Dental Billing Services
Enhancing Dental Billing Efficiency
Our Services
Unparalleled Dental Billing Services
At Comodo Healthcare, we pride ourselves on delivering comprehensive dental billing services that optimize every aspect of your practice’s revenue cycle. With over 15 years of experience, we’ve become a trusted partner for dental practices across the U.S., offering full-scale dental billing services designed to streamline processes, maximize reimbursements, and enhance patient satisfaction.
We provide a host of personalized, end-to-end dental billing services that include:
We provide a host of personalized, end-to-end dental billing services that include:
Dental Billing Services
- Insurance Eligibility Verification
- Demographic Entry
- Coding (CDT and ICD)
- Claims Submission
- Chart Audits
- Claims Follow-Up and Collections
- Payment Posting
- Billing Reports
- Old AR Clean-Up and Recovery
- Denial Management
- Patient Billing
Dental Coding Services
Our certified resources ensure complete accuracy and consistency throughout the coding and documentation process so that insurance claims are processed promptly and fully reimbursed.
- Patient Chart Review
- Identification of Dental Procedures
- Selection of CDT Codes
- Application of ICD Codes
- Coding Audits
- Recording Codes
Leverage Expertise
Dental Billing Service Expertise That Powers Your Practice
At Bristol Healthcare Services, our specialized expertise in dental billing and revenue cycle management ensures that your practice runs smoothly, maximizes revenue, and maintains compliance with industry standards. Our areas of expertise include:
01
Dental Coding:
Our certified dental coders are highly skilled in applying the correct CDT (Current Dental Terminology) codes to each procedure performed. We understand the nuances of dental coding, from preventive and diagnostic services to complex restorative procedures. Our team stays updated on the latest coding changes and guidelines, ensuring that your claims are coded correctly the first time, reducing the risk of denials and increasing reimbursement rates.
Case Study:
One of our clients, a pediatric dental practice, faced frequent claim denials due to incorrect coding for dental sealants and fluoride treatments. After partnering with us, our team conducted a thorough review of their coding practices and identified common errors. By correcting these issues and providing ongoing coding support, we were able to reduce their denial rate by 25%, leading to faster payments and improved cash flow.
02
Insurance Coverage Verification:
Our team handles the entire verification process, from checking patient eligibility to confirming benefits and pre-authorization requirements. We work directly with insurance providers to ensure that all necessary information is obtained before services are rendered, reducing the likelihood of unexpected out-of-pocket costs for patients and ensuring that your practice is paid promptly.
Case Study:
A dental clinic we work with had a high number of claim denials due to patients being unaware of coverage limitations. By implementing our comprehensive insurance verification process, we helped the clinic reduce denials related to coverage issues by 30%. Patients were informed upfront about their financial responsibilities, leading to higher patient satisfaction and fewer payment disputes.
03
Accurate Documentation:
Our team ensures that all patient records, treatment plans, and clinical notes are meticulously documented and coded according to the latest standards. We understand that proper documentation not only supports accurate coding but also serves as a critical defense in case of audits or disputes.
Case Study:
A dental practice specializing in complex oral surgeries faced challenges with documentation that led to undercoding and lost revenue. Our team conducted a detailed audit of their documentation practices and provided targeted training to their staff. As a result, the practice saw a 20% increase in reimbursement for surgical procedures, thanks to more accurate and detailed documentation.
04
Coordination Of Benefits (COB):
Our experts ensure that claims are accurately filed with the primary and secondary insurers, maximizing reimbursements while minimizing delays. We handle the intricacies of COB, such as determining the primary payer and submitting secondary claims, ensuring that your practice receives full payment for services rendered.
Case Study:
A patient with dual coverage for orthodontic treatment was initially denied payment due to incorrect COB handling. Our team quickly identified the error, resubmitted the claims with proper coordination, and successfully secured full payment for the treatment, preventing a loss of revenue for the practice.
