800-780-8388 
800-780-8388 
Dental Revenue Cycle
Management for High-Volume
Practices
Medicaid-heavy dental environments demand precision. Small errors in eligibility, coding, or submission quickly scale into significant revenue loss when multiplied across locations and providers.
Revenue cycle services are designed to manage volume, reduce denials, and maintain compliance across all participating practices.
RCM Services Include
- Medicaid and commercial eligibility verification
- Benefit interpretation and coverage validation
- CDT code validation and charge accuracy checks
- Claim creation and electronic submission
- Medicaid-specific edits, rules, and state guidelines
- Rejection and denial management with trend analysis
- Timely filing and resubmission tracking
- Secondary and coordination of benefits billing
- Payment posting and reconciliation
- AR follow-ups segmented by payer, location, and aging
Operational Outcomes
- Reduced Medicaid and managed care denials
- Shorter reimbursement cycles
- Lower AR aging across locations
- Consistent revenue performance at scale
Intake and Front-End
Controls for Medicaid and
Mixed Payer Models
Front-end errors are one of the most common causes of Medicaid denials. Intake services focus on eligibility accuracy, documentation completeness, and authorization readiness before the patient is seated.
Intake Services
- Medicaid eligibility verification and revalidation
- Benefit verification for managed Medicaid plans
- Referral and prior authorization management
- Treatment plan cost estimation
- Patient financial responsibility communication
- Same-day eligibility checks for walk-ins
Operational Outcomes
- Fewer claim rejections tied to eligibility
- Improved visit readiness
- Reduced patient billing disputes
- More predictable collections
Centralized Scheduling and Recall
Management
DSOs require scheduling consistency without sacrificing location-level flexibility. Scheduling services are structured to support centralized or hybrid scheduling models.
Scheduling Services
- New patient scheduling across locations
- Recall and re-care scheduling
- Confirmation and reminder workflows
- No-show and cancellation management
- Provider-specific scheduling rulesn
- Specialty scheduling coordination
Operational Outcomes
- Improved chair utilization
- Reduced no-show rates in Medicaid populations
- Balanced provider schedules
- Higher daily production consistency
Care Coordination for Multi-Visit
and Specialty Dentistry
Medicaid and specialty dentistry often involve multiple visits, referrals, and follow-ups. Care coordination services ensure patients remain engaged and treatment plans are completed.
Care Coordination Services
- Treatment plan follow-up and case tracking
- Multi-visit procedure coordination
- Specialty referral management
- Post-procedure communication support
- Eligibility and authorization tracking across visits
- Recall and hygiene follow-ups
Operational Outcomes
- Higher treatment completion rates
- Improved patient retention
- Reduced abandoned treatment plans
- Lower administrative burden on clinical teams
Back-Office Operations and DSO-
Level Support
Standardization across locations is critical for DSOs. Back-office services are structured to support centralized oversight while respecting site-level workflows.
Back-Office Services
- Provider credentialing and re-credentialing support
- Medicaid enrollment and revalidation assistance
- Fee schedule maintenance and audits
- Insurance plan setup and updates
- Document management and indexing
- PMS data cleanup and reporting support
Operational Outcomes
- Consistent workflows across locations
- Cleaner data for financial reporting
- Reduced dependency on in-office administrative staff
- Scalable operations during growth or acquisition
Practice Management System Experience
Teams operate within existing DSO technology environments, including:
-
Dentrix
-
Open Dental
-
Eaglesoft
-
CareStack
-
Curve Dental
-
Other dental PMS platforms
Workflows are aligned to payer mix, state Medicaid rules, and internal compliance standards.
Built for DSOs and Medicaid - Focused Practices
These services are designed for:
- DSOs managing multiple locations
- Practices with high Medicaid or managed care volume
- Organizations experiencing staffing gaps
- Groups seeking operational consistency
- Practices preparing for expansion or acquisition
Powering Scalable Dental Operations for DSOs
Connect with us to learn how ViaHire can bring high-quality, customized, and cost-effective legal support staffing solutions to your firm. Schedule a call with our team today and take the first step towards elevating your practice.
