Every dental office should follow some form of a dental billing process.
It doesn’t matter if you are a startup office or an established clinic. It’s a simple fact that many dental offices across the U.S. struggle with this process. You may have just stepped into this new world of dental billing, and not know up from down. We get it. It can be complicated and super detailed.
If one part of the process is broken, it can seriously affect your collections. The dental billing process is performed best as a team effort, composed of various administrative employees. Working together will ensure there are no kinks in the chain.
Our company, Dental ClaimSupport (DCS), was founded on the principle that not all dental offices have a streamlined dental billing process. A couple of the founders of DCS actually worked with a small group dental practice composed of 8 offices and realized that all eight offices did their billing differently, even though they were part of the same umbrella.
We wondered: Why does everyone do this process differently? Then we thought if everyone here handled billing differently, surely other offices across the United States were. We were right.
If you want a Free Dental Billing Assessment for your office, you can get assessed here.
Yes, we help offices across the United States with this dental billing process. However, this can be achieved on your own, and we want to share with you how. In this article we’ll clearly detail what the dental billing process is and why it’s vital to successfully running your dental practice.
You will not be shortchanged in this article. Get ready for a full breakdown of the entire dental billing process. This will be your ultimate guide to the dental billing process and getting claims paid!
What is the dental billing process?
The dental billing process is the path in which you will get paid in your dental practice.
We have broken out the process into steps for you. There are 2 Phases, with 8 Steps in total.
It begins with the patient entering your practice. It ends with the claims being paid and posted.
The life-cycle of a dental claim should be seamless - plain and simple. Implement a simple plan, and your office will reap the benefits of higher collections, lower insurance aging reports, happy patients, and a peace of mind.
The two phases to the dental billing process - The life-cycle of a dental patient and the life-cycle of a dental claim. Below we will break down the steps that make up each phase.
Phase 1: Life-cycle of a dental patient
1. Dental appointment is created
2. Data entry into the dental software
3. Insurance verification is performed
4. Dental appointment is completed
Phase 2: Life-cycle of a dental claim:
5. Dental claim is created and batched
6. Dental claim is submitted
7. Insurance carrier processes and pays claim
8. Payment is posted in the dental software
Many dental offices will say they have one to four employees handling this entire process, all depending on the size of the office.
But who is responsible for what? Does one or two people handle the patient duties, meaning appointment, check in, insurance verification, etc? Does someone else take over during the life-cycle of the claim? Is it a free-for-all where whoever has a spare second tries to handle what needs to be completed?
If this sounds like your office and a situation you face daily, you probably do not have a defined process in place. If you don’t, your collections could be taking a serious hit.
First things first, you need to have a structure. Make sure you know who is responsible for each step in the billing process. Each team member needs to be held accountable for his or her tasks.
The dental billing process is essential to your dental office bringing in money. Deep dive into the step-by-step process of dental billing by purchasing our book, Ultimate Guide to Dental Billing & Reporting.