Orthodontists - StafGo Health

Dental Billing And Collection Services Focused On Orthodontists

In orthodontic facilities, specialists diagnose, prevent, and treat irregularities in teeth and jaws, including malocclusion and misaligned bites. At StafGo Health, we aim to provide specialized dental billing and collection services to orthodontic practices, designed specially to handle the unique challenges of long-term treatment plans, installment-based payments, and insurance complexities.

Precise CDT Coding For Orthodontics

Orthodontic billing uses specialized CDT codes that show the long-term nature of treatment plans and the use of appliances like braces and aligners. Our dental billing team at StafGo Health is well familiar with the CDTs billed in orthodontic practices, including D8080 (comprehensive orthodontic treatment of the adolescent dentition), D8090 (comprehensive treatment of the adult dentition), D8670 (periodic orthodontic treatment visit), D8680 (orthodontic retention - removal of appliances, construction, and placement of retainer), and D8999 (unspecified orthodontic procedure, by report), which is often used for customized or non-standard procedures, D8220 (fixed appliance therapy, including appliances for thumb sucking and tongue thrusting)and other major CDTs.

Why Outsource Medical Billing And RCM To Stafgo Health For Your Orthodontic Billing And Collection?

Orthodontic practices face multiple difficulties in managing the revenue cycle in-house, as it is very time-consuming, error-prone, and costly. At StafGo Health, we specialize in orthodontic billing and RCM services that can streamline your entire billing-related operations while maximizing revenue. We customize our RCM workflows according to your treatment model, which ensures timely billing for each phase of dental care.

Common RCM Challenges Faced by Orthodontic Practices

Complex and Long-Term Treatment Billing - Orthodontic treatments generally last long, like for months or even for years; therefore, it require installment-based billing, which is linked to the treatment progress. Most orthodontists lack proper systems to track them, which leads to missed payments, incorrect billing, or cash flow disruptions.
Benefit Limitations with Payers - Most insurance plans have certain plan limitations for orthodontic treatments, such as annual maximum, lifetime maximum, etc., and if the information is not collected properly at the time of eligibility verification, it can lead to serious revenue loss to the practice.
Pre-Authorization Denials and Documentation Delays - Insurances require accurate and proper documentation to approve the payment for ortho procedures like D8080, D8090, etc., and not securing them can result in delayed claim approval.
Incorrect Dental Coding or Timing Issues - The incorrect use of codes is the major problem faced by these practices, which can lead to denials. Not submitting the claim in insurance timely filing limit may also result in payment delays.
Patient Payment Tracking and Communication - Orthodontists also face the issue of patient payment tracking and efficient patient communication. Managing patient contracts, tracking installment payments, and clearly communicating financial obligations is time-sensitive and prone to error if not handled by professionals.

Solving Your Orthodontics Practice’s Challenges with StafGo Health

Customized Installment-Based Billing Aligned with Treatment Phases - To ensure consistent income, our team creates billing schedules that reflect the full course of orthodontic treatment. This avoids the errors in billing and ensures timely claim reimbursement.
Accurate CDT Coding for Orthodontic Services - Our certified dental coders ensure the correct application of codes based on treatment documentation to avoid denials.
Insurance Verification & Pre-Authorization Management - To speed up the approvals, our team manages and submits pre-authorization requests with supporting clinical documents to avoid unwanted delays and denials.
Automated Patient Payment Tracking - Our team helps your practice to simplify contract tracking, down payments, and installment reminders so that your staff is not chasing payment, and money stays on track.
Expert Denial Management and A/R Follow-Up- Our dedicated team has comprehensive knowledge of denial management. We monitor your accounts receivable and appeals denied claims and ensure your hard-earned money is collected efficiently.
Transparent Reporting and Performance Insights - With the help of detailed RCM dashboards, your team will have full visibility into revenue performance, collection trends, and key financial metrics. With transparent reporting and performance insights, your team will be able to make informed decisions.