A fee schedule is a comprehensive list of insurance-allowable fees for each dental procedure code, provided by a contracted insurance company. These fees can vary based on the insurance carrier, practice location, or specialty.
Maintaining accurate and updated fee schedules in your Practice Management System (PMS) is crucial for calculating precise insurance and patient estimates. It also ensures that claims are accurate and clean, reducing the risk of adjustments or write-offs after payments.
Since fee updates differ across carriers and are typically revised annually, staying current is essential for smooth billing and faster reimbursements.
You’ve negotiated excellent fees for your office, or your insurance carrier has increased their allowable amounts great news! However, without updating these fees in your Practice Management System (PMS), they hold no value for your operations.
Accurately entering a fee schedule can take hours of your staff’s valuable time. Failing to update them can lead to manual calculations, billing errors, and unnecessary write-offs when payments are processed.
NexGen E-Care offers a simple, efficient, and cost-effective way to manage your fee schedules. We ensure you have the most up-to-date fee schedule information for both current and new offices, seamlessly integrating it into your PMS to optimize billing operations.
Learn more about how NexGen E-Care can help your fee schedules boost your bottom line.
No, but we help keep your fee schedules accurate and up to date for optimal billing.
No, providers must request fee schedules directly from insurance carriers. However, we can assist in organizing and maintaining them for accurate billing.
Outdated fee schedules can lead to incorrect insurance and patient estimates, increased claim denials, manual corrections, and unnecessary write-offs. This can slow down reimbursements and create inefficiencies in your billing process, ultimately impacting your practice’s cash flow.
Yes, NexGen E-Care specializes in managing fee schedules for practices with multiple locations. We ensure that each location’s specific requirements, including varying insurance-allowable fees, are accurately integrated into your Practice Management System for smooth operations.
Enter Insurance Allowed Amounts into the Fee Schedule templates in your practice management software (PMS)
Audit and updates of the current fee schedules in your PMS
Confirm the accuracy of your current fee schedules for each carrier and location