Last Reviewed: November 21st, 2024

Best Dental Medical Billing Software Of 2024

What is Dental Medical Billing Software?

Dental Medical Billing Software is, at its heart, a financial management tool specifically designed for dental practices. Traditional pain-points such as coding errors, delayed payments, and convoluted insurance claims can be effectively addressed with this software's automated claim processing and real-time insurance verification. The importance of this software lies in its ability to ensure swift and accurate reimbursement for dental services, greatly enhancing the financial stability of the practice. Standout features generally include patient invoicing, insurance management, and seamless integration with practice management software. Modern software may also incorporate trending technologies such as cloud computing for universal access, or AI for predictive analytics. The primary beneficiaries are dental practices, but patients also gain from streamlined scheduling and billing transparency. Conversely, limitations can include steep learning curves and the necessity of periodic updates. Overall, Dental Medical Billing Software is the financial backbone of a dental practice, offering significant operational efficiencies and improving revenue cycles.

What Are The Key Benefits of Dental Medical Billing Software?

  • Ensures accurate reimbursement
  • Accelerates revenue cycles
  • Automates claim processing
  • Streamlines patient invoicing
  • Provides real-time insurance verification
  • Improves financial stability
  • Mitigates coding errors
  • Boosts operational efficiency
  • Facilitates seamless software integration
  • Improves billing transparency
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Overall

Based on the latest available data collected by SelectHub for 60 solutions, we determined the following solutions are the best Dental Medical Billing Software overall:

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Why We Picked Tebra Managed Billing

Tebra Managed Billing offers robust functionality for scheduling patients, confirming insurance, managing accounts, storing patient documents and more. It’s user-friendly interface and intuitive options make it easy to use and navigate, increasing productivity. Reporting tool offers easy customization for businesses needs. Reviewers said that customer support is responsive and helpful in solving issues. However, some complained that getting customer service was challenging. Setting up patient billing and insurance was difficult and negatively impacted workflow. Users disliked that the system tended to run slow and was often down for repairs or maintenance.

Pros & Cons

  • Functionality: It provides a comprehensive set of tools, as noted by 96% of users who referred to functionality.
  • User Friendly: It is intuitive and easy to deploy, as noted by 97% of reviewers who refer to ease of use.
  • Report: Around 65% of users said that report functions are easy to customize to meet their organization's needs.
  • Customer Support: Customer services were responsive and helpful, as noted by 56% of users who specified customer support.
  • Billing & Insurance: Nearly 86% of users said that setting up billing and insurance was time-consuming and difficult.
  • Integration: Approximately 81% of reviewers who specified integration said that it offers limited software integrations.
  • System Performance: About 92% of users said that the system runs slow and goes down frequently, affecting productivity.

Key Features

  • Schedule/Calendar: Assign physicians with the correct patient, equipment and exam room. Automatically verify patient eligibility to reduce denials. 
  • Charge Capture: Charges can be billed right away by selecting the patient name and date of service while checking for coding errors to reduce denials and get paid faster. 
  • Claims Tracking: Monitor all claims, check statuses and get reimbursed quickly. Claims can be filtered by provider, patient and date. 
  • Billing Analytics: Measures key performance indicators to come up with other ways to find practice revenue. Improve organization financial health by tracking performance and revenue cycles. 
  • Billing Tasks: Manage all billing tasks in a singular, easy-to-use inbox. Tebra Mobile allows users to view and complete tasks anytime and anywhere. 
  • Agenda Overview: Provides a general review of billing operations and notifies users of any outstanding balances or other important items. 
  • Rules Engine: Helps produce more accurate claims by automatically removing unnecessary or incorrect information. 

Pricing

License/Subscription Cost
  • Users pay a monthly subscription based on the number of users
  • Cost will vary depending on the end user role; physician, non-physician or therapist
Maintenance Cost
  • Included with the subscription cost
  • Offers free how-to articles, video tutorials and feature guides
Installation/Implementation Cost
  • Cost is included in the subscription with zero setup fees and no long-term contracts required
Customization Cost
  • An additional cost is charged for any add-on features or enhancements
  • Each additional module is provided for half the base cost
Data Migration Cost/Change Management/Upfront Switching Cost
  • Cost varies depending on the type of data to be imported
  • $500 for single practice migration and $100 for each additional practice
Recurring/Renewal Costs
  • Cost is equal to the recurring subscription cost paid monthly, based on the number of providers and type of package selected
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Why We Picked WebPT

WebPT has made a significant impact on the physical therapy software landscape, offering a comprehensive suite of tools designed to streamline workflows and enhance patient care. Users consistently highlight its user-friendly interface, robust features, and exceptional customer support as key strengths. One reviewer emphasized the ease of transitioning from paper-based systems to WebPT's cloud-based platform, appreciating its accessibility from any web-enabled device. The software's scheduling capabilities have also received praise, with users noting improvements in patient retention and the ability to synchronize appointments with digital patient records.

While WebPT garners positive feedback, some users mention the learning curve associated with its extensive features. However, the company's commitment to customer support is frequently commended, with users citing responsive and helpful assistance. WebPT distinguishes itself by catering specifically to the needs of rehabilitation therapists, offering specialized documentation, billing codes, and compliance tools. This focus on the therapy sector sets it apart from more generic practice management software. WebPT is ideally suited for physical therapy practices of all sizes seeking an integrated platform to optimize front- and back-office operations. Its comprehensive features, user-friendly design, and industry-specific focus make it a valuable asset for therapists looking to enhance efficiency, improve patient care, and grow their practices.

Pros & Cons

  • User-Friendly: All users mentioning this aspect noted that the solution’s ease-of-use is a key benefit.
  • Accessibility: The platform is web-based, making it highly accessible according to over 95% of users who mention this aspect.
  • Scheduling: About 75% of users who mention scheduling noted that it’s convenient to schedule appointments.
  • Speed: All users referring to speed reported that the product is slow and includes redundant check boxes, which further reduce the speed of working.
  • Functionality: The product is filled with glitches and the site is often down for maintenance, according to 88% of users who mention functionality.

Key Features

  • Analytics and Reporting: Access and work on detailed data tables from a main reporting dashboard. Use easy graphs and charts for valuable business insights. 
  • Interoperability: Facilitates a secure transfer of information between systems, enabling greater efficiency and data unity. Key integrations include Cerner, Epic, McKesson and athenahealth. Includes 24/7/365 monitoring from WebPT. 
  • Web-Based: Users can access the platform from any browser, anywhere. There’s no deployment costs or loss in productivity while the software is installing. 
  • Continuous Updates: Because the software is web-based, it frequently refreshes with new studies, formulas and testing criteria. 
  • Simplified Interface: Built around an intuitive workflow and offers features for a hassle-free experience such as dropdown checklists, auto-completing text boxes and much more. 
  • Home Exercise Program: Engage patients in video exercises with patient-facing functionality and design. Tap into a library of evidence-based therapy exercises available in up to eight different languages. 
  • Listing and Review Management: Improves online presence with a robust facility profile that provides automatic review updates, offers direct responses to reviews and analyses review trends. 
  • Billing: Maximize revenue and save time for quality healthcare with minimum claim errors using Therabill. Includes real-time analytics, detailed activity logs and one invoice from one company. 
  • Patient Outcomes Tracking: Drive faster recovery for patients with a built-in patient outcomes tracking system. Includes a library of industry-accepted tests for concrete performance goals and tracking therapists’ progress. 
  • Scheduling: Manage appointment calendars that sync with patient records and reduce no-shows by 30% by sending automatic reminders. Book remote appointments and launch live two-way video for virtual therapy using Virtual Visits. 
  • Revenue Cycle Management: Submit claims and expedite payments with high first-pass acceptance rate. Offers two RCM options: 
    • RevServe: Completely outsourced service. WebPT handles all billing responsibilities, including A/R management, reporting, collections benchmarking and medicare compliance. 
    • RevEquip: Hybrid model, allowing practices to control things like A/R management, credentialing, case management and more. WebPT offers management of outgoing claims, patient statement submissions, payment EDI management, workflow consultations and more. 
  • Patient Relationship Management: Increase engagement and reduce dropout rates by sending automated email campaigns to past patients and receiving actionable feedback indicating potential dropouts. 
  • Client Mobile App: Clients can access and manage their health data conveniently from a mobile app. 
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Why We Picked TherapyNotes

Stepping into the bustling world of mental health practice management software, TherapyNotes emerges as a prominent contender, lauded for its user-friendly interface and comprehensive features. Feedback from users over the past year paints a picture of a platform that streamlines administrative tasks, allowing practitioners to dedicate more time and energy to their clients. The software's scheduling tools, billing features, and secure communication channels have received consistent praise for their ease of use and effectiveness in optimizing workflows.

