{"id":7363,"date":"2021-06-09T10:29:56","date_gmt":"2021-06-09T14:29:56","guid":{"rendered":"https:\/\/www.opencare.com\/blog\/?p=7363"},"modified":"2021-06-09T10:30:51","modified_gmt":"2021-06-09T14:30:51","slug":"are-you-collecting-what-youre-owed-on-claims","status":"publish","type":"post","link":"https:\/\/www.opencare.com\/blog\/are-you-collecting-what-youre-owed-on-claims\/","title":{"rendered":"Are you collecting as much as you&#8217;re owed on claims?"},"content":{"rendered":"<span class=\"rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\">4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p><span style=\"font-weight: 400;\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"2961\" class=\"elementor elementor-2961\" data-elementor-settings=\"[]\">\n\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-632a5ee elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"632a5ee\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-8b2de23\" data-id=\"8b2de23\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-28682b8 elementor-widget elementor-widget-heading\" data-id=\"28682b8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Worry-free insurance verification<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f6cf11 cta_text elementor-widget elementor-widget-text-editor\" data-id=\"2f6cf11\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p>Opencare takes the guesswork and effort out of insurance verification.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-8234090\" data-id=\"8234090\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-67b2a99 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"67b2a99\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/www.opencare.com\/for-dentists\/revenue-cycle-management\/?utm_source=organic&#038;utm_medium=blog&#038;utm_campaign=lead&#038;utm_term=all_++++_practice+++++&#038;utm_content=valuablecontent__opencare_blog__octg\" class=\"elementor-button-link elementor-button elementor-size-xs\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Learn more<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As a hard-working dental professional, you want to get paid what you\u2019re worth, right? Unfortunately, many dentists are not collecting as much as they are owed on their dental claims. If you\u2019re one of them, that means you\u2019re missing out on thousands of dollars each month.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So how do you find out if you\u2019re collecting what you should be? More importantly, since it\u2019s likely that you\u2019re not, what needs to change to make that happen? Let\u2019s discuss.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">The 99% collection rate benchmark<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you\u2019re not already aware of this, a healthy dental practice should be collecting 99% of production. Because of the monthly fluctuations of insurance receivables and other payment cycles, you shouldn\u2019t measure this over a short-term period. So, look at your collection percentage over a one-year <\/span><a href=\"https:\/\/www.investopedia.com\/terms\/a\/average_collection_period.asp\"><span style=\"font-weight: 400;\">period<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If your practice is like most dental offices, you\u2019re probably collecting about 91-92% of your production. You might think that\u2019s pretty good. After all, that percentage will earn you the coveted \u2018A\u2019 in school. Anything over 90% is good, right?\u00a0<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">Well, not when you realize how much money you\u2019re missing out on. For example, if your production is a nice even $100,000 per month, 91% means you\u2019re missing out on $9,000 per month! It gets even worse when you look at the whole year. You\u2019re leaving $108,000 (more than one entire month\u2019s revenue) on the table.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Why aren\u2019t you collecting what you\u2019re owed?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Why is this happening? Who is dropping the ball at your practice?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s likely that there isn\u2019t one specific reason. Dental billing and claims can be complicated and keeping track of all the little details is time-consuming. What\u2019s worse, many dental office employees simply don\u2019t have the time to be managing it all.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You\u2019re running a busy practice and your staff is hard at work with many tasks. The front-desk staff, who are usually responsible for billing and payments, wear a lot of hats. They are responsible for promptly answering the phone every time it rings. Plus, they must greet patients with a bright, warm smile and ensure their visit is pleasant from the moment they walk in the door.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When there isn\u2019t an immediate need with a patient in front of them, they have to squeeze in verifying insurance, scheduling <\/span><a href=\"https:\/\/www.opencare.com\/blog\/how-to-make-a-dentist-appointment\/\"><span style=\"font-weight: 400;\">dentist appointments<\/span><\/a><span style=\"font-weight: 400;\">, calling about outstanding insurance claims, auditing patient accounts, presenting treatment plans, preparing and sending outstanding patient statements \u2013 and the list goes on. That\u2019s a lot for anyone to manage!<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ask yourself if any of these things have ever happened in your practice (or worse, happen often).<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The front desk person was busy with the insurance company on the phone and a patient left <\/span><i><span style=\"font-weight: 400;\">without paying their copay<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your phone is often tied up with patients calling about their insurance statements or bills, making it hard for other patients to get through to schedule new appointments<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Said phone calls take far too long because the person at the front desk is trying to figure out and explain the issue with the patient\u2019s statement<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your front desk staff get stuck fielding calls from upset patients who didn\u2019t appreciate how their billing was handled<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your outstanding patient collectibles are slowly (or not-so-slowly) piling up<\/span><\/li>\n<\/ul>\n\n<p><span style=\"font-weight: 400;\">Last but not least, you are seeing less-than-glowing <\/span><a href=\"https:\/\/www.yourdigitalresource.com\/post\/online-reviews-for-dentists-important\"><span style=\"font-weight: 400;\">online reviews<\/span><\/a><span style=\"font-weight: 400;\"> from patients upset with the financial side of things. We don\u2019t have to tell you how crucial positive reviews are and watching your average go down for billing issues is disheartening, to say the least.