Capline Dental Services

Appealing a dental insurance claim denial is necessary because nearly half of the practice's revenue depends on it, and payers make it difficult for providers to avoid reimbursing the claim. If the practice believes claim adjudication is inappropriate, appealing is a reasonable resolution with the insurer. Insurance companies focus on profits by collecting monthly premiums while systematically denying claims. There is always some language in the contracts through exclusions, frequency provisions, or limitations to challenge payment by reducing payouts, leading to higher profit margins. That means using all precise information, supporting documentation, and unwavering confidence in the claim process. Even for seasoned billers, this is daunting and intensive work. Capline Dental Services provides billing experts to save your team members time from lengthy calls with insurers and focus on patient care. Here are successful tips to tackle  dental insurance claim denial  and help pa...

  Dental credentialing acts as a line of defense for patients by insurers to protect them, ensure they get the best care, and ensure everything happens in compliance. The process verifies the practitioner's qualifications, education, licenses, training experience, and accreditations to check if the practitioner can offer services to patients. The dental industry has a lot of challenges, and one of them is how to bill non-credentialed providers to have accurate claims. Credentialing is a necessary process with no room for regulatory errors to avoid fines and audits. The dental credentialing vetting process happens before hiring dental professionals so the patients receive good treatment. The professionals can have a network of payers helping the practice. The challenge is treating providers who recently joined the practice, are convinced to submit claims during the credentialing process, resulting in delayed payments, dissatisfied patients, claim denials, and lost revenue. Let'...

  Many dental practices find monitoring and tracking accounts receivables a challenge. If collections are not prioritized by the billing team, the outstanding dues keep increasing. Many a time, it is the collection process that needs to be blamed. For any practice, collection is linked to cash flows, and this considerably impacts profitability. It is imperative to follow  dental billing  best practices that speed up payments and improve cash flows. Some tips to boost collections and cash flows are outlined below. 1. Patients Need to be Aware of Estimated Payments and the Insurance Policy Before Receiving any Service Once a patient has been diagnosed and the practice has recommended solutions or procedures, the dental team needs to make the patient aware of all possible costs. Before commencing any treatment, the team needs to get the treatment plan signed by the patient. This plan must encompass all possible expense heads that include total fees, the estimated insurance c...

  The payment posting process decides if you are getting paid correctly or not. This exhausting process is yet an essential part of the business. To have a dedicated payment posting team like Capline Dental Services offering years of expertise to strengthen financial stability. The payment posting process meticulously handles payments from patients, insurers, and third-party vendors. Linking records with the appropriate patient accounts and updating financial records ensures the practice gets paid for the offered services. Capline Services knows the importance of posting and how it affects the RCM. The experts help the practice to track funds collected, identify outstanding balances, and reconcile the records seamlessly. Benefits of Payment Posting Consistent Cash Inflow Every business is there for the revenue, and accurate payment is non-negotiable. Understandably, it improves cash flow by reducing claim rejections, delayed payments, and wrong payment amounts The practice can iden...

  Dues payable for services rendered to a patient are not an ideal scenario for a dental practice. Payments from patients too must come on time to keep the cash flows going. For a dental practice, dental patient statement services outsourced to a professional agency or managed in-house are vital for cash flows. A dental practice expects a patient to pay the expected amount in full on the day of the appointment or before. However, that rarely happens as the practice needs to send claims to the insurance companies to pay their portions of the treatment offered to patients while the patient also waits to receive treatment and then pays when the job is done. In many cases, there is a bit of inertia among patients to make payments and a consistent approach is needed to receive dues owed to the practice. Once a practice has sent the initial two or three invoices and no response has been received, the dental team needs to follow up and carefully increase the frequency of reminders. At tim...

Dental credentialing is a very important part of practice for any dentist desiring to work in any association with an insurance provider. It simply helps a person verify a doctor's educational background, experience, and licensing. Thus, ensuring the medical care a patient will get when attending that dentist satisfies their chosen insurance company. What exactly does it take for dental credentialing and what factors influence this process? Initial Process in Dental Credentialing This begins with collecting documents, mostly proof of licensure, malpractice insurance, and all the certificates. Submitting them to provider credentialing services will take about one to two weeks in paperwork. Review and Verification Once submitted, the documents go through verification checks by the team of the insurer. In most cases, it takes the insurer 30 days up to 90 days after submission, which depends on the complexity of the dentist's background. While waiting, insurance companies keep chec...

In today’s fast-paced dental world, the key to the success of any practice is how efficiently it is billed.   For their financial operations, dentists are looking for specialized billing companies. You will find an endless number of options in the US market. If you are confused and overwhelmed with the options available, we can help. Here is a list of   Top Dental Billing Companies in 2024   to help you make a better choice. Here is a guide to help you get a better understanding of dental billing companies in the US  and how to select one.  Why Efficient Dental Billing is Important? Dental billing is crucial for your practice. There are several reasons for you to work with the   best dental billing services . Let us address the following reasons before disclosing the list: enhanced cash flow Reduced billing mistakes More time to attend to patients Increased compliance with laws and guidelines Resources and knowledge Here is the list of the   best denta...