Oral and Maxilofacial Surgeons

Dental Billing And Collection Services Focused On Oral & Maxillofacial Surgeons

In oral and maxillofacial surgery facilities, several complex procedures are performed, like surgical removal of impacted teeth, dental implants, correction of jaw and facial deformities, management of facial injuries, treatment of head and neck cancers, and many other related conditions. At StafGo Health, we specialize in providing tailored and customized dental billing and collection services specifically for Oral and Maxillofacial Surgery (OMS) practices. Our team makes sure of accurate coding, payer compliance, and timely reimbursement so that your practice can be more focused on giving expert surgical care.

Get Paid Right With Accurate CDT Management With Stafgo Health

Due to the surgical complexity of oral surgery procedures and frequent crossover between dental and medical insurance, Oral and Maxillofacial Surgeons require highly efficient and specialized billing services. The use of correct CDTs is essential to ensure proper reimbursement and avoid denials. Our certified dental billers are efficient in handling all common CDTs billed, such as D7140 (Simple tooth extraction), D7210 (surgical removal of an erupted tooth, D7250 (surgical removal of residual tooth roots, D7510 (incision and drainage of abscess—intraoral soft tissue), D7511 (incision and drainage of abscess—intraoral soft tissue), complicated, D7520: Incision and drainage of abscess—extraoral soft tissue, D7285, D7286: Biopsy of oral tissue, and all others.

Why Outsource Dental Billing And RCM To Stafgo Health For Your Oral & Maxillofacial Dental Practice?

Oral and Maxillofacial Surgery (OMS) practices come across some of the most complex billing challenges in the dental and medical industries due to the surgical complexity of procedures, especially with those procedures that often fall under both dental and medical insurance. Our experienced dental billers specialize in navigating the complexities and ensuring that your dental claims are timely submitted, fully compliant, and reimbursed correctly by the insurance. Our team is proficient in providing precise coding, proper documentation, and payer-specific billing strategies that empower your practice in optimizing your revenue cycle while maintaining patient satisfaction.

Common RCM Challenges Faced by Oral & Maxillofacial Practices

Medical-Dental Cross-Coding Confusion - Most of the Oral and Maxillofacial Surgery (OMS) procedures are often covered by both dental and medical practices, and therefore might create confusion in billing. These claims require precise use of CDT and CPT codes. If codes are not applied correctly or submitted to the wrong payer, then it can cause denials or underpaid claims.

Complicated Pre-Authorization Requirements - OMS practices involve some complex surgeries like sedation, bone grafting, or TMJ treatment, which require prior authorization from medical insurance. If the original prior authorization is not submitted with proper documentation, it can lead to a delay in patient care and insurance payment.

High Denial Rates for Surgical Claims - Surgical procedures like D7210, D7953, or CPT codes like 41899 are frequently denied because of inaccurate coding, missing modifiers, submission to incorrect insurance, or due to insufficient documents.

- Anesthesia and Sedation Billing Challenges - Billing for deep sedation/general anesthesia (D9223) needs time-based reporting and proper documents to prove medical necessity and precise coding, which leads to problems if not managed by skilled professionals.
Patient Responsibility and Balance Billing - Some OMS procedures have significant out-of-pocket costs for patients. Coordinating benefits between dental and medical insurers and clearly communicating financial responsibility to patients is one of the prevalent challenges of OMS practices.
Lack of Specialized RCM Oversight - Without a dedicated billing team that is familiar with the nuances of surgical and cross-payer billing, it can lead to poor A/R management and lost potential revenue, which results in financial loss to the dental practice.

Solving Your Oral & Maxillofacial Practice Billing Challenges with StafGo Health

- Certified Experts in CDT & CPT Surgical Coding - Our team of experts accurately codes high-value procedures, ensuring maximized reimbursement and reduced chances of coding-related denials.
- Medical-Dental Cross-Billing Made Simple - Our team seamlessly manages claims across both dental and medical payers, and also determines the appropriate billing routes and makes sure that full documents are being submitted for claims processing.
- Smooth Pre-Authorizations Approvals- Our team manages all time-consuming tasks like prior authorizations, eligibility checks, and benefit coordination. This helps in speeding up the treatment approval and reducing the payment delays.

Aggressive Denial Management & A/R Follow-Up - Our skilled team doesn’t just submit claims but also tracks them at regular intervals of time and follows up aggressively to resolve denials and make sure that no revenue is left uncollected.
Transparent Patient Communication & Collections - Our focus is always on enhancing patient satisfaction with clear billing communication, flexible and multiple payment options, and compassionate collection strategies that support your brand and also improve your financial growth.
Real-Time Performance Insights - With the help of our advanced reporting tools, your staff will get full visibility into your revenue performance, such as claim status, collection rates, denials, and many more, so that you can make informed future business decisions.