This session will provide a comprehensive overview of the revenue cycle management (RCM) process in OMS practices – from the moment a referral is received through final payment and follow-up. Attendees will learn how to streamline systems and workflows that involve both dental and medical insurance, with an emphasis on optimizing reimbursement and minimizing delays. The session will cover key components of RCM, including verification of benefits, authorization requirements, clinical documentation, coding accuracy, claim submission, denial management and patient A/R strategies. Special attention will be given to the unique challenges that arise in referral-based practices, where coordination between referring providers and insurance carriers is essential. This course is ideal for OMS teams looking to strengthen their internal billing systems, as well as consultants and managers seeking a deeper understanding of full-cycle medical and dental billing in the OMS setting.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Identify the essential components of a complete oral surgery revenue cycle – including insurance verification, coding, documentation and claims submission – to recognize system inefficiencies and reduce billing errors.
Demonstrate the ability to differentiate and apply appropriate billing protocols for medical versus dental insurance claims to improve payer-specific accuracy and reimbursement outcomes.
Implement a standardized workflow for managing referrals, documentation and payer communication that supports timely approvals, accurate claims processing and improved cash flow.
