Dental Practices’ Accounts Receivable: Managing Patient Balances and Insurance Claims

Medical data Receivables Management, in an orthodontic office, is perhaps more complex than any other small business, including medical offices. There are many third-party insurance carrier “hoops” to jump through just to get paid for preventative oral health, and especially cosmetic or restorative healing services. Therefore, to maintain a wholesome cash flow in an industry where thirdparty reimbursement (and a substantial amount of patient balances) can adversely affect earnings, dentist must secure office personnel with specific patient contact and business management skills, in addition to their specially trained dental technicians. That combo of office staff employee is much less common as one would think, and can stand for significant costs to the practice. click here for dental accountancy

Patients are required Patient Balances and Insurance Claims End result

With a dental office on almost every corner, competition for patients is fiercer than ever before. A typical general dental treatment practice has to walk a fine line between “coddling” patients and protecting as much payment as is possible before the patient’s treatment is done, particularly if the treatment plan ranges several office visits. Plastic and restorative dental treatment plans could cost hundreds of dollars and many insurance policies covers little more than 50 % of those costs. Some popular procedures are not even included in some plans. 

Great dental cash flow management, therefore, will not commence after a patient’s treatment is complete. It should from the very least when the patient signs in for the visit and the appropriate demographic and insurance data gathered. Actually before this, when the patient calls for a meeting, some of this information can be gathered and verified. Then after the “prophy” (the initial cleaning) and the X-rays that precede almost all other dental work, the treatment assessment can be offered to the person, along with the costs.

During this “consult” with the patient, a detailed plan for treatment is usually proposed, with a payment plan in case the person’s resources do not allow for total patient accountable payment prior to treatment. Because of fairly high costs, the need for a repayment schedule is common and the office will frequently arrange a post treatment installment payment plan or at the very least accept to send statements for any balances after insurance payment.

Patient Balances, Insurance, and Earnings

Thus, there are three major components of effective receivables management (as listed below) in a dental office every is critical for sustained earnings.

1. Insurance Verification and Treatment Plan

2. Declare Submission and Follow-up

3. Patient Responsible Balances – Statements, Pre-collections

1. Insurance Verification and Treatment Program – If the patient calls for an session, work needs to accumulate as much information regarding insurance coverage as possible. This article be used during the initial visit, or patient “consult, very well to help create a full payment plan for the more expensive aesthetic or restorative work the practice recommends.

2. State Submission and Accounts Receivable Follow-up – Insurance promises, with proper ADA rules, are submitted to the right payers electronically, or by printed form in some cases, and immediate repayment tracking processes are executed.

3. Patient Responsible Amounts – Any “post-treatment” repayment plans which were approved need to be monitored for past due or partially payment activity. If such activity is flagged, then pre-collection letters and/or telephone calls should follow until either payment is made, or the account is written off as bad debt and transferred to a series agency for legal collection.