Why Should a Dental Practice Outsource Their Billing?

by | Published on Sep 26, 2023 | Specialty Billing

Outsourcing Medical Billing
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In today’s rapidly evolving healthcare landscape, dental practices face a multitude of challenges in providing quality care while maintaining the financial health of their businesses. One of the critical aspects that often demands significant attention is dental billing and revenue management. Efficient and accurate billing processes are essential not only for the financial stability of a dental practice but also for ensuring that patients receive the care they need without unnecessary delays or confusion.

However, managing billing in-house can be an arduous and time-consuming task, often diverting valuable resources away from patient care and the core operations of the practice. This is where the concept of outsourcing dental billing comes into play. In this article, we will explore the compelling reasons why dental practices should consider outsourcing their billing operations. From cost-efficiency to enhanced compliance and improved patient satisfaction, the benefits of outsourcing dental billing are far-reaching and could significantly impact the success and longevity of your practice.

Benefits of Outsourcing Dental Billing

Expertise and Specialization: Dental billing is a complex and highly regulated process. Outsourcing companies specialize in dental billing and have experienced professionals who are well-versed in industry-specific codes, rules, and regulations. This expertise can lead to fewer billing errors, quicker reimbursements, and improved compliance.

Cost-efficiency: Managing billing in-house requires significant investments in staff training, software, and ongoing resources. Outsourcing can reduce overhead costs as you only pay for the services you use, and you can allocate your resources more efficiently toward patient care.

Focus on Patient Care: By outsourcing billing, dental practices can redirect their attention to what they do best: providing top-notch dental care. Administrative tasks, such as billing and coding, can be time-consuming and distract from patient interaction. Outsourcing frees up your team to concentrate on delivering quality care.

Space: Outsourcing billing takes the non-medical professionals out of the hospital and makes room for more patients.

Reduced Billing Errors: Professional billing companies are less likely to make errors compared to in-house billing staff. This means fewer claim denials, resubmissions, and delays in payments, leading to a healthier revenue stream for your practice.

Improved Cash Flow: Outsourcing can expedite the revenue cycle by accelerating claims processing and reducing the time it takes to receive payments. This improved cash flow can help practices better manage their finances and plan for growth.

Compliance and Regulation Adherence: Dental billing involves navigating a complex web of healthcare regulations and insurance requirements. Outsourcing companies stay up-to-date with these regulations, reducing the risk of non-compliance and potential penalties.

Scalability: As your practice grows, outsourcing can easily adapt to your changing billing needs. You can expand or reduce services based on your practice’s size and requirements without the hassle of hiring or laying off staff.

Enhanced Technology: Billing companies often have access to advanced billing software and technologies that can streamline processes, provide real-time reporting, and improve efficiency.

Minimized Employee Turnover: The dental field can experience high employee turnover. Outsourcing can reduce the reliance on in-house billing staff, alleviating the challenges of recruitment and training.

Focus on Strategic Growth: With billing responsibilities off your plate, you can concentrate on strategic planning and business development, potentially expanding your practice and services.

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High Insurance Aging Report or Low Collections Percentage: This is the most common reason to avail the service of a dental billing company. A high insurance aging report and a low collections percentage are two closely related metrics in the context of healthcare revenue cycle management, and both are causes for concern for a medical practice.

Patient’s Dental Expenses Not Covered by Insurance: Numerous patients arrive at dental practices without thoroughly reviewing their insurance coverage. Consequently, it becomes imperative to initiate the process of patient eligibility verification right from the moment they schedule their dental appointments. This entails ensuring that patient information is accurately verified and the appropriate billing codes are promptly submitted to insurance providers when filing a claim. This proactive approach ensures that insurance companies can efficiently reimburse the dental practice.

A proficient dental billing company possesses an in-depth understanding of dental medical billing codes, as they handle this responsibility daily. In essence, when you utilize outsourced dental billing services, you enlist the expertise of specialists singularly dedicated to optimizing your revenue collection. These professionals are meticulously trained to excel in this specific task.

More Eyes on the Overall Operations of the Practice: Effective billing companies maintain excellent communication with the in-house office team, fostering a culture of accountability throughout the entire organization. This external perspective serves as a constructive check for the internal team. If the billing company identifies any inaccuracies or oversights in tasks, such as data entry errors, misplaced x-rays and narratives, omitted claims, or inaccuracies in fee schedules, they promptly communicate these issues to the team for resolution. Sometimes, an additional set of eyes can spot issues that might have gone unnoticed internally. Dental billing companies should be viewed as an integral part of your team, effectively augmenting the workforce dedicated to the shared objective of collecting revenues generated.

Better Safety: Entrusting your billing processes to a third-party service provider is entirely secure. Reputable outsourcing firms offer a transparent billing process that adheres to stringent safety measures. The majority of these service providers maintain a HIPAA-compliant and fully secure medical billing system, effectively shielding against any potential security breaches. Organizations can rest assured that their data remains confidential at all times, as esteemed outsourcing providers possess the necessary security measures and robust infrastructure to create a secure environment for outsourced medical billing operations.

No Capital Investment: When a company opts for medical billing outsourcing, there is no need to purchase billing software or invest in the latest equipment. Additionally, the company can eliminate the expense of costly software upgrades. Since there’s no requirement to possess an entire billing system, this approach significantly reduces costs, and in many instances, allows for a seamless commencement of operations without any initial capital investments.

Increased Revenues: Through the outsourcing of medical billing, companies can achieve substantial time and cost savings, encompassing salaries, office infrastructure, as well as the acquisition, enhancement, and upkeep of billing software. This reduction in overhead expenses, coupled with the punctual submission of claims and heightened reimbursements, ultimately leads to a bolstered revenue stream for the organization.

Outsourcing dental billing is a strategic move that can streamline operations, reduce costs, and enhance compliance and revenue collection. It ultimately enables dental practices to focus on their core mission of providing high-quality care to patients while ensuring their financial stability and long-term success.

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Amber Darst

Amber Darst is our Solutions Manager in the Healthcare Division, Practice and RCM. With a rich background in dental services, her expertise ranges from insurance coordination to office management.

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