The Future of RCM: Streamline Claims and Boost Your Practice’s Bottom Line

Adam Wilson, Senior Sales Manager, Henry Schein One, Marty Kearns, General Manager for RCM, Henry Schein One, and Amy Kaminski, Business Manager, Dawson Family Dentistry, recently sat down to tackle key challenges like delayed reimbursements, complex claims, and patient payment issues, offering clear solutions to streamline your operations and strengthen your practice’s financial health. We’re highlighting their thoughts on the current environment and how Henry Schein One is revolutionizing revenue cycle management (RCM). 

The Current Environment 

There are a lot of really great revenue cycle management (RCM) solutions out there, all of which are intended to help you guys maximize collections, your receivables, collect faster, and remove pain points. Most of these, though, are either very manual or they rely on outsourcing or they require remote access to your practice management software (PMS). This results in fragmented systems and dependence on multiple vendors, multiple software companies, or even people outsource people for various tasks. 

Too often, practices build a Frankenstein of a mess with several components that don't talk well to one another. You have one solution for eligibilities, another for claims, and something else for your reconciliation.  

“It was very difficult to track. Our revenue dropped because we could not get the claims paid on time. And when you can't pay the claims, and there's this patient out of pocket, you're not collecting from that patient. We do our best to collect at time of service, but you never know what the insurance company is going to pay,” said Kaminski.

Unlocking Eligibilities  

Your eligibility workflow is key to unlocking downstream opportunities and improvements to your collection. Henry Schein One has created a standard form through our new solution, Eligibility Pro. 

With Eligibility Pro, there will be no more guessing games on how this is coming back to you. Everything comes back to you in a standardized format. These responses are automatically imported into the appointment book, saved for easy viewing, and include quite a bit more than your standard response -- maximums, deductibles, frequencies and limitations, and even ortho information. The responses returned from Eligibility Pro nearly eliminate the need for a phone call to a payor or the need to log in and verify on a portal visit.  

“The standardized formatting has really improved things in our office. Everyone knows where to find this data. If someone is back with the patient, they're able to pull up the coverage themselves and double check. There's no need to bother the front desk with questions that are right there on that form for them,” said Kaminski.

Simplifying Claims 

Claims, just like eligibilities, can take an unjustifiably long amount of time to clear and collect.  

“Before Dentrix, it was such a process. You had to go one place, highlight them all, and then they have to go into their system. Once in the system, you had to go through them individually. And if you have to add attachments, you had to copy over here and paste and cut over there and put that in a completely different place. It was just a mess. And in the middle of it all, I still had to answer phones and check patients in and out,” said Kaminski. “I finally went to my doctors and said, ‘I want Dentrix to do my claims because it is just right there in front of me. If I have to pause, I know I'm not going to lose it. It's right in the patient ledger, and I can click and it'll automatically add the patients’ X-rays from their appointment.’ I absolutely love that. My claims used to take me almost three hours.” 

-------------------------------------------------- 

Ready to learn more? Listen to the full on-demand webinar, Unlock Fast Payments and Hassle-Free Claims: Your Key to Smarter Revenue Cycle Management.