2. $25 billion in administrative costs
OneMind Health delivers performance,
visibility, and efficiency to dental
practices where complexity, inefficiency,
and lost opportunities abound.
Front office dental staff are
perpetually multi-tasking
Dentists lack visibility to key
business performance indicators
Simplicity out of Complexity
3.
4. Complexity is Costly and Inefficient
Claim denials due to inaccurate or incomplete
insurance information
Write-offs due to non-covered services, frequency, and
alternate benefits
Difficulty balancing insurance restrictions versus
optimal patient care
Inefficient manual tasks that distract from the core
business objectives
5. OneMind Health Brings Simplicity to Complex Problems
Complete eligibility and benefit insights that provide
the information needed to reduce claim denials
Accurate benefit data eliminates estimation guesswork
that create non-collectible write-offs
Increase provider production by maximizing benefits
and providing optimal care
Automate costly manual tasks to reduce user errors,
while redirecting focus to business objectives
6. WHY DO YOU VERIFY?
“…we have no choice”
“…so I can present an
accurate treatment plan.”
“So we can get paid for our
services.”
“…to get a complete
rundown of benefits and
preventive history.”
“If we don’t, our practice goes KABOOM!”
“…to eliminate surprises.”
“…to help patients understand
their insurance.”
7. What happens if you don’t verify?
ELIGIBILITY DENIALS
“If we don’t verify – we have an insurance denial and have to write off the amount.”
MISSED PRODUCTION OPPORTUNITIES
“We need to know if a patient is eligible for a FMX {…} the patient needs to know
what their responsibility is.”
INACCURATE TREATMENT PLANS:
“If we don’t verify, we can expect inaccurate insurance estimates, which potentially
leads to greater write-offs for the practice. Patients feel like if we don’t know what
their insurance is going to cover then we may not be the best dental practice for
them.”
9. AVOID ELIGIBILITY DENIALS
20% of all claims are denied for
some reason.
80% of those denied are due
to incorrect or inaccurate
eligibility & benefit information.
10. INCREASE HYGIENE PRODUCTION
Pano ($175) vs bitewings ($65) = $110 each time it’s caught
Your practice will see $2200 in four weeks if you’re open M-F
and catch this once a day – JUST ON PANOS!
11. ACCURATE ESTIMATES
Think of how many patients a week don’t schedule their recommended
treatment.
Scheduling two extra crowns (@ $1425 each) per week = $11,400/mo
14. Want to learn more?
Visit us in the Partner Pavilion!
Notas do Editor
We have a $25 billion problem in the dental industry and OneMind Health is here to help solve it.
In 2014, the dental industry spent over $25 billion on administrative costs related to claims adjudication, eligibility verification, payment collections and staffing.
OneMind Health eliminates work from provider, payer, and patient relations, reducing back office costs for all involved parties.
We’re excited to be working with Dentrix because as the market’s leading practice management system, it allows us to bring our simplicity out of complexity solutions to a large portion of the dental market.
These are some of the problems that complexity causes.
Claim denials
Write offs
Difficulty balancing insurance restrictions with optimal patient care
Inefficient manual tasks
OneMind Health brings simplicity by providing the complete eligibility and benefit insight to
Reduce eligibility denials
Improve treatment estimation and reduce write-offs
Increase provider production by maximizing benefits
Automating manual tasks
We wanted to know why practices feel it’s important to verify insurance. So, we asked 6000 practice managers and dentists and here are some direct quotes from their responses.
Then, we asked them what happened if they didn’t verify.
OneMind Health automates the process of verifying insurance eligibility and benefits. In addition to helping patients better understand their insurance coverage and out of pocket costs for dental services, our services help practices create more efficient businesses.
One of the first reasons noted was to avoid denied claims. We know from industry data that 20% of all insurance claims are denied for some reason and that 80% of those denials are for an eligibility related reason.
By using our Complete Benefits delivered solution – you’ll have verified coverage information in hand before the patient arrives. That will give you time to get updated information from the patient if their coverage has terminated or changed. That way you can prevent a denied claim or even better prevent providing services that won’t be covered.
Another result of verifying benefits is to be aware of production opportunities. Knowing a patient’s history and coverage details can directly impact production.
For example, if you know a patient has coverage for a pano on this visit, you can provide it instead of just a bitewing and increase your production for each time you catch that opportunity.
Other hygiene opportunities can include:
Sealants
Fluoride
FMX v. Bitewings
Perio services like arestin
How often do you get patients that won’t schedule follow up treatment because they are unsure of their insurance?
They hesitate to make a financial commitment and won’t schedule to have the work done.
Let’s say you have 4 or 5 of those patients each week and let’s just assume those are for crowns.
If you were able to get even 2 of those to schedule, that would equal $11,400 over 4 week’s time in additional treatment plan acceptance.
This portion of the response includes many of the codes you’d be treatment planning for including crowns, fillings and implants. And it can be customized to include the specific codes your practice is interested in.
So, we’ve seen how powerful having complete insurance benefit information at your fingertips can be.
Our integration with Dentrix Enterprise will make it even easier to access this information from within your appointment book.
Savvy dental practices all have goals to minimize denials, increase production and treatment acceptance.
Together, OneMind Health and Dentrix can help make achieving their efficiency goals much more achievable.
One of the ways that we do this is by working with our clients on how to not only use our product, but to use it to achieve practice goals. Because after all, we’re ALL in the business of dentistry.