An “active coverage” response is not a benefits breakdown. These twelve checks prevent most front-end denials and surprise patient balances.
Days in AR and collection rate: how to calculate them without fooling yourself
Two practices can report very different “days in AR” from the same numbers. Here are the formulas, worked examples and the traps to avoid.
Reading dental denials: a practical guide to CARC, RARC and group codes
Every denied or reduced claim line carries standard codes that tell you who owes what and why. Learn to read them and fix denials faster.
How a 3-provider practice cut 90+ day insurance AR by two-thirds
A focused clean-up and a fixed follow-up cadence turned stalled claims into cash in one quarter.
Getting a new associate in network before the schedule filled
Starting credentialing at signing — not at start date — avoided months of out-of-network claims.
Cutting frequency denials in a pediatric Medicaid practice
Procedure-level verification and age/frequency scrub rules stopped preventable denials on fluoride, sealants and SDF.
An oral surgery group starts billing medical plans correctly
Medical benefit checks, CPT/ICD-10-CM coding and documented necessity turned denied “dental” claims into medical payments.