While TherapyNotes shines in its core functionalities, some users have noted the absence of a reporting dashboard and limited third-party integrations as areas for potential improvement. However, the software's strengths in facilitating efficient scheduling, secure client communication, and streamlined billing processes appear to outweigh these limitations for many users. The platform's emphasis on ease of use and affordability further distinguishes it from competitors, making it an attractive option for solo practitioners and small to medium-sized practices seeking a comprehensive yet cost-effective solution.

TherapyNotes appears to be an ideal fit for mental health professionals who prioritize a user-friendly experience and value a robust set of features that address the essential aspects of practice management. Its intuitive design and focus on core functionalities make it particularly well-suited for those who prefer a streamlined approach to managing their practice, allowing them to focus on what matters most—providing quality care to their clients.

Pros & Cons

  • Streamlined Notes: The platform offers multiple note templates, which can be customized to fit individual workflows and preferences. This feature can save clinicians time and effort when documenting sessions.
  • Integrated Billing: TherapyNotes includes features for managing billing tasks, such as generating invoices and processing payments. This can simplify the billing process for mental health professionals.
  • Appointment Scheduling: Users can manage their schedules and appointments directly within the platform. Clients can also request appointments online, which can streamline the scheduling process.
  • Client Portal: TherapyNotes provides a secure client portal where clients can access their records, schedule appointments, and communicate with their therapists. This can improve communication and engagement between therapists and clients.
  • Telehealth Capabilities: The platform offers telehealth features, allowing therapists to conduct virtual sessions with clients. This can be a convenient option for clients who are unable to attend in-person appointments.
  • Limited Customization: Users have expressed frustration with the lack of flexibility in tailoring the platform to their specific workflows and preferences. For example, customizing intake forms or treatment plans to align with unique practice needs can be challenging.
  • Billing Challenges: Several users have reported encountering difficulties and a learning curve associated with the billing features, particularly electronic claim submission and managing insurance reimbursements.
  • Customer Support Concerns: Some users have shared feedback regarding occasional delays or challenges in obtaining timely and effective assistance from TherapyNotes customer support, especially during peak hours or with complex technical issues.

Key Features

  • Calendar: Schedule one-time or recurring appointments, access appointment-related notes and send automated reminders to patients. Organize the calendar according to clinicians, specific clients or certain practice locations. Offers a personal to-do list with treatment plans, notes, administrative documents and more. 
  • Electronic Records: Enables quick documentation and notes with speech-to-text software, built-in templates and searchable diagnosis codes. Also gives physicians immediate access to patient records and notes. 
  • Billing: Handles every step of the billing process, including insurance eligibility verification, claim submission and payments. Claims can be automatically swept of any mistakes or coding errors. Supports generating superbills with all necessary information for prompt reimbursement. 
  • Credit Card Processing: Deposit funds automatically to a bank account with the integrated payment processing system. Keeps cards on file for any missed appointment fees or future transactions. 
  • Client Portal: Patients can manage appointments themselves using TherapyPortal on their mobile device. Physicians can communicate with their clients remotely by exchanging messages, video chatting, adding notes and more. Includes configuration of color scheme, logo and welcome message. 
  • Telehealth: Physicians can meet clients online for convenient video sessions. Sessions are encrypted and integrated into TherapyNotes and the patient portal. 
  • Scheduling: Schedule appointments and manage tasks on the to-do list for higher efficiency by connecting the to-do list to records, notes and billing. With quick appointment scheduling, it also allows customization of the calendar view and mobile calendar sync. 
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Why We Picked AdvancedMD

AdvancedMD is an intuitive cloud-based tool. While some users were happy with the system’s integration and customization capabilities, far more users were extremely dissatisfied with other aspects of the system. There were mixed reviews on its reporting capabilities. A significant number of reviewers felt that the sales representatives misled customers noting that they lost money after implementing AdvancedMD and commenting that many features lacked the functionality that they required. Though the add-ons allow users to customize the system, many users complained that the add-ons come at a steep price, making them prohibitive to many users. Users also complained that they were surprised by hidden fees after implementation and felt that customer service was rude and unwilling to help when they called for support. A small number of reviews also noted that upgrades to the system frequently caused downtime and reported discrepancies in their billing that affected customers. While many of the reviews were negative, AdvancedMD remains a popular EHR solution. Due to its high price and difficulty to learn, it is best suited to large practices with the budget for necessary add-ons and internal technical support that is available to help ensure everyone who needs to can use the system.

Pros & Cons

  • Customization: Of the reviews that mentioned the system’s customization, more than 70% were happy with the customizations available as add-ons to the system.
  • Integration: Though only mentioned in 10% of reviews, 85% of those reviews felt the system successfully integrated with their other medical software.
  • User-Friendly: About 55% of users who mentioned its user-friendliness found it easy to use and navigate.
  • Implementation: The vendor does not offer sufficient implementation support, and the system has a steep learning curve, as noted by more than 80% of user reviews that discuss getting the system up and running.
  • Functionality: Though the system offers a robust list of features, 66% of reviews that discuss features felt that the features’ functionality was lacking in some aspects.
  • Price: Of the users who mention price in their review, more than 90% were upset with hidden fees and felt that the system’s high price was not worth the money.
  • Customer Support: Of the reviews that discuss customer service and support, 65% felt that customer support was difficult to contact, rarely had sufficient answers to their questions and often failed to resolve the issues users reported.
  • Performance: About 94% of reviewers that mentioned performance said that the system is slow and buggy, with recurring crashes and connectivity issues.

