Medical billing services will agree that getting reimbursements for dental surgeries is quite difficult. Dental insurance benefits are not as elaborate as other healthcare plans. Therefore, many dentists don’t support this approach and have adopted the pay-per-service method. But the fact is getting money from patients is a daunting task. If patients are insured, insurance companies pay at least 70% for the incurred expense.
Medical Billing for Dentistry Is Also In Favor of Patients
If dentists adopt medical billing process, patients will not have to stress about payment.
Consulting a medical billing company like P3 Healthcare Solutions would indeed be 180-degree turn over for dentists and fellow assistants.
However, the shift will save physicians’ time from running after patients for reimbursement.
Learn more at https://www.linkedin.com/company/p3-healthcare-solutions
How P3care, Ontario, CA Manages Medical Billing For Dentists?
All the medical billing companies, who wish to create accurate claims for dentists, here are some tips to make the billing process accurate.
Accurately Document All the Specifications
Medical billing services have to prove to the insurance company that dental surgery was necessary for the patient’s oral health.
P3Care searches for the most relevant ICD and CPT codes to report for dental surgery. We make sure to state the reasons for surgery as precisely as possible.
We suggest you submit medical claims with explicitly stated,
- The situation of the patient, when he came to the dentist
- The causes of the damage oral health
- The diagnostic code for the treatment
- Surgical procedures
This particular information leaves no room for the insurance companies to deny the medical claim. Moreover, it helps them understand that the patient has not simply a minor dental problem but is a severe case that needed surgery.
Go for Pre- Authorization of the Benefit Plan
Surgeries of any kind don’t happen suddenly. Physicians often have the time of a day to two, before the surgical procedure. Medical billing companies can use this period to pre-authorize insurance benefits from the insurance company. It helps to know if the insurance company will pay for the treatment or not. It will be like an Explanation of Benefit (EOB) statement.
Pre-authorization of the process saves physicians’ time and patients as they get to know about the payment responsibility at the early stages. Moreover, the benefits patients have in their health plan and the deductible that the patient has to pay becomes clear.
Hence, like all other medical specialists, dentists should also progress with changing times and switch to medical billing services for reimbursement purpose.