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Dental Revenue Cycle Management

Eligibility Checks in Dental Billing

The Impact of Real-Time Eligibility Checks in Dental Billing

Dental RCM loses significant revenue to avoidable eligibility errors. Industry data shows 27–35 percent of dental claim denials come from inaccurate or incomplete insurance verification (ADA & NADP 2024).Dental plans also shift frequently. CareQuest research estimates 52 percent of patients experience at least one coverage or benefit change per year, making yesterday’s verification unreliable today. […]
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How to Avoid Common Mistakes & Coding Pitfalls in Dental Cross-Coding 

Dental practices increasingly rely on medical cross-coding to unlock reimbursements for procedures with clinical or trauma-related relevance. Yet even experienced teams face avoidable missteps that lead to stalled claims, preventable write-offs, and recurring payer pushback. Across high-volume dental groups and multi-location DSOs, cross-coded claims continue to see rejection rates hovering between 15–20% due to translation […]
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dental billing outsourcing

Dental Billing Outsourcing vs In-House Billing

Dental Practices face numerous decisions that impact their practice efficiency and profitability. One crucial choice is whether to handle billing in-house or outsource it to specialized professionals. This decision can significantly affect the practice’s financial health, staff workload, and overall operations. In this article, we’ll explore the pros and cons of dental billing outsourcing versus […]
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