Key Features

  • Scheduling: Medical scheduling tools allow users to quickly view appointments and patient information by hovering their mouse over the calendar. Additionally, patient visits can be tracked, and recurring appointments can be set while automated patient reminders are sent out, reducing no-shows. 
  • Billing: In addition to collecting patient payments, it is able to verify insurance eligibility automatically while providing users with all the necessary medical billing information in one centralized location.  
  • Clearinghouse: Sweep claims of any coding errors to ensure an accurate claim submission. Any copays, deductibles and additional coverage can be automatically verified prior to a patient’s visit, while on-the-spot insurance checks are also efficient. 
  • Patient Portal: Patients can view lab results, pay bills, message their physicians and request office appointments online using its patient portal. Providers can use the portal to exchange messages with a patient, manage prescription renewal requests and send out alerts and notifications. 
  • E-Prescribing: Electronically prescribe medications — including controlled substances — quickly and easily. Connects facilities to a variety of pharmacies around the US, while users can request refills and access a patient’s medication history anywhere. It uses a combination of personal passphrases and secure tokens to complete DEA-required, two-factor authentication. The AdvancedEPCS system maintains a full DEA audit history. 
  • Telemedicine: Telemedicine features facilitate face-to-face conference conversations and secure transmissions of still images or high-resolution video conference screenshots, and stores them to patient files with HIPAA compliance. Schedule telemedicine appointments and view them in one dashboard calendar. 
  • Smart Dashboard: Automatically prioritize and manage frequent tasks using this role-based dashboard. In addition to health analytics, get alerted on any urgent issues, like abnormal lab results or pending prescriptions and drill down or up into tasks. 
  • Configurable Templates: It can be tailored to a variety of specialties, with note and sub-note templates designed by physicians to optimize workflow while fitting in with a facility’s pre-existing style. 
  • Physician-Oriented Dashboard: It enables physicians to view and schedule appointments, staff and patient messages, referral letters, test results and to-do lists in one location. The physician and their staff can respond to patient appointments or prescription renewal requests, reply to questions or send clinical reports. Its interoffice messaging center also allows physicians to send messages to the staff. 
  • Patient Communication Tools: Select which patients would receive either text or email by choosing from existing criteria or creating a new set. Segment patient lists and send specific messages to enhance patient engagement. It also supports sending sales promotions to patients. 
  • Patient Kiosk Mobile App: Complete intake and consent forms on an iPad. The information is automatically captured and passed to relevant staff to facilitate a faster check-in process for patients. 
  • Health Watcher: HealthWatcher offers auto-alerts and custom healthcare plans to enable patients to follow treatment plans. Its interoperable platform allows it to monitor and trend patient population health. It also allows building custom healthcare plans to manage specific conditions based on factors like age, sex, lab results and diagnosis. 

Pricing

License/Subscription Cost
  • Subscription fee is paid monthly based on the number of users
  • Offers standard plans and pre-configured pricing plans
Maintenance Cost
  • Cost is included with the subscription, covering ongoing upgrades and 24/7 customer support
Installation/Implementation Cost
  • Installation cost is included with the subscription fee
Customization Cost
  • Not included in the subscription cost
  • Cost varies depending on the type of custom service chosen
Data Migration Cost/Change Management/Upfront Switching Cost
  • Depends on the amount of data needed to be migrated as well as the complexity and accuracy of that data
Recurring/Renewal Costs
  • Recurring monthly fee is charged based on the subscription model selected
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Why We Picked Practice Fusion

User reviews from the past year paint a mixed picture. While some users praise its intuitive design and comprehensive features, others express frustration with its customer support and pricing.

Practice Fusion stands out for its user-friendly interface, which makes navigating the system a breeze, especially for those new to electronic health records. Its robust feature set, including charting, e-prescribing, and billing, caters to a wide range of practice needs. However, some users report encountering difficulties with customer support, finding it unresponsive and unhelpful. Additionally, pricing concerns have been raised, with some users finding the system expensive compared to competitors like Athenahealth or Kareo.

Overall, Practice Fusion seems best suited for smaller practices seeking a user-friendly, all-in-one EHR solution. However, practices with more complex needs or those prioritizing responsive customer support might want to explore alternative options.

Pros & Cons

  • Data Safety: All users who mention files and data noted the safety of sensitive medical data as a key benefit.
  • User-Friendly: About 93% of users referencing usability reported that the product is easy to use and navigate.
  • Accessibility: According to 89% of reviews on this aspect, the product is highly accessible due to being web-based.
  • Customer Support: About 95% of reviewers mentioning support indicated that customer service is inefficient and unresponsive.
  • Outdated: Over 85% of users referring to this aspect noted that the product requires updates in terms of tools and features.
  • Speed: Updates, glitches and a crowded interface slow down work, according to 70% of reviews about speed.

Key Features

  • Charting: With efficient charting, speciality-specific templates and automatic favorite lists, physicians can search for diagnosis codes by keywords to track a patient’s health data over time and monitor treatment progress. 
  • Scheduling: Easy scheduling lets patients manage appointments online, including automatic reminders regarding upcoming visits and automated recurring appointments. 
  • E-Prescribing: Order and send prescriptions anywhere, manage medical orders and pharmacy communication electronically, and take care of refill requests for any recurring medications with a two-click prescription refill tool. 
  • Patient Portal: Patients can look at medical information and view lab results at any time. They can also access education materials as well as population health information to better understand their health and treatment. 
  • Billing and Payment: Patients can receive billing statements and update payment information, while physicians can create superbills by automatically pulling information from chart notes. It can also verify insurance providers and scrub claims of any errors before submission. 
  • Labs and Imaging: Integrate with hundreds of labs like LabCorp and Quest as well as imaging services like X-ray, CT scan and ultrasound. 
  • Practice Administration: Consolidate tasks and custom reports, as well as refer patients electronically with their complete medical record. Communicate using secure messages that fulfill meaningful use standards or use HIPAA compliant faxes to go paperless. 
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Why We Picked NueMD

NueMD is a cloud-based practice management software that offers a suite of features, including medical billing, electronic health records (EHR), and appointment scheduling. While NueMD has been a popular choice for some practices, user reviews from the past year suggest that it may not be the best fit for everyone.

One of the biggest strengths of NueMD is its comprehensive suite of features. Users praise the software's ability to handle everything from billing to scheduling, making it a one-stop shop for practice management. However, some users have expressed concerns about the software's user interface, which they find clunky and difficult to navigate. They also complain that the software is not as intuitive as other EHR systems on the market, such as Athenahealth or Kareo. NueMD's customer support has also been a point of contention, with some users reporting long wait times and unhelpful responses.

NueMD's biggest differentiator is its focus on medical billing. The software's billing features are highly regarded by users, who appreciate its ability to streamline the billing process and reduce the number of errors. However, NueMD's billing features are not without their drawbacks. Some users have reported that the software's billing system is not as flexible as other systems on the market, making it difficult to customize for specific practice needs.

Overall, NueMD is a solid EHR system that offers a comprehensive suite of features. However, its clunky user interface, lack of intuitive design, and inconsistent customer support may make it a less desirable option for some practices. NueMD is best suited for practices that are looking for a system with strong billing features and are willing to put in the time and effort to learn the software. It is important to note that AdvancedMD, the company behind NueMD, is sunsetting the software in 2025. This means that practices using NueMD will need to migrate to a different system in the near future.

Pros & Cons

  • Easy to Use: Many users find NueMD's interface intuitive and straightforward, making it easy to navigate and complete tasks efficiently.
  • Strong Customer Support: NueMD is known for its responsive and helpful customer support team, which is available to assist users with any questions or issues they may encounter.
  • Comprehensive Features: NueMD offers a wide range of features that cater to the needs of various medical practices, including scheduling, billing, and patient management.
  • Affordable Pricing: Compared to other EHR systems, NueMD is considered to be a more affordable option, making it accessible to practices of all sizes.
  • Slow Performance: Some users have reported that NueMD can be slow to load, especially during peak hours. This can be frustrating for busy practices, as it can slow down workflow and lead to delays in patient care.
  • Limited Customization: NueMD offers a limited amount of customization, which can be a drawback for practices that have specific needs or workflows. For example, some users have found it difficult to customize the system to meet their specific billing requirements.
  • Poor Customer Support: Some users have reported that NueMD's customer support is not responsive or helpful. This can be a major problem for practices that need assistance with technical issues or have questions about the software.
  • Lack of Mobile App: NueMD does not have a dedicated mobile app, which can be a disadvantage for practices that need to access patient records or perform other tasks on the go. This can be especially challenging for providers who are on call or need to access patient information outside of the office.

