Case Studies
A well-established dental practice in Austin, TX, serving in two prominent neighborhoods, has built a quite reputation for providing personalized oral care. The practice welcomes and treats more than 1,200 on a monthly basis. However, behind this steady flow of appointments, the clinic’s cash flow was restricted due to delays and denials in insurance claims.
Due to manual processes, eligibility checks and pre-authorizations took too long, and it ultimately slowed down the front-desk operations, making follow-ups with patients about coverage uncomfortable. The team knew that something had to change to streamline insurance processes, reduce payment bottlenecks, and protect the positive experience they worked hard to deliver.
That’s when the team reached out to CEC to streamline their revenue cycle and its workflow.
Here’s a list of challenges that Austin-based general dentistry practice faced:
Frequent delays in insurance claim approvals caused a domino effect, which delayed payments and ultimately strangled the cash flow.
Many claims were submitted with incorrect or missing information. This was because of inconsistent eligibility checks and pre-authorizations, and the team had to spend additional hours appealing rejected claims.
The internal staff dedicated a significant portion of their day to manually handling insurance verification, pre-authorizations, and follow-ups. The team was unable to focus on their patient-facing responsibilities.
When eligibility checks or pre-approvals weren’t completed in a timely manner, treatment plans were sometimes postponed or modified. This led to increased patient frustration and unnecessary inconvenience for them and their families.
Streamlined Revenue Cycle with Initial Process & Pre-Scrubbing
The dentistry clinic partnered with CEC, and we offered them our comprehensive Eligibility & Pre-Authorization services. Our solution streamlined the following areas:
The time from service delivery to payment decreased by 35%
The RCM services led to rate of claim denials dropped by 40%
Time spent on manual activities was slashed by 50%
Patients experienced fewer disruptions in their treatment plans
Partnering with CEC was a game-changer for us. Their expertise in managing eligibility and pre-authorizations allowed us to streamline our processes and significantly improve our cash flow. Our administrative team is now more efficient, and our patients are happier with the smoother experience. We highly recommend their services to any dental practice looking to optimize their revenue cycle.
By offshoring insurance and claim-related operations to an expert dental RCM company, the Austin-based dental practice transformed a major administrative bottleneck into a predictable and efficient workflow. Now, the team can dedicate themselves completely to the patient and their treatment, while the CEC team manages their eligibility checks, pre-authorizations, and follow-ups with accuracy and speed.
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