Professional Dental Management Services for Your Practice

Health Management Solutions, Inc., is a comprehensive healthcare management service provider offering Risk Management, Cycle Revenue Management (Back-office Support Services) , Board of Dentistry’s Continuing Education Provider and  Compliance Staff Training Requirements

Our dental practice Risk Management Services, assists dentists in identifying potential liabilities and risks in their practice.  Consequently,  we create Corrective Action Plans for dental practices to implement and protect them from potential liabilities, enhance employee and patient’ safety, and improve compliance with required and recommended community standards of dental practice, Federal and State industry requirements; such as OSHA and HIPAA compliance, and recommended standards from leading professional organizations; such as the ADA, and scientific organizations; such as the CDC and WHO.

Cycle Revenue Management Services provides back-office administrative support for managing dental insurance claims. This includes properly conducting insurance eligibility verification, processing, submitting, collecting, and recording claims accurately and quickly, as well as optimizing procedure code billing to maximize insurance reimbursement. Our expert dental insurance coders can identify reimbursable procedure codes that are often overlooked by dental practices, ensuring prompt and effective reimbursement.

Insurance credentialing services involve handling the application process for dental healthcare professionals who want to become participating providers for insurance plans. We assist dental and other healthcare providers seeking to work as participating providers with insurance companies and network administrators. To start, we have conversations with the healthcare provider and their practice administrator to determine the client base’s demographics they wish to serve and the types of dental or medical services they provide. After understanding their practice’s goals, we make recommendations from a list of insurance carriers for becoming participating providers, but the healthcare provider ultimately decides whether to accept or reject an offer. Our credentialing process begins by gathering all the healthcare professionals’ educational and reference credentials and ensuring that the practice meets all requirements to be accepted by a wide range of insurance plans. We submit the approval applications with the extensive required documentation and follow through to negotiate the proposed dental insurance fees. Our goal is to maximize the highest possible insurance reimbursement schedules for you. We offer expedient and efficient expert credentialing services through a team of experienced outsourced associate subcontractors.

Dental insurance verification ensures that your patients’ coverage is accurately determined before their appointments, reducing claim denials and improving the efficiency of your practice.

Our Eligibility Insurance Verification Services provide dental practices with a comprehensive insurance benefit spreadsheet breakdown. This allows dentists and patients to establish a transparent financial relationship. Patients will know their financial responsibilities before and after the treatment, starting from the moment the Treatment Plan is presented to them. This reduces adverse events, eliminates surprise fees and unanticipated procedure denials, and allows dental practices to operate smoothly and efficiently.