Key Features

  • Patient Portal: Communicate with patients remotely and securely. Patients can schedule appointments, receive reminders, access medical history, view lab results, update insurance information and more online. 
  • E-Prescribing: Place medication orders while in a patient's chart with just a few clicks. It automatically sends out alerts of any drug-to-drug or drug-to-allergy interactions to reduce medication errors. 
  • Patient Chart Management: Manage all of a patient’s data, such as allergies, medications and more with ease. Physicians can view summaries of past encounters to follow up on referrals. 
  • e-Labs: Clinicians can order lab results from a patient’s chart, alert other providers of abnormal results and add charges to a patient’s bill in real time. 
  • Student Health: Keep track of an entire campus’ medical history and customize templates. Clinicians can check and edit patient information and print any relative literature. 
  • Claims Management: Claims submitted using NueMD have a 99.9% first-time success rate and typically see an acceptance status within 24 hours. 
  • Scheduling: Manage the schedule for multiple physicians, offices and patients automatically in order to save time. 
  • Medical Practice Management: Reduce no-shows with daily scheduling and file accurate claims for quicker reimbursements. Also includes: 
    •  Patient registration to centralize patient information, including billing details. 
    •  Patient statements and collections to reduce outstanding co-pays. 
    •  Quick reporting and analysis of financial data. 
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Why We Picked RXNT

RXNT is an integrated medical software solution offering Electronic Health Records (EHR) with e-prescription and patient engagement support. The cloud-based platform allows users to use and manage the application from anywhere at any time. It offers a user-friendly interface for easy use, management and customization. Reviewers pointed out that sometimes the system would duplicate the patient's information, making the patient have two profiles that lead to confusion and inconvenience. There are instances where the server lags during peak hours and tends to be slow and glitchy. Overall, they provide responsive and helpful support staff who follow up to ensure that problems are fixed before closing the ticket.

Pros & Cons

  • User-Friendly: Provides a user-friendly interface with color codes that is easy to use and implement as noted by all reviewers who mentioned ease of use.
  • Customer Support: Approximately 89% of users who referred to customer support indicated that support teams are responsive, helpful and would follow-up to ensure that problems are resolved before a ticket is closed.
  • Remote Access: All users who talked about the application liked its ability to RX meds and manage prescriptions from anywhere.
  • Duplicate Profiles: All users who specified duplication said that sometimes it duplicates patient information, giving them two profiles.
  • Program Performance: The system tends to be laggy and glitchy at times, as observed by all reviewers who referred to program performance.
  • Search: Requires multiple trials of keywords and scrolling for the search bar to locate what a user is looking for, as observed by 62% of users who mentioned search.

Key Features

  • Get Paid Faster:  Claim scrubbing, claim alerts, tracking and automatic secondary claim submissions improve financial performance and promote faster reimbursement. 
  • Increase Revenue:  End-to-end claim tracking reduces time taken in accounts receivables and is integrated with your workflow. 
  • Reduce Claim Denials:  Identify and resolve causes of denied claims to accelerate payment and improve cash flow. 
  • Prevent Billing Errors:  The software has built-in claim scrubbing that detects and eliminates errors in billing codes, thus reducing the number of denied or rejected claims. 
  • Customizable Reports:  The custom medical billing system makes displaying and analyzing data simple. The reports are comprehensive, configurable and easy to edit. 
  • Boost Efficiency:  It supports integrated real-time eligibility checks, claim status verification and alerts. Electronic remittance advice (ERA) and resource and patient scheduling with reminders make front and back office administration easy 
  • Better Manage Controlled Substances:  Its e-prescribing solution is EPCS-certified by the DEA. With real-time access to patient medical history, healthcare providers get up-to-date information about previously prescribed medications. 
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Why We Picked DrChrono

So, I got the chance to get a free trial access to DrChrono, and here are the key highlights:

  • The platform stands out for its intuitive design, extensive features and customization capabilities.
  • The software is accessible on any device with internet connectivity.
  • Data import from other EHR systems is supported but with certain limitations.
  • It offers four pricing plans and a free trial is available for potential users.

It's a cloud-based system, which means you can access it from anywhere — your laptop, tablet, even your phone! And it covers everything from electronic health records and patient scheduling to billing and telehealth.

One of the things that really impressed us was how customizable it was. You can create your own templates for notes, forms and even entire workflows. This means you can really tailor it to fit your specific needs and preferences, which can save a ton of time.

And speaking of saving time, they've put a lot of thought into their billing features. They have tools to help you code things correctly, submit claims electronically and even track your payments. Anything that helps you get paid faster and with less hassle is a win, right?

However, learning to navigate the billing and insurance modules could take time. It’s a bit confusing to understand how the billing workflow works and how to set one up. Also, you can’t import billing data from your old EHR system.

If you're looking for a comprehensive, user-friendly system that can be customized to your practice, we'd definitely recommend taking a closer look.

They offer four different pricing plans, so you can find one that fits your budget, and they have a free trial so you can test it out and see if it's a good fit for you. It's always good to try before you buy, right?

We’ve discussed more about the features in the See It in Action section. Do check it out to know how the system works in different scenarios.

Pros & Cons

  • Ease of Use: Navigate patient charts, create shortcuts and access billing info without a steep learning curve.
  • Customization: Tailor the system to your specific needs and preferences like customizing templates, workflows and reports.
  • Easy Medical Coding: Find and assign ICD, CPT and HCPCS codes to patients' bills to save time and reduce coding errors.
  • Contractual Obligations: Canceling subscriptions can be challenging, potentially leading to early termination fees. Automatic renewals may also catch you off guard.
  • Subpar Customer Support: Long wait times, unhelpful responses and unresolved issues from customer representatives might disrupt your processes.
  • Occasional Glitches: System crashes, slow navigation and difficulties with scheduling and other functionalities can cause frustration.

