Our dental billing services have dealt with the business side, like claims, codes, and payments, for the last 17 years. We not only ensure fast reimbursements but also offer all-inclusive revenue cycle management (RCM) for dental billing. This support keeps dental practices financially strong and focused on patients.
Why SunKnowledge Stands Out in Dental Billing Services
SunKnowledge trusted by dental groups in 30+ states simplifies billing for dental practices. Our complete dental revenue cycle management manages the full range of dental codes with ease. It reduces claim denials and increases payments. Our experienced dental billing solutions experts ensure every claim follow the latest healthcare regulations. This approach frees up time for dentists, so they can offer exceptional care.
In addition to that, SunKnowledge takes RCM for dental practices to the next level with smart tools and unparalleled expertise. Our dedicated US based dental RCM team handles everything from patient registration, dental insurance verification to final payments, making life easier for the staff of dental clinics. We ensure dental billing stay HIPAA compliant with current regulations and payer policies. Moreover, we enable them to evade billing errors, so clinicians can render dentistry on time. This way, clinics can build trust with patients. Exclusive features of our medical dental billing services include the following:
1. Full RCM:
Our billing experts manage all billing steps. That starts from the patient’s demographic entry and ends with payment posting. Our administrative assistance frees clinical staff for patient care.
2. Tech Edge:
We seamlessly integrate with our clients’ existing electronic health record (EHR) systems for smooth data flow. It saves time for both providers and payers by ensuring optimal dental billing perfection.
3. Billing Audits:
Our regular internal checks catch billing errors early. This way, we can save a dental practice from revenue loss. Moreover, frequent audits ensure thorough compliance and eradicate any unwanted disputes.
Dental Billing Services That Increase Your Collections Rate
Billing shouldn’t slow down a dental practice. SunKnowledge’s skilled dental billing services team follows a clear process to get claims right. They verify insurance, select accurate codes, and submit clean claims, ensuring steady payments and less stress. Our end-to-end RCM includes both pre-billing and post-billing dental services.
Pre-Billing:
1. Capturing Patient Demographics:
When patients initially contact the healthcare facility, front desk staff needs to enter their demographics accurately. That usually includes the patient’s name, address, Social Security Number, and insurance details.
2. Patient’s Eligibility Verification:
It is a crucial step where providers need to contact payers to verify whether the patient’s insurance plan is active and covers the prescribed medical services. It secures reimbursement after rendering treatment.
3. Securing Prior Authorizations:
Before initiating the treatment, providers need pre-authorization from payers. Here, they must justify medical necessity with supporting documents. Payers evaluate all documents before approval.
4. Reauthorization Support:
When a dental treatment goes beyond the prior authorization period, clinics need to ask for reauthorization from payers. Moreover, reauthorization is also essential in case of the patient’s care plan changes.
Post-Billing:
1. Claims Submission and Tracking:
After billing, providers need to submit the claim to payers with accurate coding and documentation. In addition, they must track the status of their claim from time to time by calling insurance companies.
2. Denial and Rejection Resolution:
In medical billing, a significant number of claims are rejected by payers due to errors. Rectifying the errors and appealing to insurers for reimbursement is a crucial step. It reduces accounts receivable (AR) and keeps finances strong.
3. Payment Posting:
It is the final step in the revenue cycle. When payers process the reimbursement, the provider’s staff need to post the payment in their billing system. Now, most providers use automated systems, while some still depend on manual entry.
4. Accounts Receivable (AR) Follow-up:
Providers must collect all outstanding accounts receivable to keep their finances strong. However, due to payer denials and patient disputes, their accounts receivable pile up. Timely collection is essential to keep revenue flowing.
Our Proficiency in Dental Coding Services
Billing for dental care isn’t simple. It requires specific codes and strict rules. The application of accurate dental codes means money comes in on time. For the wrong application of codes, practices will face rejected claims or audits. SunKnowledge eases this burden with expert dental coding services and compliance skills. Here’s what practices deal with:
- CDT Codes: Cover D0120-D9999 for procedures like exams (D0150) or crowns (D2750).
- ICD-10 Codes: These pinpoint diagnoses, like K00-K14 for mouth problems or K02 for cavities.
- Modifiers: These add details to procedures, such as 26 for professional work or 80 for an assistant surgeon’s role. In addition, Modifiers TA–T9 are used to specify the exact upper front teeth treated during the dental treatment.
What Makes SunKnowledge a Leading Dental Billing Company?
We as a leading dental billing company know the dental billing process and specifications inside and out. We stay current on codes and regulations, protecting practices from trouble. Our strong track record of almost two decades shows that we have helped many healthcare practices succeed financially. Our key strengths include:
- Deep Expertise: We have master dental billing consultants in our team, and they always stay up to date.
- Proven Success: Our billing efficiency boosts revenue for many providers with reliable results.
- Rule Expertise: We thoroughly follow CMS and federal medical billing guidelines to stay compliant.
- Tailored 24/7 Support: Our dedicated billing experts offer custom plans that fit each practice’s unique needs.
What Makes Us the #1 Dental Billing Partner for U.S. Practices
Working with SunKnowledge means flawless dental billing service and stronger finances. Our top-notch medical billing services tackle tough problems. Hence, dental practices get enough time to excel in patient care.
- Fewer Denials: Carefully prepared claims by our experts get approved faster, bringing in reimbursement on time.
- More Income: Our flawless claims ensure over 97% of first-pass acceptance rates, lifting the practice’s financial strength.
- Full Compliance: We ensure our billing meets legal standards, avoiding fines and stress.
- Time Savings: Our experts take care of billing and operations, letting staff focus on patients.
Outsource Dental Billing to SunKnowledge Today
Dental billing can feel overwhelming for practices; however, as a trusted dental billing company, SunKnowledge Inc. makes it simple. We help dental clinics manage billing seamlessly. Our expert team for dental billing outsourcing ensures accurate claims while ensuring compliance to maintain steady revenue.
Contact us to learn how to improve a dental clinic’s revenue. Our tailored revenue cycle solutions handle codes, denials, and rules smoothly. With us, practices save time, earn more, and keep patients happy.
Choose SunKnowledge Inc. today for a thriving dental practice.
Frequently Asked Questions:
What is your current first-pass claim acceptance rate?
SunKnowledge Inc. ensures an over 97% first-pass acceptance rate. Our dental billing accuracy ensures that payers are satisfied with all the required details. Hence, they seamlessly process the claims and reimburse right on time.
How do you reduce claim denials, and how quickly do you resolve them?
Payers reject a claim for the tiniest billing errors or noncompliance. We eradicate billing errors with extreme precision and professionalism to reduce denials. Moreover, we appeal denied claims mostly on the same day to maintain a healthy cash flow.
How much do dental billing companies charge?
SunKnowledge Inc. charges a flat $7 per hour for specialty-specific billing and end-to-end revenue cycle management services. This affordable pricing enables practices to save up to 80% of office expenses for salaries, benefits, infrastructure, and others.
Do you provide training or regular updates to your team on coding changes?
Regular training on the latest and upcoming billing updates is crucial to maintain accuracy and compliance. That’s why we arrange periodic training for our internal staff to keep them up-to-date and thoroughly knowledgeable.