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Showing posts from May, 2025

Top Billing Challenges for Dental Practices in 2025

  In 2025, dental practices across the U.S. are facing a range of new and persistent billing challenges that directly impact cash flow, compliance, and profitability. As the healthcare landscape evolves, with changing payer rules, technology shifts, and patient expectations, dentists must adapt their revenue cycle strategies or risk falling behind. This blog, highlights the top dental billing challenges in 2025 and practical steps your practice can take to overcome them.   1. Insurance Complexity & Reimbursement Delays Dental insurance plans are more diverse and restrictive than ever. Many practices struggle with: Varying coverage levels across patients Frequent and unexpected changes to insurance policies Slow reimbursement timelines from carriers Impact: Increased denials, resubmissions, and delayed revenue. Solution: Implement real-time eligibility verification tools and outsource insurance billing to specialists familiar with each payer's nuances. ...

Top Prior Authorization Mistakes That Hurt Reimbursements And How To Avoid Them

Prior authorization (PA) is a critical step in the revenue cycle, yet it’s also one of the biggest sources of payment delays, denials, and lost revenue for healthcare providers. At e-care India, we’ve seen firsthand how small missteps in the PA process can lead to big financial consequences. In this article, we’ll highlight the most common prior authorization mistakes that impact reimbursements, and how you can avoid them with the right systems, staff, and support. 1. Submitting Incomplete or Inaccurate Information One of the top reasons prior authorizations are denied or delayed is missing or incorrect patient or clinical information . Common errors include:        Wrong CPT or diagnosis codes Missing medical documentation Incorrect patient demographics Incomplete justification for medical necessity How to avoid it:                   ...