Dental Billing Services
Comprehensive Dental Billing Services
Dental billing is uniquely challenging due to the variety of procedures, frequent updates to CDT codes, and the need for accurate documentation. At Jiyaan Healthcare Inc., we offer specialized billing services for dental practices, ensuring that you maximize reimbursements while maintaining compliance with industry standards.
General Dentistry
General dentistry forms the backbone of most dental practices, encompassing routine check-ups, cleanings, fillings, and preventive care. Our billing services for general dentistry include:
- Accurate Coding and Documentation: We ensure that all procedures are coded accurately, following the latest CDT code updates. Our team is well-versed in the nuances of general dental procedures, from prophylaxis to restorative work, ensuring that your claims are submitted with the correct documentation.
- Claims Management: We handle the submission, follow-up, and resolution of claims, reducing the burden on your administrative staff and speeding up the reimbursement process.
- Insurance Coordination: We manage coordination of benefits (COB) to ensure that secondary and tertiary insurance claims are handled efficiently, minimizing patient balances.
Oral Surgery
Billing for oral surgery involves a complex understanding of both dental and medical insurance. Our expertise in oral surgery billing ensures that you receive proper reimbursement for procedures such as extractions, implants, and corrective jaw surgeries. Our services include:
- Medical-Dental Cross-Coding: We ensure that procedures covered under medical insurance, such as jaw surgery or biopsies, are accurately cross-coded and billed to the correct payer.
- Prior Authorization: We handle the prior authorization process for complex procedures, ensuring that approvals are obtained before the surgery, reducing the risk of denied claims.
- Claims Follow-Up: We follow up on all submitted claims to ensure timely payment, and we manage any appeals necessary to overturn denied claims.
Orthodontics
Orthodontic billing is distinct due to its long-term treatment plans and phased payments. We understand the complexities of orthodontic billing and offer services that streamline the process:
- Phase-Based Billing: We manage the billing for each phase of orthodontic treatment, ensuring that claims are submitted and payments are received in alignment with treatment milestones.
- Payment Plans: We set up and manage payment plans for patients, ensuring that they understand their financial responsibilities and that payments are collected on time.
- Coordination with Insurance: We ensure that your orthodontic services are correctly billed to insurance, including handling any necessary pre-approvals and claims follow-ups.
Periodontics
Periodontal billing requires detailed knowledge of procedures like scaling, root planing, and surgical interventions for gum disease. Our periodontic billing services include:
- Precise Coding: We ensure that all periodontal procedures are accurately coded, whether it’s a routine cleaning for a periodontal patient or a more complex surgical procedure.
- Documentation Support: We assist in maintaining comprehensive documentation that supports the necessity of periodontal procedures, reducing the likelihood of claim denials.
- Insurance Negotiations: We negotiate with insurance companies to ensure maximum reimbursement for complex periodontal treatments, including gum grafts and laser surgeries.
Endodontics
Endodontic procedures, particularly root canals and other tooth-saving treatments, require specialized billing knowledge. Our services cover:
- Root Canal Therapy Billing: We ensure that each stage of root canal therapy is billed correctly, from initial consultation to follow-up care, maximizing your practice’s revenue.
- Denial Management: We address and resolve any denials specific to endodontic claims, ensuring that all procedures are properly documented and justified.
- Patient Coordination: We manage the financial aspects of endodontic care with patients, including informing them of their out-of-pocket expenses and handling any necessary payment arrangements.
Prosthodontics
Prosthodontic billing involves detailed coding for procedures like crowns, bridges, dentures, and implants. Our billing services ensure that these complex procedures are reimbursed accurately:
- Implant Billing: We handle the intricacies of billing for dental implants, including abutments and crowns, ensuring that each component of the treatment is billed appropriately.
- Prosthetic Devices: Our team ensures that the billing for removable and fixed prosthetic devices is managed efficiently, with attention to insurance coverage and patient co-pays.
- Case Management: We coordinate the billing for multi-step prosthodontic cases, ensuring that each stage of treatment is correctly billed and reimbursed.
Pediatric Dentistry
Pediatric dental billing involves unique challenges due to the variety of treatments and the need for managing both insurance and patient communication delicately. Our services include:
- Specialized Coding for Pediatric Procedures: We ensure that all pediatric treatments, from sealants to pulpotomies, are coded correctly, maximizing reimbursement.
- Insurance Verification and Authorization: We manage the verification of insurance coverage for pediatric patients and obtain necessary authorizations for treatments.
- Parental Communication: We assist in communicating with parents about their insurance benefits, out-of-pocket costs, and payment options, ensuring a smooth billing process.