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Now, before you go jumping down your employees\u2019 throats about missing this money or unintentionally upsetting patients, remember, they are juggling a lot. There are tools you could be giving them to succeed that they don\u2019t have.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How to ensure you\u2019re collecting what you\u2019re owed<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">So, it\u2019s time to get more organized about your financials and up your collection rate for dental claims. How do you do it? The first thing is to set clear payment goals. From there, you need to figure out how to meet them.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Meet the 99% collection rate<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The 99% collection percentage that we already mentioned should be your first goal. But how do you improve your collection rate? Your staff is already working hard to ensure you get paid, you can\u2019t just grouch at them to work harder.\u00a0<\/span><\/p>\n\t\t<div data-elementor-type=\"section\" data-elementor-id=\"2968\" class=\"elementor elementor-2968\" data-elementor-settings=\"[]\">\n\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-45aec48 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"45aec48\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-9c9ae10\" data-id=\"9c9ae10\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20acf1f elementor-widget elementor-widget-heading\" data-id=\"20acf1f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Collect 99% of your claims<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29a3832 cta_text elementor-widget elementor-widget-text-editor\" data-id=\"29a3832\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p>We settle your claims, so you don&#8217;t settle for less.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-284fe64\" data-id=\"284fe64\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6caa820 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"6caa820\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/www.opencare.com\/for-dentists\/revenue-cycle-management\/?utm_source=organic&#038;utm_medium=blog&#038;utm_campaign=lead&#038;utm_term=all_++++_practice+++++&#038;utm_content=valuablecontent__opencare_blog__octg\" class=\"elementor-button-link elementor-button elementor-size-xs\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Learn more<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n<p><span style=\"font-weight: 400;\">It might seem unrealistic to you to reach this standard, but we can tell you it\u2019s not. It can be a little difficult when you task your front staff people with doing it, but not when you take advantage of a service like ours.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here at Opencare, through our revenue cycle management service, we take care of the financial side of things \u2013 particularly dealing with insurance companies and explaining patient benefits. We are proud to note that our collection rate is 99% \u2013 a standard we stick to.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Furthermore, by reducing the burden on your front staff, they\u2019ll be able to provide your patients with better customer service. When your patients walk in, they\u2019ll be met with a bright smile and a greeting rather than someone politely gesturing for them to wait while they finish their phone conversation.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Ensure no more than 20% of your accounts receivable are 60 days or older<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">It\u2019s good bookkeeping to make sure no more than 20% of your accounts receivable are over 60 days old. By sticking to this, you\u2019re ensuring 4 out of 5 of your patient accounts are paying on time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, keep in mind that the <\/span><a href=\"https:\/\/www.freshbooks.com\/hub\/reports\/accounts-receivable-aging-report#:~:text=The%20accounts%20receivable%20aging%20report%20will%20list%20each%20client's%20outstanding,and%20120%2B%20days%20past%20due.\"><span style=\"font-weight: 400;\">aging report<\/span><\/a><span style=\"font-weight: 400;\"> in your computer program will probably only track from the date of service, not the date of the last payment. The date of the last payment lets you know if the patient is keeping up with the payment plan you arranged with them.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">Again, a service like Opencare makes it much easier to keep track of these accounts. Your front desk staff doesn\u2019t necessarily have the time to be checking the aging reports, payment histories, and contacting patients who have fallen behind.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Outsource your claims processing<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">We are dedicated to helping dentists succeed at providing their patients with a high standard of oral health. With Opencare, patients can <\/span><a href=\"https:\/\/www.opencare.com\/\"><span style=\"font-weight: 400;\">find a dentist<\/span><\/a><span style=\"font-weight: 400;\"> near them that we\u2019ll select and match to their preferences. This ensures you get a quality lead when we send you a new patient.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Plus, when you take advantage of our <\/span><a href=\"https:\/\/www.opencare.com\/for-dentists\/revenue-cycle-management\/\"><span style=\"font-weight: 400;\">revenue cycle management<\/span><\/a><span style=\"font-weight: 400;\"> service, you can take all the headaches out of the financial side of your business. Improve your collection rate and enjoy all the proceeds of your work the easy way.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">No more will your front office staff be stressed and pulled in different directions trying to answer customer questions about insurance or talking to insurance companies all day. Instead, they can offer your patients the five-star customer service they deserve.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Get started today and start enjoying the 99% collection rate you deserve. Now that\u2019s something to smile about.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As a hard-working dental professional, you want to get paid what you\u2019re worth, right? Unfortunately, many dentists are not collecting as much as they are owed on their dental claims. If you\u2019re one of them, that means you\u2019re missing out on thousands of dollars each month. So how do you find out if you\u2019re collecting [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7365,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[128],"tags":[169,149,136],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Are you collecting as much as you&#039;re owed on claims?<\/title>\n<meta name=\"description\" content=\"As a hard-working dental professional, you want to get paid what you\u2019re worth, right? 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