With over 6 years of industry experience, CEC has established itself as a trusted partner in healthcare outsourcing. We bring a wealth of knowledge and expertise to deliver top-notch solutions that meet your business needs.
Serving over 33 states in the US, CEC has a proven track record of supporting more than 700 providers and physicians. Our extensive network enables us to understand the intricacies of diverse healthcare systems, ensuring tailored solutions that drive efficiency and improve patient outcomes.
Our team of 300+ dedicated professionals is passionate about providing end-to-end healthcare solutions. With their deep industry knowledge and commitment to excellence, they work tirelessly to deliver exceptional service and value to our clients.
CEC operates with a global mindset, maintaining offices in both India and the USA. This dual presence allows us to leverage the benefits of offshore outsourcing while ensuring seamless communication, cultural understanding, and timely support across time zones.
Tracking suitable KPIs becomes essential for RCM optimization. Here are four crucial parameters to regularly track:
Days in Accounts Receivable (DAR): This indicator calculates the typical time it takes for your practice to receive payment from clients or insurance providers. For a steady cash flow, aim for a smaller DAR.
Claim Denial Rate: Your claim denial rate shows the proportion of claims that insurance companies have rejected. A reduced denial rate indicates that your practice is making accurate and thorough claim submissions, which should lead to increased overall revenue and stable cash flow.
Collection Rate: The percentage of invoiced income that your practice actually collects is measured by the collection rate. Effective billing and collection procedures are indicated by a better collection rate.
Net Collection Rate: This gauges how much of your practice's collectible revenue is actually collected. A high net collection rate (often over 98%) shows that your business is doing a good job of controlling accounts receivable and reducing debt write-offs.
Both dental insurance verification - outsourcing or handling it in-house- has pros and cons.
Outsourced Dental Insurance Verification involves partnering with a third-party service provider specializing in insurance verification. This option offers several advantages. Firstly, it saves time and effort for dental staff, allowing them to focus on patient care. Outsourcing also brings expertise, as the verification company has trained professionals who are familiar with insurance procedures and can navigate complexities effectively. Additionally, outsourcing offers scalability, allowing practices to handle increased verification demands during peak periods.
In House Dental Insurance Verification involves assigning the task to the dental practice's own staff members. This option provides greater control and direct oversight, ensuring that verification is done according to the practice's specific requirements. It may also be cost-effective for smaller practices with a manageable volume of verifications.
Ultimately, the choice of dental billing companies in USA offering outsourced and in-house dental insurance verification depends on the practice's unique needs, budget, staff resources, and volume of verifications.
The process of dental insurance verification involves confirming a patient's insurance coverage and benefits before providing dental treatment. It generally has the following steps:
Collecting patient information: The relevant patient details such as insurance policy number, group number, and primary subscriber information is gathered.
Contacting insurance provider: Dental staff reaches out to the insurance company via phone, or online portals to verify coverage details. They provide the patient's information and inquire about coverage, eligibility, deductibles, co-pays, waiting periods, etc.
Documenting information: The gathered insurance details are recorded accurately in the patient's records, including coverage start and end dates, annual maximums, and frequency limitations for specific treatments.
Confirmation and documentation: The dental staff verifies the obtained information with the insurance provider to ensure accuracy.
Communicating with the patient: After the verification, the dental staff informs the patient about their insurance coverage such as veneers dental insurance, benefits, and any potential out-of-pocket costs.
One of the top dental insurance verification company businesses in the USA with the quickest growth is Clinical Excel Computech LLP Dental Services. We have successfully assisted numerous dental professionals with verifying dental insurance coverage over the last few years. We thoroughly examine filed claims in light of the underlying insurance requirements.
This assists in determining the patient's eligibility for the service and whether they will be responsible for any of the costs. Dental professionals and dental clinics can save money on infrastructure and administrative personnel costs by outsourcing insurance verification to Clinical Excel Computech LLP Dental Services, allowing them to devote all of their attention to patient care. We thoroughly study the exclusions and limitations of the dental insurance verification software.
Our team of specialists makes sure you receive high-quality service in accordance with insurance best practices.
We believe in seamless delivery by understanding client needs and providing systematic solutions through the best suited approach to maximize profit with satisfied customers at reduced cost for Professional & Institutional Medical Billing Services.Learn More
We at CEC are specialized in managing vision billing services. Our services are focused on maximizing return on investment, increasing revenues and improving productivity for our valued clients. Eye care professionals should focus on patient care instead of managing repetitive medical billing and revenue cycle management (RCM) tasks. Your patients are the reason why you and your staff come into the office every day. It is imperative to have RCM processes in place to get paid faster, so you have more time to care for your patients and generate revenue for a healthier cash flow. When you do not have to worry about tasks like insurance verification and filing claims, you can focus on improving patient care when your patients walk through the front door, during their visit, and after they leave. That is why having streamlined RCM processes in place are essential to run a profitable optometry and ophthalmology practice, so your revenue always keeps growing.Learn More
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At CEC, our values are encapsulated in WOWME: Working together, staying Organized, pursuing Goals and Targets, Motivating each other, and embodying the 4E's - Energy, Engagement, Enthusiasm, and Ethical behavior.