What Do You Fear In Medical Billing?

Written by Laurie Owens, CPB, CPC, COC
Devdent Director of Medical Billing Education
Edited by Jo Gardner, B.S. Merchandising

Fear of the unknown can be much stronger than fear of known terrors.  I used to watch the old suspense movies with my hands over my eyes.  Why?  I was afraid of the unfamiliar, of the unknown.

As I think about the many doctors and administrative teams about medical billing in dentistry, the theme is the same…they fear the unknown. Being afraid and overcoming that fear is the difference between talking and doing.

Here are the top 5 common fears of starting medical billing in your dental practice:

What Do You Fear in Medical Billing?

5) Fear of not knowing what services can be billed to medical insurance.

One of the key points when I speak is that services you provide can potentially be covered benefits because it is not the what, it is ALL about the WHY. Why are these services medically necessary?  How will they help the patient and what caused the breakdown?  You can bill for veneers if your patient had an adverse effect of tetracycline, making it a medical necessity.  So ask yourself:  How will the procedure help my patient’s health or correct a problem/defect created by the patient’s health?  If you cannot answer that question, then do not move forward with medical billing.

4) Fear of patient perception.

Money is an important and mitigating factor for many patients. We have to remember that medical billing for dentistry is a courtesy…DO NOT EVER  PROMISE medical insurance will pay one penny.  Even with a preauthorization of services, you do not know what amount will be allowed or if they pay those services at a lower percentage.

Help your patient to understand that this is the policy they chose or were able to obtain and that because you will advocate on their behalf, the worst thing they can say is, no. Even if you were able to help your patients reach or apply something towards their deductible, you have helped. You may be surprised to discover that patient ratings are usually higher than expected by treating physicians.

3) Fear of documentation errors.

This fear is very prevalent not only on the dental side but the medical side as well. All the way around, we need to write more descriptive notes that accurately describe what occurred during an exam and what services have been completed on the surgery side.

Remember the old saying, “Write your notes as if you are reading them in court.”  Dr. Roy Shelburne can help your team to get the documentation to show medical necessity which is a complete requirement in dental and medical billing.

2) Fear of being audited.

This fear is actually something we should all be preparing for. I know it is not fun but there are some ways to have the “surprise” audit is not so difficult.

Completing internal retrospective and prospective audits is the answer.  In laymen’s terms, you audit services you are going to do and those that have already been completed.  This audit reviews documentation, ledger postings, and any “deletions” in your practice management software.

1)Fear of failure. 

Well let me tell you something, you will fail!  Now do not get mad at me, that is the learning aspect. Devdent is here to help train you and our Imagn Billing software was built for dentistry only! The education aspect of medical billing for dentistry is a hurdle that you must conquer for better patient care. Our goal is for you to learn from failure and reach heights for your patients that will market itself.

Don’t let fear of the unknown stop you from helping your patient’s obtain the medical coverage they truly need.

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Imagn Medical Billing Service

Due to the complex nature of medical insurance billing, most dental offices are not equipped with the knowledge to properly credential national payers, submit successful claims, or handle aging and appeals. Imagn Medical Billing Service performs the proper credentialing and billing for you, which results in fewer denials and time well saved as you rely on expert help.

One-Time Credential Fee

$795/per dentist

The key to more successful payments

Our experts complete the process so you can start billing medical insurance. Each dentist billing medical insurance needs to be credentialed.

Pay Per Case

Verification of Benefit

$35 per vob

We get your patient’s insurance information so you can set proper expectations with the patient regarding the specific coverage available and any out of pocket fees. This is the most critical step in all of medical billing.

Per Authorization

$40 per auth

All procedures require pre-authorization in order for your practice to get paid. Gaining appropriate authorization can be challenging, let our experts get the job done for you.

Claim Submission

8% of successful claim

You don’t have time to sit on hold. Let us sit on hold and handle the claim submission work for you  We also handle the aging and appeals so you can focus on your practice.

Choose Your Software

Imagn Software is your one stop solution with both medical billing and dental sleep medicine capabilities with world-class support

What most dentist don’t know is that medical billing can increase your case acceptance rate and ensure your patients get the care they need.

Imagn Software

$195 /month

No contract and your satisfaction guaranteed.

Our goal is to give you the best experience. But if you are not satisfied then we will give you a full refund for your software access fee within 30 days of purchase.

Add Imagn Sleep Software

$100 /month

Our software provides everything you need

to give your patient’s the sleep care they deserve.

Patients can no longer afford to have dentists ignore the responsibility of providing care for sleep disorders. Two out of every three Americans report poor sleep; the ability to breathe well is the most important factor in determining a person’s sleep quality. 

Imagn Software Set-up Fee

$399 one-time fee

No contract and your satisfaction guaranteed.

Our goal is to give you the best experience. But if you are not satisfied then we will give you a full refund for your software access fee within 30 days of purchase.

Choose Your Monthly Devdent Support Program

In order for you to succeed, we offer a unique range of customer support solutions including coaching, online resources, implementation programming, and so much more. We keep an eye on the ever changing industry trends so you can focus on your practice

Medical Billing Support

$200 /month

The program to get and keep your staff trained.

Dental Sleep Medicine Support

$200 /month

The program to implement Dental Sleep Medicine into your practice.


$345 /month

Get both of the Medical Billing and Dental Sleep Medicine Support programs at a discount.

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