The SB Dental Solution dental billing service ensures proper electronic claims and electronic attachment submission, accurate posting of all EOB credits and adjustments to patient ledgers, investigation and appeal questionable denied claims in a timely manner, appeal claims with proven appeal narratives that will work for the most difficult circumstances, and report to you regularly with daily progress reports.
claims will be paid faster.
We will solve your
You will collect
Dental Insurance Billing
Our primary goal is to assist your office in collecting all insurance money that is rightfully owed to you. This requires us to be involved in every aspect of your insurance claims processing. Our achievable goal is to ensure that your over ninety (90) days insurance account balances are minimal.
Patient Portion Account Receivable
Our primary goal is to help your staff collect at the time of service. We will actively verify all patient balances and contact the patient multiple times with requests for prompt payment.
Our primary goal is to help you manage you business . We will negotiate the fee with insurance company, update fee schedule, credentialing, training , consulting.
Don’t Bring a Problem to the Boss Without a Solution
According to a recent survey by VitalSmarts, a corporate training firm, workers who are slackers make the rest of us have to put in one to three extra hours a week at the office. This affects the morale and the energy of the members pulling most of the weight and can cause a drop in performance level for their job duties. In a dental office environment it is not recommended to confront the slacker unless you have the authority to do so and also the proper training that goes with difficult situations. The responsibility lies with the dentist who is CEO of the practice who must manage and resolve the situation.
Before bringing the issues to the boss or to the office manager, define the problem and come up with a possible workable solution. No one wants to hear a venting whine so make the discussion about how the situation affects office production, clinical efficiency and customer service. Be prepared to give specific dates, people involved and circumstances to validate your claim.
Try setting boundaries with the other team mate by explaining why it would benefit the practice for him/ her to help more. She/he could be thinking that you don’t want her/his help. If you both share the same job description, you would both share the same job responsibilities. Offer to alternate so that you are not the first to arrive and the last to leave every day. If you work overtime on Monday then he/ she should work overtime on Tuesday or the next day you work over. Set up a schedule where you take turns with tasks such as maintenance of equipment, stocking supplies or cleaning sterilizers etc. Keep a log where each of you writes the date of service and initials for completion. Create a clinical procedural manual to create a standard by which each of you will perform your tasks. This would include sterilization, OSHA manual updates and MSDS recordings, management and proper storage of supplies and equipment, tray set-ups, management of lab cases and follow-up with patients who have not completed scheduled treatment or have been referred to a specialist for care.
When you are up against a wall and can get no resolve from your teammate, your next step is to bring it to the boss’s attention. You may want to script the situation and rehearse it so that you sound concerned and not just a “squealer.” “Dr. Smith, I would like to have a meeting with you to discuss how we might increase clinical efficiency and manage our time better. One of the reasons that the room is not set up completely is that instruments are being left in the sterilization center. I think that whoever breaks down the room should be the one to finish the task by preparing the instruments for the sterilizer. I would like the task to be shared evenly so that both of us are on time and have the rooms set up completely.
Listen to your employer’s response in regard to the issue. It may be that your employer will ask the clinical team to sit down and work out the differences in a meeting. The purpose of the meeting will be to bring resolve to the issue.
The importance of monthly business meetings cannot be overlooked to solve problems also. Put your issue on the agenda for the next monthly team meeting so that everyone can listen and give the support that you need to solve problems positively.
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SB DENTAL SOLUTION
Rejection or denial, two different issues but both mean “no payment” for insurance claims.
Many times claims are rejected when they reach the clearinghouse because the information does not reflect what the insurance company has on file for the patient. For instance something as simple as gender can trigger a rejection. Most dental software have a default of male gender and it must be changed to reflect the female gender of the patient. Many errors that cause rejections come from the operator or front office person entering the patient information in the patient’s screen which is what populates the insurance claim. This is not just eclaims but paper claims which take a lot longer to hear about because of the slow mailing process. You may not hear about a paper mailed claim rejection for weeks.
Denied claims have been processed by the payer and deemed ineligible for payment due to one or several reasons such as but not limited to missing information such as radiographs, periodontal charting, narratives and diagnostic codes or incorrect CDT codes, or it could be denied due to policy limitations in the contract with the insurance company or frequency limitations on the plan. There are a lot of reasons and it takes time and training to be able to spot the somewhat vague denial verbiage that the insurance company sends back on the EOB. Learning how to file “clean claims” is necessary to ensure cash flow.
SB DENTAL SOLUTION