Dental RCM Solution

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Dental RCM Solution

If you find your insurance collection ratio to be low, don’t worry! Pro Clinical Solutions – the dental billing experts are here to your rescue! We know how unsettled and overdue claims can be utterly time-consuming and most challenging for any facility to collect. At Pro Clinical Solutions, therefore, we make sure that proper electronic claims are made, followed by

electronic attachment submission
a meticulous posting of all EOB credits as well as adjustments to the patient ledgers,
careful investigation of dubious denied claims in a prompt manner,
appealing on the behalf of denied claims using your comprehensive clinical notes, and
giving day-to-day progress reports.

What Makes Pro Clinical Solutions Stand Apart In The Crowd?

Our extensive knowledge in the dental insurance territory which allows us to thoroughly verify every plan – whether or not it includes GAP exclusions or the missing tooth clause.

The fact that we confirm whether a procedure is medically necessary or not, and with that information in hand, help you obtain pre-authorization for various procedures, like oral appliance therapy.

Our prompt dispatching of Detailed documentation (SOAP notes) to medical insurance in order to obtain appropriate reimbursement. Our electronic claim processing to ensure faster payment.

The team of highly skilled and trained FTE (Full-Time Equivalent) professionals, specialized in various areas of dental insurance verification as well as pre-authorization, working for Pro Clinical Solutions, relentlessly providing your facility with their top-notch dental management services.

An Overview Of Our Extensive Range Of Solutions

Verification of eligibility/benefits
Payment posting/adjudication, adjustments and processing of denials
Coding and audits
Account reconciliation
A/R follow-ups, followed by collections
Our brand of hassle-free Billing Analysis.

How Do Our Services Intend To Benefit You?

QA in every department
Regular QA checks
Access to our software at all times
System-based checking of eligibility
Status reports on a daily, weekly, as well as monthly basis
Complete work support from Certified Coder & Biller
No long-term yearly contracts

We have AAPC-certified coders, possessing extensive knowledge in the latest CDT, ICD-9 as well as ICD-10 codes, working with us. Our team of carefully-chosen specialists know exactly how to work on claims for a wide array of procedures in compliance with the American Dental Association list of dental procedures which can be coded and billed.

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