice timely reimbursements.
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If paper claims are needed in any case, we handle the submission through the CMS-1500 form. All the necessary information is included in this form.
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For smooth cashflow, claims have to be submitted in the timely manner. Instapay Healthcare Services ensures claims are submitted before the insurance company’s deadline. This eliminates the risk of denials caused because of late submissions.
Claim Monitoring, Payment, and Follow-Up
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Instapay Healthcare Services closely monitors insurance responses after the claim has been submitted. We also take care of the adjudication process. We track underpayments, denials, or coding issues, addressing them promptly to avoid delayed payments.
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If payments are not aligned with the contract rates, we review Explanation of Benefits (EOB) to ensure payments are correct. Should any discrepancies arise, we handle the appeal process on your behalf.
Claim Denial Management, Rejections, and Appeals
In dental specialty, claim denials may happen because of incomplete documentation, coding errors, and issues with medical necessity. Instapay Healthcare Services is quick to investigate any denied claims. Confirming all relevant paperwork is submitted to validate the claim. Skilled at crafting detailed appeals, Instapay Healthcare Services justifies the necessity of dental treatments done by offering supporting evidence.
Payment Billing and Collections
With our thorough efforts at offering transparent billing, we ensure patients understand their financial responsibility clearly. We generate patient statements. These cover the details of services covered by insurance and the amount owed by the patient. With this transparency approach, we foster positive provider-patient relationships and lower the confusion. Resulting in faster collections and fewer billing disagreements.
Data Reports and Analytics
Instapay Healthcare Services gives in-depth insight into your dental practice’s performance and its financial health. Our reports and analytics dashboard shows key metrics of reimbursement rates, claim acceptance percentage, and outstanding balances. These real-time reports track performance, identify trends, and allow in making data-driven decisions. Optimizing your practice’s billing processes and financial outcomes.
In each step of the process, we guarantee utmost compliance with the regulatory requirements. HIPAA, Medicare standards, private insurance protocols, ICD-10 and CPT/CDT coding systems- Instapay Healthcare Services’ solutions maintain compliance with all. .
Our billing experts keep themselves abreast of the constant changes in the above systems. This reflects in our working models, helping you have the maximum reimbursement, lowering billing errors, and improving patient satisfaction.
Trust Instapay Healthcare Services to have your dental billing in safe hands!
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Contact us : +1646-851-2115Email Address : sales@instapayhealthcareservices.com