Key Features

  • EHR: Provide better care with features like free draw for visual explanations, custom vitals tracking and access to immunization registries
    • Custom Templates: Tailor forms with specific fields, drop-down menus, checkboxes and even add your practice's logo. This ensures your documentation is consistent, efficient and specialized for your needs (e.g., cardiology forms with specific heart diagrams).
    • Electronic Prescriptions: Send prescriptions electronically to pharmacies directly from the patient chart. Access the drug's formulary tier, prior authorization requirements and alternative medications if the prescribed drug isn’t covered. Access patient PDMP data directly within the EHR to identify potential abuse, misuse or doctor shopping.
    • Free Draw: Upload images (x-rays, scans, photos) or use pre-loaded anatomical diagrams within the patient chart and draw directly on them.
    • Custom Vitals: Create vitals specific to your needs including things like blood glucose and oxygen saturation levels. Capture data in various formats: text, numbers or predefined options using dropdown lists. Access the flowsheet to visualize trends in custom vitals over time.
    • Prior Authorizations: Initiate the ePA request directly from the prescribing workflow. Automatically populate the prior authorization request form with relevant patient information (demographics, insurance details, medication prescribed) pulled from the patient's chart.
    • Lab Orders: Integrate with national, regional and specialty labs like Quest Diagnostics and Labcorp. Create predefined lab panels for common tests or specific conditions. For example, you could create a "lipid panel" or a "prenatal panel" with a single click. View lab results within the patient's chart, organized by date, test type and ordering provider.
    • Medical Speech-to-Text: Use voice to input clinical notes, patient histories and other information. See your spoken words appear as text in real time within the EHR to review and edit the transcription as you go.
    • Immunization Registries: Automatically send your patients' vaccination details to the state IIS, ensuring that records are up-to-date and complete. Retrieve immunization records from the IIS, even if your patient received vaccinations elsewhere to avoid unnecessary duplicate vaccinations and identify potential gaps in their immunization schedule.
  • Practice Management: Save time and reduce errors with appointment management tools, including appointment profiles, insurance eligibility checks, online scheduling and automated reminders.
    • Appointment Profiles: Instead of manually entering the same details (length, reason, etc.) for every appointment of the same type, you create a profile once and it auto-fills the details (duration, reason for visit, exam room and billing codes).
    • Eligibility Checks: Verify your patients’ insurance eligibility in real time — check what services are covered under the plan (e.g., office visits, labs, specialists) and any limitations or exclusions.
    • Online Scheduling: Set specific days and times when each provider is available for appointments. Offer different appointment types online (e.g., new patient, follow-up, consultation) with varying durations. Add buffer time between appointments to prevent scheduling conflicts and allow for patient check-in/check-out.
    • Patient Reminders: Send automated appointment reminders via email, text or SMS. Configure reminders to be sent at various intervals before the appointment like — a few days before, the day before or a few hours before.
  • Medical Billing: Improve your revenue cycle management with tools like billing profiles, medical coding and automated claims submission.
    • Billing Profiles: Combine frequently used CPT, HCPCS, custom codes and ICD-10 codes into a single profile. Attach common modifiers to the codes within the profile (e.g., modifier 25 for a significant, separately identifiable E/M service).
    • Medical Coding: Easily search and select the appropriate codes within the EHR using keywords, code numbers or descriptions. Perform basic code checking to identify potential errors such as invalid codes or missing modifiers.
    • Good Faith Estimates: Generate good faith estimates to help patients understand costs upfront and avoid surprise bills.
    • Claims Submission: Submit electronic claims to insurance companies within the system. Track claim statuses in real time. Scrub claims for errors like missing information or formatting mistakes before submitting them to payers to avoid denials and claim rejections.
    • Denial Resolution: Generate denial analysis reports to identify denial patterns. Edit and submit corrected claims directly within the system. If you disagree with a denial, generate appeal letters and track their statuses.
    • Patient Statements: Generate statements for individual patients or groups of patients based on various criteria (e.g., date range, insurance status, outstanding balance).
  • BI Tools: Get a visual summary of key metrics and performance indicators. Generate customizable reports to:
    • Track revenue, expenses and profitability
    • Analyze claim submission, acceptance, denial and reimbursement rates.
    • Track patient demographics, appointment history and billing information.
    • Analyze appointment scheduling and no-show rates.
  • Mobile Capabilities: Schedule appointments, send patient statements, bill insurance, document patient encounters, access lab results and more from iOS devices like iPad, iPhone and Mac.
  • Telehealth: Patients can join the telehealth visit from their computer, tablet or smartphone using the link provided in their email reminder. Providers can share their screens with patients to review medical records, lab results, X-rays or educational materials.
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Why We Picked NextGen Enterprise

Our research analysts, after evaluating several solutions, awarded NextGen Enterprise with best-in-class honors for Insurance Payments Management, Medical Coding, Medical Billing Services, Notes and Templates, and Deployment Options.

NextGen Enterprise provides EHR, practice management and patient experiene modules that support 2000 workflows and content for 30 specialties including cardiology, dental health, neurology, primary care and more.

Intutive EHR tools make it easy for doctors and nurses to document patient visits. You can even use AI for note-taking. And with the mobile app, you can access patient info and chart on the go.

The platform really shines when it comes to practice management. It automates a ton of time-consuming tasks like eligibility verification and billing, so your staff can focus on what really matters: patient care. Plus, the built-in analytics give practices valuable insights to improve efficiency and, ultimately, the bottom line.

Patient engagement is also a key focus, with the NextGen PxP patient portal empowering patients to actively participate in their healthcare journey. They can schedule appointments, request refills, view test results and even message their doctors securely.

One area that the system lacked was its integrative capabilities. It scored 77 in our analysis, lower than other popular products like athenahealth (93) and Cerner Ambulatory (88). That means you will need to connect barcode scanners, clinical decision support tools, prescription management systems and others via API.

Pros & Cons

  • Improve Patient Care: Get access to complete and up-to-date patient records, including medical histories, allergies, medications and test results for data-driven and informed decision-making.
  • Streamline Routine Workflows: Automate scheduling, billing and documentation processes to reduce administrative burdens and free up time for patient care.
  • Enhance Medication Safety: Set automated alerts to check for drug interactions, allergies and dosage errors to significantly reduce adverse drug event risks.
  • Complex Implementation: Demands time and resources for implementation, customization and staff training.
  • High Initial Costs: Requires significant investment in software, hardware and training.
  • Dependence on Technology: Creates reliance on technology, which can be problematic during system downtimes or technical failures.

Key Features

  • SOAP Notes: Record reasons to visit, social, family and diagnostic histories, vitals, physical exams, assessments/plans, and medications using the SOAP format. Use HPI (history of present illness) templates to document the patient's reason for visit, including onset, duration, severity, associated symptoms, and aggravating/relieving factors.
  • Templates: Use pre-built templates for patient visits, progress notes, procedures, patient intake, consent forms and letters. Tailor these or create new ones to perfectly fit your specific workflows.
  • Ambient Assist: Use smart AI technology to listen in on your patient conversations, capturing key information and automatically creating notes in your system.
  • Mobile App: Review and sign documents, view schedules and see high-level patient overviews (medications, allergies, past medical histories, etc.) Document patient visits using voice-to-text functionality. Save and prescribe frequently used medications with a few clicks.
  • Order Entry: Order labs, diagnostics and immunization from the CPOE bar on the patient’s chart. Click on order search to see your common orders.
  • Regulatory Reporting: Automate MIPS/MACRA data collection and reporting to demonstrate quality measures, improve outcomes and earn incentives. Collect and submit Uniform Data System (UDS) reports for FQHCs and eligible providers to track clinical quality measures and other HRSA-required data.
  • E-Prescribing: Launch the state-run Prescription Drug Monitoring Program (PDMP) database with a single click. Verify formulary coverage and benefits while writing the prescription. Initiate prior authorization requests directly from the prescribing window with pre-populated information. Securely transmit prescriptions to pharmacies nationwide through the Surescripts network.
  • Population Health: Collect patient data from EHRs, lab results, claims and health information exchanges. Use AGC, HCC or ASCVD risk algorithms to sort patients into different risk categories based on their health conditions, demographics and other factors. Analyze this data to look for anything that might be missing or doesn't quite add up. It could be a lab test that wasn't done, a prescription that wasn't filled or a recommended screening that was missed.
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Why We Picked Optum

Optum, a prominent player in the healthcare software arena, has attracted a range of user feedback over the past year, offering valuable insights into its strengths, weaknesses, and overall suitability for different user groups. Optum's users frequently highlight its comprehensive suite of features, encompassing mental health management, appointment scheduling, and medication tracking, as a key strength. This all-in-one approach simplifies healthcare management for individuals juggling multiple health concerns or those seeking a centralized platform. However, some users note that the extensive features can lead to a steeper learning curve, potentially posing challenges for individuals less comfortable with technology or those preferring simpler interfaces.

Optum distinguishes itself through its robust mental health support features, including mood tracking, journaling tools, and access to mental health professionals. This focus on mental well-being caters to a growing demand for integrated mental health solutions within healthcare platforms. Users appreciate the convenience and accessibility of these features, particularly in the context of rising mental health awareness. Conversely, some users mention occasional technical glitches or slow loading times as areas for improvement. Optum's emphasis on mental health support, coupled with its comprehensive features, makes it well-suited for individuals seeking a holistic healthcare management platform that prioritizes both physical and mental well-being. It is particularly beneficial for those with complex healthcare needs or those actively engaged in managing their mental health.