05
Compliance:
Compliance with industry regulations and payer-specific requirements is non-negotiable in today’s healthcare environment. Our team is well-versed in the latest dental billing regulations, HIPAA requirements, and payer policies. We conduct regular audits to ensure that your practice remains compliant, reducing the risk of penalties, audits, and legal issues.
Case Study:
A dental group we support was at risk of non-compliance due to outdated billing practices and a lack of awareness of recent regulatory changes. We conducted a comprehensive compliance audit, identified potential risks, and implemented new protocols to bring the practice into full compliance. This proactive approach not only protected the practice from potential fines but also enhanced their reputation with payers and patients alike.
06
Appeals Process:
Denials are an unfortunate part of the billing process, but with our expert appeals management, they don’t have to impact your revenue. Our team swiftly addresses denials by analyzing the reasons, gathering supporting documentation, and filing detailed appeals. We have a proven track record of overturning denied claims, ensuring that your practice recovers revenue that would otherwise be lost.
Case Study:
A dental practice faced frequent denials for claims related to periodontal treatments. Our team took over the appeals process, carefully documenting the medical necessity of each procedure and filing comprehensive appeals. Within three months, we overturned 80% of the denied claims, resulting in a significant recovery of lost revenue for the practice.
Benefits
Why Leading Providers Partner With Us
Benefits Include
- Best-in-class turnaround time
- AAPC™ & AHIMA™ certified resources
- ICD-11, ICD-10, CPT-4 and HCPCS coding expertise
- Thorough coding audits and regularized QA checks
- Strict HIPAA compliance
- Dedicated account manager
- Affordable & flexible pricing, competitor price match guaranteed
- 98% Claim first-pass rate
- Up to 40% reduced expenses
- 24x7 Support
The Comodo Healthcare Promise
- Submit clean claims on the same day
- Post All Payments to patients within one business day
- Immediate follow-ups on claims that hit 20+ days in aging
- Bring down unpaid insurance to 0%
- Transparent processes and reports
- Collect 100% of what’s rightfully owed
40%
Reduced Expenses
24x7
Support
98%
Claim First-Pass Rate
100%
of what's rightfully owed
0%
Unpaid Insurance
Let’s Grow Your Practice Together
Stress-free Billing & IT is Just a Conversation Away
Running a dental practice is tough we make it easier. From billing delays to IT headaches, we provide solutions that protect, streamline, and grow your practice. With Comodo Dental Solutions, you gain more than support you gain a true partner.
About Us
Dental Billing Services, Trusted by Dentists
Our strength lies in the deep expertise of our certified billing, coding, and accounts receivable resources. We continually invest in training our specialists, keeping them updated on the latest industry changes, payor requirements, and governmental regulations. This ongoing education ensures that your practice remains compliant and that claims are processed efficiently.
We provide a host of personalized, end-to-end dental billing services that include:
We leverage advanced technology to enhance our service delivery. Our state-of-the-art software automates repetitive tasks, reducing the chances of human error and speeding up the billing cycle. We strictly comply with the regulations set forth by the American Dental Association (ADA) and help bill and code for a wide range of dental services, including preventive, restorative, and cosmetic procedures, as well as procedures related to oral surgery, periodontics, endodontics, and orthodontics. Our CDT coding expertise includes the following procedures:
- Prophylaxis (cleaning)
- Dental Exams (comprehensive, periodic, or limited)
- Radiographs (X-rays)
- Fillings (amalgam or composite)
- Extractions (simple or surgical)
- Root Canal Therapy
- Dentures (complete or partial)
- Implants
- Orthodontic Treatment (braces)
- Bridges (fixed partial dentures)
The ADA updates the CDT code set annually to reflect changes in dental technology, terminology, and procedures. Our coders stay up-to-date with these changes to ensure accurate coding and billing for dental procedures and services.
Reviews
What Our Clients Say
We’re proud to be the trusted billing and IT partner for dental practices of all sizes. Here’s what some of our clients have to say about working with us:
