The Benefits of Implementing RPA in Dental Billing Process

Inaccuracies in billing due to manual errors result in delayed payments, claim denials, and subsequent revenue losses for dental practices. These errors mostly occur because of outdated workflows, overburdened or untrained staff, and similar other factors.

It can result in huge financial losses for your dental practice.

Getting worried? Well, fear not.

This is preventable if you implement RPA in dental billing. RPA helps improve your dental billing processes and generate revenue growth for your practice.

So, let’s discuss in detail how your dental practice can benefit from automating dental billing with RPA.

Benefits of RPA

By using RPA for dental medical billing, you avail numerous benefits. These include:

Reduced Errors

RPA operates on a set of predefined rules that help identify all the available details and determine if these are correct or not. Using that information, RPA can easily enter and validate data.

With RPA in dental medical coding, CDT codes are entered accurately for each dental procedure, and all the other essential details are submitted properly, including patient credentials and required documentation for each procedure. RPA applies all the billing steps according to an insurance company’s policies and minimizes typos and other errors.

Accurate processes mean a smooth claims processing and fewer chances of claim denials and rejections.

Faster Processes

As compared to manual processes, RPA does things super fast, in just a matter of seconds. With its intelligent automation, RPA can perform repetitive tasks with ease, while it takes manual billers several days to process claims submissions.

Integration with EHR Systems

RPA systems can easily integrate with your existing EHR systems to extract patient data, eliminating the need to invest in new EHRs. These are proficient with top-notch dental EHR software, including iDentalSoft, Oryx, Dentrix, EagleSoft, and many others.

Instant Insurance Eligibility Checks

Verifying patients’ insurance eligibility for dental procedures is one of the most challenging tasks for dental practices. Missing even a single detail and processing claims without insurance can result in massive financial setbacks.

But that’s no longer an issue with RPA systems. These systems automate insurance eligibility checks by logging into your payer portals to verify the coverage in real-time. It identifies benefits and limitations in the patient’s dental insurance plan and proceeds with appointment scheduling and claims submission accordingly.

Real-Time Claims Tracking

Gone are the days when dental billers kept pursuing insurance companies to track the status of billing claims.

Processes have evolved, becoming smarter with advanced RPA solutions. With RPA in dental billing, it’s easy to track the claims’ progress, knowing how close you’re to receiving your payments, and if any obstacles are causing delays. RPA notifies you of denials or issues with alerts, so you’re updated and begin proactively working to resolve them.

Quick Claims Settlement

Dental practices heavily rely on claims settlement. According to a recent survey, 48% of the healthcare leaders feel that denials from payers are a major disruption to their revenue cycle management. This statement perfectly explains how claims settlements are crucial for healthy finances.

RPA helps resolve the issue by processing your claims submissions and ensuring your claims are settled in full and within just 24-48 hours. Once payment is settled by insurers, RPA matches the Explanation of Benefits (EOB) detail with the existing patient records and submits the payment to the right payment ledger.

Denial Management Automation

In case your claims are denied, RPA tracks the denial reason, generates reports, and presents an analysis on making corrections. Subsequently, RPA uses the correct data and the right procedure to resubmit your claims, so your claims are settled successfully this time.

Analytics and Reporting

RPA generates real-time reports on your claims, payments, and denials, with useful analytics, so you can review your ongoing billing processes and revise them for improvement.

Enhanced Staff Productivity

With robotic process automation dental billing, all the tasks are automated. It relieves your staff of the pressure of handling billing and frees them up to manage other administrative, clinical, and financial tasks. There is no burnout for staff, and they are motivated to perform better in their respective fields.

All that results in better patient care. Quality checkups and treatment mean satisfied patients and restored smiles.

Audits and Compliance

RPA is programmed with all the standards and guidelines as per regulations like the Health Insurance Portability and Accountability Act (HIPAA), and laws set by other governing bodies, such as the American Dental Association (ADA). The RPA system uses this data to comply with regulations throughout the workflows, thus avoiding fines and penalties.

Moreover, you can automate tracking and logging of the billing activities. The RPA evaluates your past and present financial and billing records to identify gaps. By knowing these loopholes, you can easily make decisions to improve processes and maximize revenue growth.

Flexibility and Adaptability

RPA systems are flexible to adapt to changing insurance policies and evolving healthcare regulations. This flexibility makes them not just an option, but a must-have for your dental practice to enhance and streamline the dental billing workflows.

Lower Operational Costs

By investing in a cost-effective and robust RPA system, you can cut down on unnecessary labor costs. Since this system can proficiently reduce errors, it means there are fewer reworks. This means you can save the costs needed for resubmitting the claims.

It helps improve your dental practice’s cash flow, so you can allocate the budget to better infrastructure, staff retention, and improved patient care.

24/7 Functionality

Human billers can’t work 24/7 and not even continuously for a few hours. They feel exhausted after working constantly and need to take breaks. Staff also avails sick leaves, which can affect the dental billing process.

However, RPA systems solve the issue as they are capable of working 24/7 and managing your entire dental RCM efficiently. As a result, dental billing processes go uninterrupted.

Are You Ready to Invest in RPA?

RPA systems are revolutionizing the healthcare industry as practitioners are upgrading their billing workflows for smoother processes and excellent results. By implementing RPA in dental billing, claim denials are reduced, staff become more productive, and cash flow gets healthier, making your practice thrive.

TransDental assists you with that. Our robust RPA systems make your billing workflows smooth and uplift your practice by helping recover your claims with accuracy and speed.

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