Pros & Cons

  • Extensive Network: Optum boasts a large network of mental health professionals, increasing the likelihood of finding a suitable therapist or psychiatrist in terms of location, specialty, and insurance coverage.
  • Care Coordination: Optum facilitates communication and collaboration among healthcare providers, ensuring a holistic approach to mental health care. This can be particularly beneficial for individuals with complex needs or multiple diagnoses.
  • Virtual Care Options: Optum offers telehealth services, providing convenient access to mental health care from the comfort of home. This can be especially helpful for individuals with mobility issues, busy schedules, or those residing in underserved areas.
  • Limited In-Network Options: Finding mental health professionals within Optum's network can be challenging, especially for specialized care or in underserved areas. This limitation can force individuals to choose between paying out-of-pocket for preferred providers or settling for less suitable options within the network.
  • Preauthorization Requirements: Optum often requires preauthorization for certain mental health services, such as therapy sessions or medication. This process can be time-consuming and may delay access to necessary care, potentially exacerbating symptoms or hindering progress.
  • Claims and Billing Issues: Navigating the complexities of claims and billing processes with Optum can be frustrating for users. Issues such as denied claims, incorrect billing, or difficulty reaching customer service can create additional stress and financial burdens for individuals seeking mental health support.

Key Features

  • Pharmacy Care Services: OptumRx helps physicians improve their prescribing and helps patients receive the most effective medication at the best possible cost. Physicians can also precheck and authorize medications in real time. 
  • Healthcare Delivery: Provide quality primary care, specialty care and post-acute care by focusing more on treating the patients while also optimizing efficiency and lowering costs. 
  • Data and Health Analytics: Automate recognition of high-cost and high-risk patients with data-driven assistance at the point of care. Acquire patients by linking consumer and clinical data and access insights based on patient results. 
  • Population Health: Improve health outcomes and lower costs by using insights from data and analytics. A connected network of over 800 Centers of Excellence enables treatment with greater knowledge from the get-go. 
  • Advisory Services: Insights help healthcare providers against their biggest challenges so they can and empower the health system, increase revenue, engage customers and improve the quality of care.nbsp;
  • Individual and Family Solutions: Individuals can save money while having a greater part in their overall health with different solutions for healthcare, prescriptions and spending. 
  • Claims Administration: Promotes payment integrity with features to edit inaccurate claims, appropriately price bills, assess bill details, recover overpayments and prevent inaccurate billing. 
  • Optum Bank: Makes paying for treatment easier and more efficient with innovative payments solutions, leading to reduced costs without compromising on healthcare quality. Includes: 
    •  Health accounts for employees. 
    •  Hassle-free payment solutions for better healthcare. 
    •  Health account education with courses to educate employees to become better healthcare consumers. 
  • Optum360: Examine opportunities across the revenue cycle to increase margins and prepare for value-based reimbursement. Offers: 
    •  A patient financial experience that places them in the center of the revenue cycle. 
    •  A/R recovery and denial management to improve payment recovery. 
    •  Claims integrity and processing for quick and efficient claims and reimbursement. 
    •  Document and coding to help staff drive financial results proactively. 
  • Risk and Quality Solutions: Driven from the largest Medicare Advantage database in the industry. 
    • Retrospective Solutions: Improves accuracy and completeness with industry analytics. 
    • Prospective Solutions: Standardizes processes on behalf of multiple payers for better patient treatment. 
    • Improving Outcomes: Drives outcomes while reducing costs with people, technology and clinical insights. 

    Limitations

    User feedback at the time of this review indicates that some of the product limitations include:

    •  Not cost-effective for the features offered. 
    •  Runs slower for larger practices. 
    •  Lack of helpful customer support. 

    Suite Support

    mail_outlineEmail: [email protected].
    phonePhone: A list of phone numbers for support are available on the website.
    schoolTraining: Optum offers a training curriculum to help users get the most out of the software.
    local_offerTickets: Sign in to Optum online to submit help requests.

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DrChrono

by drchrono
DrChrono
DrChrono is a cloud-based EHR and medical billing solution that replaces the chaos of paper charts and separate systems with a single, easy-to-use platform for managing all aspects of a medical practice.For doctors, this means: Effortless Access to Patient Information: Imagine having a patient's medical history — allergies, medications, past visits — at your fingertips. Simplified Appointments and Prescriptions: Schedule appointments and send prescriptions electronically in just a few clicks.For patients, it means: Taking Control of Their Health: Book appointments, communicate with their doctor and access their own records through the patient portal. Staying on Track: Receive automated reminders for appointments and medication refills.And for the practice as a whole, the system helps: Get Paid Faster: Automate billing and insurance claims to reduce errors and speed up payments. Improve Financial Health: Track outstanding payments and identify potential billing issues. Negotiate Better Rates: Gain insights to negotiate more effectively with insurance companies.We tested the system to see how it works in real-world scenarios. Here’s what we think: while mastering the billing module may require some effort and billing data import has limitations, the system’s intuitive interface and accessibility from any device make it a user-friendly option.A free trial and flexible pricing plans allow you to explore its potential and determine the right fit for your practice.
User Sentiment User satisfaction level icon: great
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Buyer's Guide

Dental Medical Billing Software Is All About Staying Compliant and Producing Accurate Statements 

Dental Medical Billing BG Intro

Medical billing is a complicated process. From patient registration to collections, you need to be careful. Your claims can get rejected due to the tiniest error. And denials or rejections can cause payment delays. But you can make this process relatively easy by implementing dental medical billing software. They offer integration with general medical billing tools. They also assist you in achieving a clean claims ratio and boosting revenue.

We designed this guide to help you select the best dental billing app out there.

Executive Summary

  • Dental billing apps help medical practitioners and billing companies optimize workflows.
  • There are four types of dental tools — clinical, patient engagement, administrative and imaging.
  • It’s vital to enhance patients’ financial experiences to boost revenue.
  • Using dental billing solutions, you can improve productivity, ensure compliance, and reduce invoicing errors.
  • Factors such as deployment options, user-friendliness, third-party integrations, compliance levels and encryption capabilities are a few things you should consider while comparing applications.
What This Guide Covers:

What Is Dental Medical Billing Software?

Dental medical billing platforms help dental practices and billing organizations produce error-free statements and streamline operations. They provide claim tracking, revenue cycle, practice management and reporting capabilities. They assist you in delivering quality care while generating revenue. You can store files in a secure cloud environment. You can also access files using iOS or Android devices.

Generate payment, insurance analysis, A/R aging and collections reports to identify trends and improve workflows. Enable clients to exchange information with dentists via a HIPAA-compliant patient portal. Encourage employees to automate mundane tasks to increase productivity. Coding modules assist you in producing clean claims. Utilize customizable templates to collect patients’ demographic data.

Types of Dental Software

Colors have different meanings. For instance, red is a sign of anger, while blue represents serenity. Similarly, there are several dental software to help fulfill diverse needs. Dental EMRs help you store medical records, whereas practice management apps help you optimize business procedures. These solutions can be categorized into four verticals — clinical, administrative, patient engagement and imaging. Take a look at the table below to learn about them in detail.

Type of Dental Solution Purpose
Clinical
  • Collect accurate patient data using customizable templates.
  • Manage lab results.
  • Monitor dental inventory.
  • Record and store treatment plans.
Administrative
  • Automate mundane activities.
  • Submit clean claims.
  • Produce precise superbills.
  • Offers denial management modules.
Patient Engagement
  • Fill communication gaps.
  • Send appointment and payment reminders to patients.
  • Enable clients to make digital payments.
  • Integrate with IVR systems.
  • Encourage patients to schedule televisits.
Imaging

Meaningful Use for Dentists

Dentists need to meet certain requirements to be eligible for the Medicare and Medicaid Promoting Interoperability Program (formerly known as EHR Incentive Program) under the American Recovery and Reinvestment Act (ARRA). Once you fulfill these requirements, you qualify for federal incentives.

Due to the introduction of the Medicare Access and CHIP Reauthorization Act (MACRA), the Merit-based Incentive Payment System (MIPS) became an important component in determining meaningful use. It enables you to deliver quality care and reduce administrative burdens and financial penalties.

