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Factors Affecting Your Dental Billing Statement

Simplify your billing process and generate clear billing statements for your patients, regardless of how many payment options or insurers you have to work with, with Dental Intelligence Payments.

Dental Intelligence

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November 2, 2022

In theory, dental billing should be simple: A patient comes in, gets a procedure, pays for the procedure, and goes home. However, most practices find that keeping up with payment options, health insurance codes, and late payments can feel overwhelming.

Ultimately, the health of your billing and collections system will play a large part in the overall success of your practice, so it’s worthwhile spending some time developing a streamlined system to generate a clear and understandable dental billing statement. 

The Dental Billing Process

As billing becomes increasingly complex, having an established process is essential to keeping track of various accounts and their unique quirks.  One way to streamline the process is to have a clear system of steps whenever a new patient steps through your door.

These steps will remain broadly the same regardless of whether you have a manual process or are using a dental payments solution from Dental Intelligence. They include:

Understanding Dental Coding on Your Dental Billing Statement

Dental codes are often the most confusing part of a dental billing statement for patients. To comply with HIPAA guidelines, practices must use official procedure codes to report conditions and treatments. Failing to assign the proper code to a procedure may result in fraud charges and fines, so it’s worth the time to learn and keep up with changes in the various dental coding standards. 

The two most common dental billing codes are the Current Dental Terminology (CDT) and Internal Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). Both code sets will have a specific code for a procedure, which you will need to document correctly. Both codes change annually to keep up with developments in dentistry, and you must use the latest codes to remain compliant with HIPAA guidelines.

Components of an Explanation of Benefits Statement

Insurance companies will send out an EOB statement with every claim they pay out. To ensure that you receive the correct payment and that your patients receive clear communication about their benefits, the EOB statement must contain:

Working with an Expert

Many dental practices rely on front-desk staff to take care of their dental billing needs, but the truth is that accurate billing requires expert knowledge and a dedicated individual or team. Even if you have a streamlined system, your billing administrator must know:

The expense and time required to train a billing expert for handling each dental billing statement have led to many dental practices opting for a third-party solution. These solutions will help you implement a payment system that will generate clear billing statements for your patients, regardless of how many payment options or insurers you have to work with. For more information about Dental Intelligence payments and billing solutions, request a free demo on our website today!

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