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Dental Billing Services California, CA

Comprehensive Dental Billing and Coding Services

MBC's Medical Coding and Billing Services offer a dedicated and competent team of dental coding and billing experts to accomplish maximum payout on their clients’ dental billing claims. With a huge experience in processing dental claims with stringent government sponsored as well as private dental insurance schemes, our dental billing and coding experts ensure a steady inflow of reimbursements, which positively impact the dentists’ skill, patient influx, and service referrals.

Our dental coding and billing specialists are experts of the entire gamut of dental procedures. Complying with the American Dental Association’s (ADA), list of dental procedures that can be coded and billed, these billers and coders scrupulously undertake billing and coding for the following service categories:

  • Diagnostic services, preventive, and restorative dental procedures
  • Prosthodontics (removable),prosthodontics (fixed), endodontics, orthodontics, and implant services
  • Maxillofacial prosthetics, oral and maxillofacial surgery, and adjunctive general services

Running a medical practice in California can be quite challenging when it comes to medical billing and coding. Our billers and coders in all the major cities of California including Los Angeles, San Diego, San Jose, San Francisco, Fresno can help you settle your requirements here are some of the services which our expert medical billers and coders specializes in:

  • Tracking and follow-up on unpaid claims
  • Preparing Patient statements and payment posting
  • Customizing billing reports for better control
  • Primary and secondary insurance claims filing

Value Our California Billers Bring:

Our medical billers and coders are not limited to just the big cities such as Fresno, San Francisco, and San Diego but also all other smaller cities and towns in California. Moreover our billers are compliant with HIPAA guidelines and are updated with all industry updates through medicalbillerandcoder.com. This makes sure that your practice is run in the most efficient and legally safe conditions. Our Billing specialists also ensure that your patients are hassle free and their billing queries are answered well.

The expertise of our billers is vast and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for maximum allowable reimbursement, customized accounts receivable and revenue cycle financial analysis, electronic claims submissions, denials management and payment posting, dedicated and relentless insurance follow-up, patient statements and patient-centric support, provider enrollment support, and standardized reporting.

Our Specialties:

Our medical billing specialists are committed to improving your productivity by utilizing finest processes and health care information technology such as Electronic Medical Records. These medical billers and coders maximize your revenue, ensure timely compensation, and offer medical billing and coding services in specialties including Family Practice, mental health , pain management, Physical Therapy, radiology, Internal Medicine, neurology, orthopedic, and numerous other areas.

Our Software Experience:

The fact that physician shortage is set to quadruple in the next decade according to AAMC (Association of American Medical Colleges) makes it vital that physicians utilize professional and accurate medical billing and coding services. The various software that we provide in addition to the value added services mentioned above ensures that physicians are capable of keeping up-to-date with the healthcare IT sector reforms and improvements. Some of the medical coding and billing software that our billers have experience on include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.

Difficulties & Challenges California physicians Face:

The most common challenges faced by physicians in big cities such as San Jose and Los Angeles are underperforming accounts receivables or collections and claims denial. Both these situations along with other errors may lead to decreased revenue. Our billers provide the solutions to these problems by making the denial management efficient and offering services such as integrated medical billing with EMR along with numerous other value added services like sending patient statements and processing refunds to Medicare in order to preserve your practice from RAC audits.

As a physician in California, it becomes difficult to keep track of all the changes taking place in the legislation related to your practice. This is where the expertise and experience of our medical billing specialists can be of immense help. It almost seems that payers are in the business of claim denial and can afford to make mistakes at your expense. Although the new HIPAA guidelines would ensure a smoother process, the amount of patient-doctor encounters would increase in the future making it difficult to extract time for coding, billing, claim denial and compliance with HIPAA regulations. Specialized medical billers and coders such as ours can ensure that your practice not only flourishes but is also HIPAA compliant.

It is important to note that our coders follow the standard coding - recommended by CDT (Current Dental Terminology) Manual published by the American Dental Association (ADA) for various dental procedures. Such standard practices are advisable in preventing delayed reimbursements and claim denials.

Our Billers and Coders’ Ingenuity in Applying Medical Claims for Dental Procedures

Our dental billing and coding experts skillfully process dental procedures -- which are not covered under dental benefit schemes, but are also deemed medically necessary because of their direct effect on body systems – under medical benefit plans that allow these dental procedures.

Our dental billing and coding specialists, who are experts at establishing medical necessity of dental procedures, can apply appropriate CDT or HCPCS codes (accepted by medical carriers) to bill for the services rendered by dental specialists.

With the sole objective of achieving maximum end-to-end dental claim reimbursement, our dental Coding and Billing Specialists set themselves high standards in professional efficiency. Having to meet their clients’ expectancy level amidst stringent coding and billing system, our dental Coding and Billing professionals continually upgrade their competence to match best practices in dental health coding and billing.

Diverse Dental Procedures Coded and Billed by MBC Experts

Some of the medically deemed allowable dental procedures that are frequently coded and billed successfully by our dental billing and coding specialists are:

  • Certain oral surgical, implant procedures, and periodontal procedures deemed medically allowable are coded and billed by our billing and coding experts.
  • Our billers and coders for dentistry undertake billing and coding for medically deemed necessary laser procedures, TMD procedures, procedures associated with oral dysfunction, and dental procedures related to trauma.
  • Our billers and coders’ scope of covering medically deemed necessary procedures also encompass consultations and examinations for orol-facial medical conditions, screenings for oral cancer, dental procedures for myofascial pain conditions, sleep apnea procedures, and X-rays, including CT scans deemed medically necessary and associated with the procedures above.

Ensuring Dental-Medical Cross Coding Benefits

Our seasoned coding and billing professionals, who are well-versed in dental-medical cross coding through identifying dental procedures that fall under the ‘medically necessary’ category, and applying suitable medical codes to them, ensure the dental professionals and their patients with some unprecedented benefits, such as:

  • Ensuring the patients who are impacted medically by oral conditions with medical benefits from processing medically allowable dental procedures.
  • Patients who happen to hold both medical as well as dental insurance can easily divert their medically allowable dental procedures to their medical scheme, thereby saving their yearly dental allowances for other medically non-allowable dental procedures.
  • The success rate of your dental-medical cross coding procedure will ensure accelerated practice revenue.
  • Patients who happen to benefit from dental-medical cross coding are sure to refer their acquaintances to you, which will be indispensable in expanding your patient base.

Thus, operating in a volatile environment where insurance trends are prone to change, our billers and coders, strategically located across all states, have always perched themselves on a learning curve, and been applying best practices in medical coding and billing for dentistry. Such an outlook has been instrumental in serving the ‘sole dictum’ of ensuring maximum reimbursement rate for dental bills.