Primary Benefits

Life is a constant struggle. Every day you walk into a new battlefield. Similarly, as a dental medical biller, practice owner or billing company, you face new invoicing challenges with each passing day. Dental billing systems help you overcome these obstacles.

Benefits of Dental Billing Software

Below we have mentioned some of the benefits you can reap by implementing a billing solution.

Automate Workflows

Assigning the same codes for frequent procedures, manually sending appointment or payment reminders, and running insurance verification checks every time a patient registers can be time-intensive. Dental billing applications help you automate repetitive activities to increase productivity and save time.

Ensure Compliance

Billing and coding guidelines keep on changing. It becomes challenging to keep track of these updates. And even if you unintentionally forget something, there’s a pretty big chance of lawsuits and federal fines lining up. Dental invoicing systems help you stay compliant with billing regulations. But we recommend you cross-check claims before sending them to payers.

Enhance Patient Experiences

Communication is the key to building meaningful relationships with patients. If you don’t inform your clients about important aspects like their financial responsibility, they will be dissatisfied. And you can’t secure payments if consumers aren’t happy with you.

According to the Health Care Consumer Experience study conducted by Cedar, consumers’ financial experience expectations are as follows:

  • Digital payment option — 56%
  • Online pre-authorization process — 32%
  • Easier process to reconcile payment issues online — 30%
  • Simpler method to pay premiums digitally — 25%

Consumer Financial Experience Stat

With dental billing apps, you can fill communication gaps as well as improve patients’ financial experiences. Enable clients to schedule appointments and make online payments through the patient portal. Encourage patients to communicate with health care providers through phone, text, email and video calls.

Minimize Billing Errors

Inaccurate statements can jeopardize your practice or billing company. With dental billing solutions, you can track bills and accelerate payments. It enables you to determine the correct procedure codes to reduce denial rates. You can create a customized billing dashboard to monitor key financial metrics. Furthermore, you can generate revenue reports to gain an in-depth understanding of your practice or the company’s financial standings.

Document Accurate Information

Dental billing apps provide you with customizable templates to collect necessary patient data. You can access the client’s medical history to make the right diagnosis. You can also add new details to existing files and store them on your electronic dental record system (EDR).

Key Features & Functionality

Graphical Tooth Charting

It’s impossible to identify dental problems with the naked eye. You need a more transparent view to make the right diagnosis. Billing software integrates with graphical tooth charting systems to help you detect cavities, tooth movements and gum issues.

Customizable Templates

Documentation processes are time-consuming. You might spend a lot of time searching for a form specific to the treatment type. Dental invoicing platforms come with pre-built dental templates to assist you in collecting precise patient data. You can choose from a number of available templates for routine exams, root canals, tooth extraction, fillings, veneers and more.

Coding

It just takes one coding error for insurance companies to change the path of claims from approval to denial. Dental billing platforms enable you to assign correct codes to help reduce claim rejections. You can access the coding database to locate modifiers quickly. Adhere to the latest coding guidelines to avoid fines for noncompliance.

Claim and Denial Management

Should I use the CMS 1500 or the ADA dental claim form to submit claims? A common dilemma that every dental biller faces. With dental invoicing systems, you can determine the patient’s insurance type — medical, vision or dental — to avoid submitting the wrong claim form. You can monitor claims statuses via the dashboard. Furthermore, you can scrub claims before sending them to insurance companies to avoid documentation or coding mistakes.

Did health care insurance companies deny your claim? Don’t let denials get in the way of reimbursements you deserve. Denial resolution modules help you identify the root causes of denials and submit claims within assigned deadlines.

Dental Imaging

This module enables you to import X-rays and other digital images into the application for a clearer view. You can attach images to patient documents. You can also compare pre- and post-op images for clinical review purposes. Automatically arrange X-rays to eliminate the need to move or resize images on the screen manually.

Scheduling

This functionality assists you in managing the schedules of patients and dentists. You can switch to the calendar view to see the available timeslots. Automatically send appointment reminders to patients to reduce no-shows and cancellations. Virtual waitlists enable clients to reschedule their consultations.

Patient Portal

Maintaining physical files is a hassle. With dental billing apps, patients can access documents from remote locations using internet-enabled devices. Clients can make digital payments and maintain their credit scores. They can request medications, schedule appointments and view prescriptions within minutes. They can also communicate with dentists via a messaging app.

Integrations

Handling multiple applications can invite data consistency issues. With dental billing platforms, you can ensure that all existing apps work together in harmony. They integrate medical practice management, patient engagement, telemedicine and patient scheduling solutions.

Software Comparison Strategy

You never buy the first house that the real estate agent recommends. You view multiple options and then make a purchasing decision. You should follow the same process while selecting a dental billing app. Compare several systems to make informed decisions.

Dental Medical Billing Comparison Strategy

Below we have mentioned some considerations that could help you in your software selection journey.

Deployment Options

If you want to access data from remote locations, cloud-based systems are your best bet. But if you need to store files on your clinic or company servers, you should opt for on-premise solutions. Understanding the distinction between both is critical for selecting the right application. Take a look at the table below to know the pros and cons of on-premise and cloud-based tools.

Deployment Type Pros Cons
On-premise
  • Operate applications offline.
  • Protect files from data breaches.
  • Inexpensive compared to cloud-based services.
  • Lacks scalability.
  • Limited storage capacity.
  • Risk of data loss.
Cloud-based
  • Automatically perform regular data backups.
  • Access data from anywhere at any time.
  • Auto-update solutions to the latest versions.
  • Requires a strong internet connection.
  • Prone to cyberattacks.
  • Costly compared to on-premise solutions in the long-run.

Third-party Integrations

There might be situations where you really like the solution, but one of its functionalities is not as robust as you need it to be. In such cases, you need to integrate with third-party solutions. We recommend you look for EMR, EHR and dental software integrations.

Regulatory Compliance

You need to choose the right technology partner who will help you fulfill your long-term goals. And you cannot achieve those goals if you are constantly stuck in legal issues. You should look for a solution that complies with HIPAA and ICD-11 standards. The application should also be ONC-ATCB certified. Don’t forget to check with ADA Standards Committee on Dental Informatics about the latest benchmarks for selecting dental solutions.

Security Requirements

Today, data breaches are on the rise. Recently, the American Dental Association was hit by a cyberattack that affected Aptify and email, webchat, and telephone services. The ongoing investigation didn’t uncover any evidence of data theft yet. To protect yourself from such attacks, you should ensure that the vendor provides the highest level of encryption and data security. If you want to invest in a cloud-based system, ensure all communications are SSL/TLS encrypted.

Functionalities

Do you require advanced or basic invoicing features? You need to consider the size of your practice to make sound decisions. For instance, PracticeAdmin caters to medium-sized businesses, while AdvancedMD serves companies of all sizes. You can also create a medical billing requirements checklist to shortlist systems. We recommend looking for coding, claim scrubbing, eligibility verification, reporting and denial management modules.

User Interface

Learning to navigate a new system can be challenging. Your staff could struggle to complete their daily goals. That’s why you should look for an app with intuitive controls. It makes the learning process easier and doesn’t disturb your business workflows. You can ask the vendor for a free software trial or demo to test the system’s interface.

Peer Reviews

Vendors want to sell their products. So, their testimonials are likely to be fabricated. You should seek medical professionals outside of the providers' circle who are currently using the application. They can provide you with valuable insights and help you make informed decisions.

Contract Considerations

Vendors draw contracts after negotiations. But it doesn’t hurt to discuss with providers about their special offerings. Some vendors provide service-level agreements (SLAs). These agreements highlight key commitments that the provider offers. Some of the commitments that you should ask vendors about are:

  • Software uptime
  • Support team response time
  • Hours of operation

You should also check if the contract includes an indemnification clause. This way, if you become a victim of a cyberattack, the vendor will be liable to pay costs associated with patients’ lawsuits and not you. The provider should ensure data protection, especially in a cloud-based environment.

