Prime Doc Billing provides Dental Revenue Cycle Management (RCM) services for dental practices across all 50 U.S. states. Our RCM services include each step, from patient registration and charge capture to reimbursement and reporting.
Our dental billing specialists manage medical billing, claims processing, denial management, payment posting, and accounts receivable follow-up to optimize financial performance, increase revenue collection, reduce claim denials, accelerate reimbursements, and improve cash flow for dental providers.
Our Specialties
All the stages of revenue cycle are included in our dental revenue cycle management services, like:
Prime Doc Billing manages dental credentialing and re-credentialing with the insurers. We ensure the dentists are accurately enrolled with the Preferred Provider Organization (PPO). PPO enrollment ensures the dental claims get maximum reimbursement without credentialing-related delays.
Our RCM team verifies dental insurance eligibility before the doctor’s appointments. Dental insurance verification includes basic, major, and preventive coverage along with frequency limits and co-insurance. Prior dental insurance verification helps dental offices avoid billing issues and claim denials.
Prime Doc Billing’s dental coding specialists accurately assign Current Dental Terminology (CDT) codes and related diagnosis codes. The CDT codes are based on dental clinical notes, X rays and treatment plans. Accuracy in dental coding ensures maximum reimbursement and compliance to the payer-specific policies.
Our dental billing specialists use accurate Current Dental Terminology (CDT) codes, surfaces, attachments and tooth numbers to submit clean dental claims. We proactively follow up with the dental insurers to track claim status and resolve payment delays beforehand.
Our billing analysts manage dental denial management related to missing narratives, frequency limits, coordination of benefits, and non-covered services. We follow up on the appeal process to recover lost revenue while preventing repeated denials.
Prime Doc Billing manages dental insurance payments by posting accurate Explanation of Benefits (EOBs), tracking unpaid claims, and following up on the outstanding patient balance. Our main goal is to improve the dental provider’s cash flow without disrupting patient trust.
Our dental RCM services cover the entire financial cycle of a dental practice. We handle RCM services from insurance verification to patient collections and reporting. Our RCM specialists ensure a consistent and predictable revenue for the dental practices.
Prime Doc Billing’s dental billing virtual assistants perform various tasks including claim tracking, eligibility checks, payment posting and denial follow-ups. Our VAs also cater patient’s billing questions which helps reduce the front-desk workload.
Our RCM team integrates dental billing processes with major EHR systems like Open Dental, Eaglesoft, Curve, and more. We ensure accurate workflow with EHR integration of dental practice management systems.
We perform regular dental billing audits to identify Current Dental Terminology (CDT) coding errors, compliance gaps, and underpayments. Our dental billing team helps dental practices recover lost revenue and improve billing accuracy.
Our cost-effective dental billing for dental offices helps minimize claim errors and reduce denials by accelerating payments. We handle step-by-step dental billing processes including CDT coding, claim submission, insurance follow-ups and payment posting.
Prime Doc Billing verifies dental insurance benefits upfront to submit clean claims. We ensure accuracy in tooth numbers, surfaces, narratives, and attachments to prevent costly rework. Our proactive denial management ensures the dentists get maximum reimbursements for basic, major, and preventable procedures.
Our cost-effective dental billing solutions allow the dentists to spend less time on billing and administrative work. We maintain full compliance with dental insurance guidelines so you can focus solely on patient care.
Prime Doc Billing provides revenue cycle management services for all the medically necessary dental procedures, including:
By outsourcing RCM services, healthcare providers get access to experienced billing professionals and scalable solutions to enhance revenue cycle efficiency of the practice. Dental practices often face unique revenue cycle management challenges, like frequent verification of patient benefits and payer policies, and pre-authorizations for medically necessary procedures.
Outsourcing dental revenue cycle management helps practices overcome the challenges by providing access to experienced dental billing specialists who understand both dental and medical billing workflows. A dedicated RCM partner manages insurance verification, prior authorizations, accurate coding, electronic claim submission, and denial management, which leads to improved collections, and reduced administrative workload for dental practices. Outsourcing helps dental practitioners focus more on patient care instead of managing complex billing operations.
You should choose Prime Doc Billing for outsourcing Dental RCM services because of our in-depth understanding of dental billing, coding, and payer regulations. Our experienced RCM team includes dental billing specialists, certified medical coders, and revenue cycle experts who are well-versed in:
The cost of dental billing services ranges from 4-10% of the total revenue. The dental billing services cost depends on the practice size, monthly claim volume and the required range of services.
Our dental billing process is a structured, end-to-end workflow of accurate claim submission and faster reimbursements for dental practices. We begin by verifying dental insurance eligibility and coverage limits before treatment. After the services are rendered, our dental billing specialist reviews clinical documentation and assigns accurate CDT codes.
We actively track each claim and promptly address any denial through appeals. After receiving the payments, we post insurance payments and patient balances accurately and follow-up on the remaining balances for complete dental revenue recovery.
Outsource dental billing to Prime Doc Billing to maximize insurance reimbursements while eliminating billing errors and inefficiencies. Our dedicated dental billing experts manage the entire billing cycle from insurance verification to payment posting. We seamlessly integrate into your EHR workflow and dental practice management systems with compliance and transparency.
Frequently Asked Questions
Dental billing is the process of submitting dentist-related claims to dental insurance companies. It involves verifying dental insurance benefits, applying correct CDT codes, and following up on unpaid claims.
We can integrate with all the major dental billing softwares including Dentrix, Curve Dental, Carestream Dental, and Denticon.
Prime Doc Billing works with all the major EHR and practice management systems, like Athenahealth and PracticeFusion.
Dental Coordination of Benefits determines how the payment is shared when a patient has more than one dental plan. The primary dental plan usually covers the major part whereas the secondary plan covers the remaining eligible costs.
Yes, a patient can have two dental plans; primary and secondary insurance plans. The combined payment cannot exceed the total cost of the dental treatment.
Dental out-of-network reimbursement refers to the payment when a dentist is not contracted with the patient’s current insurance plan. Out-of-network reimbursements often result in higher patient responsibility.
Some of the most common dental billing codes are:
Unethical dental billing practices refers to the billing for services not rendered by the patients, upcoding procedures, misrepresenting treatment dates, and submitting false documentation.
To avoid unethical dental billing practices, the dental billers need to use accurate CDT codes, maintain proper clinical documentation and conduct regular billing audits. Expert dental billing professionals like Prime Doc Billing helps the dental practices avoid unethical dental billing practices.
| Dental Billing | Medical Billing | |
|---|---|---|
| Purpose | Dental billing refers to the billing of oral and dental procedures. | Medical billing refers to the billing of medical insurance for general healthcare services. |
| Coding System | Dental billing uses CDT (Current Dental Terminology) codes. | Medical billing uses CPT, ICD-10, and HCPCS codes. |
| Software | Dentrix, Eaglesoft, Curve, and Open Dental. | Epic, Kareo, Cerner, and Athena. |
What Healthcare Providers Say About Us?
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(347) 650-2656
(347) 650-2656
info@primedocbilling.com
