The 5 Critical Things to Look for in a Medical Billing Company

Things to Look for in a Medical Billing Company

Finding the best medical billing company or knowing what to look for in a medical billing company may not always be easy. As an Oral Surgeon (Physician of the mouth), General Dentist or Dental office Manager – it may seem questionable that one can actually medically bill in a dental practice and we agree.

This is exactly why throughout the course of this post it is our goal to help you as a dentist/surgeon not just look at Medical Billing in a Dental Practice in a non-disparaging way, but rather a necessary consideration to help your practice thrive. We’re not advocating for doing medical billing for dental procedures. Quite the opposite actually. As an oral physician of the mouth there are certain procedures that are done in your practice that are in-fact considered medical necessities. Because these are medical procedures it makes sense to bill them as such.

The question we often get is: how? Before we jump into the “do’s” and “dont’s” let’s first ensure that you have a full understanding How to Select the best Medical Billing Company and what Medical Billing is.

Medical billing is the process of submitting/following up on medical claims with health insurance providers to receive payments for the services provided by the healthcare professional. The medical biller is responsible for following up with the health insurance company to ensure the medical practice receives reimbursement for their work. A reliable medical biller can optimize revenue and cash flow for the medical practice. This article provides information on why understanding medical billing is important for the practitioner to take his/her medical practice to the next level.

Apart from the office staff, a dental practice is only as good as its back-end team. The medical billing and coding team is the invisible engine in your practices machinery. They should make sure the billing is done properly and all medical codes are up to date. This is critically important for the growth of your dental practice in the long run. Understanding medical billing is quite challenging to the average dentist however. The average dentist may not have access to the required skilled manpower to perform such tasks. That’s where third-party medical billing services come in handy. There are many advantages to outsourcing your medical billing needs to a professional medical billing service provider. Below we’ll jump into some of the many benefits of outsourcing your medical billing to a third-party medical billing service.

The 5 Critical Things to Know When Choosing a Medical Billing Company

#1 Make Sure they Know Where Medical Billing stands in the Revenue Cycle of the Practice.

Said in another way, you want to make sure the people you’re working with have knowledge in the dental space.

Another Critical thing to look for is: Practice Management Experience.
A medical billing company that has dental practice management experience is able to truly understand the full-scope of your practice from end-end as well as how things fit into place within the revenue cycle (seen above). It will be pretty obvious if the medical billing company you’re working with has this type of experience based on: the knowledge they have to get optimal fee schedules, which codes/procedures are most dependable, and what to avoid when it comes to billing medically necessary procedures through the dental practice.

#3 Practice Audit Experience

If you’re working with a medical billing company who does not have Practice Audit experience how will they know how to help you if your practice gets audited? Theoretical application is one-thing but when it comes to a topic of such importance do you want to leave your practice at risk to a theoretical application of a process or trust a company who has experience in navigating through the process itself. The choice is obvious however many dentists misunderstand the outsourcing process and often believe they will lose control over their practice. The reality of the matter is that you will have more control over the entire process when you hire a reputable medical biller-coder to handle this work for you.

Medical billing services have more control over the billing process because they employ highly trained and dedicated billing staff with specialized knowledge to do the job. Your practice will benefit from the highly specialized services provided by a company like: OneMedAll.

To quote one of our clients, Dr. Leonard Smith:

If I hadn’t spent 3-years trying to “crack the code” myself I would have made a lot more money in my practice. …it wasn’t until I found a good medical biller-coder that I was able to truly see what type of difference it could make for my practice.

How Working with the Best Medical Billing Company can Transform Your Practice

If the quote above doesn’t necessarily resonate with you, then perhaps knowing that you will also save a lot of time and money in terms of salaries and other perks to in-house employees by outsourcing the billing process should. You won’t have to purchase and maintain any billing software under such circumstances. The reduction of overhead costs is another important benefit of hiring a good medical biller-coder to do all the billing work on your  practices behalf.

Outsourcing the billing process to a reliable service provider is 100% safe. A reputable and experienced billing service will provide a transparent billing process. A reputable medical billing service has a 100% secure and HIPAA-compliant billing process. It safeguards the process against any hacking attempts. The right company will make sure the data is kept secure at all times. They have the required security infrastructure levels to keep your data safe and secure. Just another reason why you may consider outsourcing your medical billing process to a third-party service provider like OneMedAll.

The rules and regulations in the medical billing industry are constantly changing. Keeping up with these changes can be quite challenging and time-consuming. If you outsource your billing/coding needs to a good biller/coder they will manage and stay on top of the changes in rules and regulations in medical billing. This frees up a lot of time for you to focus on what matters most in your practice.

With more than a handful of medical billing service providers to choose from, choosing the best candidate for the job may not be easy. OneMedAll recommends checking the reputation, experience, credentials, and customer feedback of the potential company when choosing a reliable medical billing service to outsource your medical billing needs. The aforementioned article provides information on why understanding medical billing for dentists is important to take your practice to the next level. Learn All 5-Steps to Help your Practice Thrive.

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Kevin Steineman is a Digital Marketer, Entrepreneur, and Producer. Find out more about Kevin @KSteineman on Instagram, Facebook and wherever your heart desires. Be sure to also check out our Dental News Site - The Daily Floss!

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