Cost & Pricing Considerations

You don’t want to spend on a solution that doesn’t give you a high return on investment. It will only cause budget overshoots and put your financial goals at risk.

Below we have mentioned some pricing considerations that could save you from burning a hole in your budget.

The cost of a solution depends on your preferred deployment method. The total cost of ownership for cloud-based platforms can be expensive compared to on-premise systems, but they generally have much lower upfront costs. You can access our medical billing price guide to uncover hidden costs.

You should ask providers about their pricing models. Some vendors allow you to pay on a monthly basis, while others ask you to pay upfront. A high upfront cost can put pressure on you even before you start generating revenue. Think twice before you invest in a product.

Providers can charge you based on your company size. If you own a large-scale business, you might have to pay more than small companies. You should determine your organization size to avoid unnecessary expenses.

You might require an additional feature or extra training resources. Remember, these add-ons can multiply your expenses. You should ask vendors about such costs to avoid exceeding your budget limit.

Do you need a customized solution? Because vendors put a lot of effort into designing the system to fulfill your specialty needs, they can charge you heavily. That’s why you should discuss with providers about customization costs.

Some providers offer email, chat and phone support. They also enable you to submit tickets via the support portal. Remember, not all support options come for free. You might have to pay extra to access these services.

Most of the vendors offer training materials consisting of articles, video tutorials and how-to guides. They also provide courses to help you understand their application better. But these resources can come at an additional cost. You should never forget to ask providers about the fees associated with training resources.

The Most Popular Dental Medical Billing Software

You come across several applications that meet your business requirements. But multiple options often put you in a dilemma. It can disturb your daily activities too. We understand your troubles and want to make your software selection journey a breeze. Here are some medical billing systems that can help you achieve your goals.

Note: The products listed below may not specifically cater to dental practices. But they do offer general billing functionalities that could help you improve cash flow.

DrChrono

DrChrono offers revenue cycle, practice management, billing, claim tracking and reporting modules to help you simplify business processes. Furthermore, it assists you in achieving a clean claims rate and eliminating data entry mistakes. You can generate denial analysis reports to identify the root causes of denials and fix problems.

You can create billing profiles to speed up coding processes. Track denials from the live claims feed tab. Automatically run bulk eligibility checks to verify patients’ insurance coverage. Collect accurate patient information using customizable specialty-specific templates. Send statements to clients with just a few clicks.

The vendor offers a team of billing experts to help you audit CPT, HCPCS and ICD codes. They also assist you in closing revenue gaps and improving your practice or company’s profitability.

DrChrono

DrChrono’s payment posting functionality.

CureMD

CureMD is a web-based solution designed to help medical professionals and billing companies overcome billing issues, increase productivity and maintain compliance. Enable physicians to view data from remote locations using the Avalon app. Claim scrubbing functionality helps you spot coding and documentation mistakes. You can monitor cash flow through the financial dashboard.

Leverage revenue cycle modules to reduce A/R delays and denials. They also assist you in simplifying billing workflows and increasing profits. Perform real-time insurance eligibility checks to submit error-free claims. Set up payment plans to lower patients’ financial burdens.

CureMD

Track financial metrics with CureMD.

Kareo Billing

Kareo Billing provides cloud-based solutions developed to help independent and multi-specialty practices and billing services improve billing efficiency. View payment velocity, income analysis and A/R aging charts via the billing dashboard. Receive real-time updates about the financial performance of your practice. You can automate repetitive tasks with procedure macros.

Enable patients to pay via the system’s internal payment terminal, credit or debit cards, or online wallets to optimize collection processes. Attach QR codes to statements to collect faster. Denial resolution modules help you resubmit claims within assigned deadlines. Filter claims by their statuses. Integrate with Practice Fusion to create accurate charts, reduce no-shows and improve clinical outcomes.

The vendor offers a team of RCM experts to assist you in generating faultless bills, resolving coding mistakes and reducing denials.

Kareo Billing

Kareo Billing’s KPI dashboard.

 

 

Questions to Ask

It’s essential to discuss with your employees before investing in a product. You can conduct internal surveys to understand your team’s viewpoint. Here are some questions you can use as a starting point to initiate conversations with your team members.

Dental Medical Billing Key Questions To Ask

You need to answer the following important questions internally to hit the ground running:

  • Do we need assistance with coding?
  • What do we need from the platform to meet our revenue goals?
  • What kind of deployment do we require? On-premise or cloud-based?
  • Do we need multiple user licenses?
  • Do we require a scalable solution?

As humans, we tend to forget things. And we all know what kind of trouble we end up in when we can’t remember important things. That’s why you should create a list of questions before you approach vendors. Use these questions as a starting point for conversations with providers.

  • What training options does the vendor provide?
  • Does the provider offer trials or software demos?
  • Is the platform user-friendly?
  • Is the platform HIPAA-compliant?
  • Does the solution provide integrative capabilities?

In Conclusion

If you want to put an end to your invoicing problems, dental medical billing software is your best bet. They save you from violating HIPAA guidelines. They also help you avoid denials and improve revenue flow. You can monitor finances, generate and analyze reports, assign correct codes, and automate tasks using advanced billing functionalities.

You can access our comparison matrix to compare multiple solutions and make data-driven decisions.

We are here to assist you. Please feel free to reach out via phone or email mentioned on our website, if you have any queries.

About The Contributors

The following expert team members are responsible for creating, reviewing, and fact checking the accuracy of this content.

Technical Content Writer
Riya is a Technical Content Writer at SelectHub. She writes content for our construction scheduling and bidding, CMMS and medical billing categories. She's also a part of the social media team where she crafts posts that engage and resonate with our audience. Riya holds a Graduate Degree in Journalism and Mass Communication from Lovely Professional University, Punjab, India. Fueled by a love for black coffee, her day begins and ends with its energizing ritual. Riya enjoys a variety of TV series, including Friends, Suits, American Horror Story, and How to Get Away with Murder. During her free time, you'll find her reading or spending time with her close ones. She believes in magic and is waiting for that day when reality compromises and fairytale swirls around with a smile.
Technical Research By Dhanasri Yasam
Senior Analyst
As a Senior Research Analyst, Dhanasri Yasam works in key categories like EHR, EMR, business intelligence and HR. In her role, she conducts primary research, collects and analyzes empirical data, and draws evidence-based conclusions. She also has extensive experience gathering requirements for client projects. Dhanasri holds a B-tech in Computer Science and Engineering from Dr. M.G.R. Educational and Research Institute, Chennai and an MBA in Finance and Marketing from Aurora's Business School, Hyderabad.
Technical Review By Manan Roy
Principal Analyst
Manan is a native of Tezpur, Assam (India), who currently lives in Kolkata, West Bengal (India). At SelectHub, he works on categories like CRM, HR, PPM, BI, and EHR. He has a Bachelor of Technology in CSE from The Gandhi Institute of Engineering and Technology, a Master of Technology from The Institute of Engineering and Management IT, and an MBA in Finance from St. Xavier's College. He's published two research papers, one in a conference and the other in a journal, during his Master of Technology.
Edited By Ryan McElroy
Content Editor
Ryan McElroy is a Content Editor and Senior Market Analyst at SelectHub who writes and edits content on various software types, along with their broader concepts and the industries they serve, including medical, construction, CMMS, supply chain management and legal. He studied at the University of Missouri (Mizzou) and earned his BA in Journalism in 2016. During his free time, you’ll find Ryan playing video/card/board games, sipping coffee and reading speculative fiction, or listening to music his loved ones often describe as “headache-inducing.”