Frequently Asked Questions

If you find yourself with a query regarding CareRevenue, chances are it's a common one. We've compiled a set of the most commonly asked questions for your convenience. Feel free to explore these topics to locate the answer you need. And remember, our support team is always available for further assistance should you require it!

  • General


29 Questions

How secure is our data?

We are 100% HIPAA compliant ensuring a highly secured environment that safeguards your Public Health Information.

Will availing your services replace our staff?

Absolutely not! Our goal is to only share your load. Let us handle the work which would otherwise limit your time with your patients.

Who are we working with?

Simple, with the experts! We are a group of well-trained professionals who are well acquainted with the pulse of the dental industry. Each of our employees are selected and trained efficiently to deliver high quality work.

How smooth will the transitioning process be?

You can rely on our skilled specialists who will take you through every step of your journey with CareRevenue. Count on them to clarify all your 'ifs and buts'.

Can we save time if we let CareRevenue handle our billing?

Yes, you can and for that matter, a lot of it. You will never have to worry about making calls, chasing payments or denials and much more. We do it all for you!

What should I look for in your RCM service?

We help your practice maintain its sustainability while simultaneously giving more time to focus on patient care.Our team of dedicated billing experts look for ways to help you maximize your collections, minimize denials and ensure that your billing and collections will have the consistency needed for managing the expenses and operations of your practice. We bring the right people, process, and technology together so as to simplify your revenue cycle and take your organization to the next level. Thus creating efficiency as well as financial gain.

Do you provide eligibility and benefits verification service alone?

No, we don’t. Our services come under a single package which incorporates the entire RCM processes including eligibility and benefits verification, claims billing, receivables and denial management, payment posting and reconciliation and client success.

Why shouldn’t I just manage my billing in-house?

While managing a small scale practice in-house billing may seem like a good option, but as the practice starts gaining momentum it may not be the case. As the workload increases, the pressure on your staff too increases and the more time it will take to complete the revenue cycle management. Furthermore, you wont receive the benefits of working with a team of dedicated professionals who spend all their time and effort working on revenue cycle management issues.

Why would a Dentalcare practice engage with an RCM service provider?

Engaging with an RCM service provider will only make yours a better practice. After all, you are provided with a team of professionals to help you with your revenue cycle management, whom you can count on to be up-to-date on the best practices for your RCM. They enable your practice to have an experienced and solution based team that can manage your revenue cycle and collect every dollar owed to you in a high and efficient manner.

Is there a guarantee that the services offered will be of the highest quality?

We at CareRevenue, without a doubt, offer you with the best quality services. We value your partnership and strive to make your work easier and smoother. We have achieved HIPAA compliance and are certified to safeguard your data. We follow the best practices and have qualified professionals at every step of the revenue cycle process to smoothen the progress of your practice.

What makes CareRevenue unique?

We are an end-to-end revenue cycle solution native to carestack, aimed at reducing compliance risk and achieving maximum reimbursement for your practice. We have the best health care experts who stand by you and make sure that you receive the maximum revenue. Our years of experience in providing RCM service, combined with our flexibility, expertise, reliability and integrity make us one of the best RCM service providers.

Will you go through my entire patient panel and verify every single patient all at once?

No, we only verify scheduled patients up to three days before their appointment

Am I able to send CareRevenue particular items I want verified for my patients?

The form we use for verification is very detailed and we can customize by adding up to 15 “breakout codes” particular to your practice needs

What happens if I need to find what a plan covers prior to the patient’s appointment?

CareRevenue uses a proprietary portal for our clients where all information will be communicated back and forth.

What happens if I have an emergency patient come into the practice with eligibility?

We can help with this but need a 4 hour window to ensure the eligibility is done properly. If a patient is a walk in, we would ask you to do a quick active/inactive check through CareStack and we will verify the plan after the appointment.

I’m in network with 10 carriers and have around 30 fee schedules. Can you help me upload these into the system?

Absolutely, if you send the fee schedule over to the RCM team, we will upload the fee schedule within 1-2 days and let your team know when it’s completed so you can recalculate your treatment plans.

Does CareRevenue help me with getting credentialed with insurance carriers?

We will not help with credentialing

Will CareRevenue delete old fee schedules?

We will never delete an old fee schedule as there could still be claims associated with it. We can, however, override any old fee schedules so the information is still there but isn’t the information that pulls.

How often will you submit claims on my behalf?

We batch and submit claims multiple times per day starting 24 hours after the services are rendered

What happens if a claim is denied or rejected you submit on my behalf?

Any claim that is denied or rejected, we will follow up within 1-2 business days and find out the reasoning

How frequently will you focus on claims that were submitted but not paid?

Once the claim is submitted, the carrier legally has 30 days to make payment. Once it hits the 31st day, we will follow up on it and find out why it wasn’t paid and if there are any issues we need to address while updating your team.

Do you charge for each claim submission?

We do not charge for each individual claim submission

I have a list of aging claims that are out of hand, can CareRevenue help me collect on these?

CareRevenue is able to go back as far as your inception date onto CareStack and help with getting you paid on the work you completed.

Will CareRevenue help me submit ortho claims?

Yes, we will teach you how to create an ortho case inside of CareStack and submit on your behalf

Will CareRevenue post payments for me?

Yes, CareRevenue will post all of your payments for you.

What happens if I’m getting paid via EFT?

CareRevenue would ask for view only access to the practice’s bank account so we can ensure the payments are matching up and we will post on your behalf

What happens if I get paid via credit card?

You would need to process the credit card payment however you normally do before sending it over to be posted.

Does CareRevenue have any consulting assistance?

Yes, once a month you will meet with your dedicated Revenue Account Manager who will dive into the practice data and build a gameplan on how to improve practice efficiency month over month.

Can CareRevenue help me with medical claims by submitting through medical insurance versus dental for a patient?

Yes, CareRevenue – Dental has a sister product called CareRevenue – Medical where we will go case by case and submit claims through medical insurance. We will teach you how to build proper medical necessity and assist you with submission.

Still have questions?

Can’t find answer for what you are looking for? Please send a message to our friendly team!