Denver Family Dental Cuts Claim Rejections by 45% with Offshore Billing

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A Denver-Based Family Dentistry Practice Reduced Claim Rejection by 45% by Offshoring Dental Billing Operations

A prominent dental practice in Denver, CO, was facing significant cash flow issues due to inefficiencies in its billing and claims management processes. Much of their revenue cycle was still driven by manual workflows, think spreadsheets, phone calls, and paper documentation, all of which slowed claim submissions and left room for errors. Because of an inefficient billing workflow, the practice struggled with delays in claims submissions, frequent claim rejections.

Given the increasing value of patient volume, the practice sought to modernize its billing operation to shorten reimbursement cycles and improve patient experience. Let’s understand how CEC, a leading offshore dental revenue cycle management service provider, helped the practice.

Project Info

Location:

Denver, Colorado
Practice Type:

Family Dentistry
Number of Locations:

1
Number of Providers:

4
Patient Volume:

900 patients per month

Challenges

Dental Billing Challenges Faced by a Denver-Based Family Dentistry Practice

Here’s a list of challenges that Denver-based family dentistry practice faced:

Solution

Streamlined Dental Billing Solution with Initial Billing & Pre-Scrubbing

Here’s our streamline approach through which we implemented our initial billing and pre-scrubbing services:

Initial Billing Services: Our team took over the responsibility of generating and submitting initial bills for dental services. It included ensuring that all necessary information was accurately mentioned and the bills were sent promptly to insurance companies.
Pre-Scrubbing Services: We provided comprehensive pre-scrubbing of claims before submission. The pre-scrubbing process involved reviewing claims for three things: accuracy, completeness, and compliance with payer requirements.
Workflow Optimization: Our team assessed and optimized the existing billing workflow to identify the existing bottlenecks and brainstormed an apt solution to resolve the issues.
Ongoing Support and Reporting: We set up a dedicated team that was available 24/7 to provide regular updates and reports on the status of claims and billing activities. This ensured that the clinic’s administrative team has complete visibility into their revenue cycle.

Results

Results After Streamlined Dental Billing & Pre-Scrubbing

A Denver-based family dental practice reduced claim rejections by 45% and improved billing efficiency by 50% by outsourcing initial billing and pre-scrubbing services, streamlining workflows, and enhancing cash flow.

Enhanced Cash Flow

The time from service delivery to payment decreased by 35%

Reduced Claim Rejections

The pre-scrubbing services led to a 45% reduction in claim rejections due to errors or missing information

Increased Billing Efficiency

The practice’s billing operation workflow became 50% more efficient.

Operational Improvement

The practice reported a reduction in administrative overload, all because their billing process became more optimized.

Review

What Does the Client Say?

"Working with CEC was a transformative experience for our practice. Their expertise in initial billing and pre-scrubbing made a huge difference in our cash flow and overall efficiency. We’ve seen a marked improvement in our revenue cycle, and our team is now able to focus more on patient care rather than billing issues. We highly recommend their services to any dental practice facing similar challenges."
— Dr. Emily Carter, Owner

Conclusion

Strengthening Financial Health & Revenue Stability Through Expert Dental RCM Outsourcing

The practice built a solid foundation for its financial health by outsourcing denial management to CEC, a leading offshore dental RCM service provider. The practice regained control over its revenue cycle, minimized preventable claim losses, and freed its internal team from repetitive appeals and insurance negotiations. Besides, our services helped in establishing a stable revenue cycle, which helped the practice to continue with its services without any financial restrictions.