Hi guys. I'm in the process of converting my mother's dental practice
from paper to computer. I'm doing the data entry myself. We got
EasyDental (2005), which doesn't seem to enjoy a great reputation here
(at least didn't a few years ago) but I'm pretty happy with it so far.
So far we've been doing all the insurance claims, save MediCal, with
good results. Once I've finished entering the data, the rest of the
accounts & billing should follow. Since her assistant's at retirement
age and won't learn new tricks, the front-desk operation is going to
stay the same for a while yet.
A few questions that come to mind:
1. Does anyone here use Easydental? Any comments would be
appreciated--pitfalls to avoid and hints to make it work better.
2. Medicaid/MediCal. The office has had problems with the forms in the
past (to the point that work was performed and just not billed). I'm
not sure of the reasons (apparently they figured it wasn't very
cost-effective to do it), but hopefully this system will help solve
them. The forms have built-in carbon paper & such, so I can't
auto-print on them. However, I think the electronic submissions
(getting that set up this week) will render that moot, and it'll work
just like the other insurance claims. Right?
Otherwise, so far so good. Hopefully the automatic billing should free
up the assistant to get to work on the backlog of unpaid bills, which
is large indeed. It appears to be in the tens of thousands. Is this
unusual? The office doesn't use interest charges or collection
agencies, which I suppose are the standard tools used to entice
patients to pay. Perhaps with the advent of auto-magic bookkeeping the
dentist will start charging percentages.
--Alexei
Bill - 16 Jan 2006 18:31 GMT
> Hi guys. I'm in the process of converting my mother's dental practice
> from paper to computer. I'm doing the data entry myself. We got
[quoted text clipped - 30 lines]
>
> --Alexei
______________________________________
Alexei,
You are dealing with the Denti-Cal department of the California
Medi-Cal bureaucratic setup (you must be in California, as only
California calls Medicaid "Medi-Cal.")
Denti-Cal will not accept your electronic claims unless you have first
signed up with their electronic claims office. The state has made the
entire Medi-Cal program such a complex tangle of regulations that they
even have a separate department to help you get set up for electronic
claims transmission. In a perverse way, that's a good thing, as the
people in that electronic claims department exist only to enable
dentists to send in their claims electronically. But I have trouble
praising a bureacracy that makes thing so unnecessarily complex that
they have to set up an entire department just to help guide you through
their silly maze of regulations.
Another problem is the fact that Denti-Cal will NOT accept the standard
CDT procedure codes for claims. I know, the federal law says that they
must, but the fact is that nobody in government is enforcing that law.
So you have to use Denti-Cal's own little set of 3-digit procedure
codes if you want to get paid.
If you can get the EasyDental support people to show you how to apply
this separate set of procedure codes for all procedures done for
Medi-Cal patients in your office, then you can apply to the Denti-Cal
electronic claims department for permission to submit claims
electronically.
Since this whole procedure is made unnecessarily complex by the idiots
in our state government, my office still types up the standard
Denti-Cal carbon-paper forms on a typewriter in order to keep things
simple and practical.
I know that a number of dentists send their Denti-Cal claims
electronically, so it can be done. You will need to contact both the
EasyDental support department, and the Denti-Cal electronic claims
department in order to put it into action.
And after all that, you will have the privilege of being grossly
underpaid by Denti-Cal, to the point where your overhead expenses
exceed the revenue from Denti-Cal. That's why the vast majority of
dentists in California refuse to see Denti-Cal patients.
In what city are you located?
Good luck to you.
- dentaldoc