Bright Balance Accounting & Finance

Navigating the Major Challenges in DSO Accounting

The practice of accounting is a crucial aspect of managing a successful dental business. Expertise in finance and accounting is essential to optimizing cash flow, managing expenses, and ensuring compliance with industry regulations. However, due to a lack of in-depth accounting expertise on their teams, dental practices face unique challenges in dealing with complex billing procedures, regulatory compliance, and seasonal fluctuations that require a dynamic approach to accounting. 

As your dental practice expands into multiple locations, your finance team may find it challenging to manage the numbers. They may become overwhelmed and exhausted, causing them to miss deadlines. This situation makes it clear that you need the assistance of expert dental accountants to handle these challenges with ease.

Effective integration of technology has become a necessity in accounting processes, bringing with it cybersecurity threats to both patient and financial data. In this blog, we’ll explore these challenges and provide a practical strategy that can help growing dental practices overcome them and achieve long-term success.

Hiring and Retaining Expert Accountants

As a business owner, finding top-quality staff can be a challenge, especially when you have to pay them even during slow business periods. According to Accounting And Finance Outsourcing, access to top talent is one of the reasons why accounting outsourcing will continue to grow in 2024.

Despite numerous articles on how to find the best talent in addition to having a good source such as LinkedIn, it can still be difficult to hire the right accounting candidate with the best expertise in Dental Accounting. It is also a costly process to adequately compensate these professionals during slow business periods due to declines or cancellations in patient bookings. 

The American Dental Association’s 2023 survey revealed that staffing was the most challenging task for dental practices compared to 2022, with most respondents still wanting to hire more staff. Robert Half’s research in Canada showed that 92% of managers face challenges in attracting highly skilled candidates.

However, the lack of flexibility that comes with full-time staff adds burnout to the already demanding task of hiring and this is usually due to heavy workloads as a result of rapid growth or expansion in dental locations. 

HIPAA Compliance & Integration of Technology

HIPAA, the Health Insurance Portability and Accountability Act, enacted in 1996, sets standards for protecting sensitive patient data to ensure the confidentiality, integrity, and accessibility of healthcare information. HIPAA compliance is essential for healthcare providers, health plans, and their business associates to safeguard patient privacy and avoid potential penalties for non-compliance.

Emerging technologies have exposed Healthcare organizations to a host of compliance challenges, particularly concerning the security of patient and financial data. Utilizing electronic health records (EHR) and practice management software for billing and accounting amplifies the risk of data breaches, exposing practices to potential fraud, such as insurance scams and embezzlement.  Effective mitigation strategies including data loss prevention solutions are important in coping with compliance challenges.

One of the roles of a Dental accountant is to ensure HIPAA compliance in safeguarding financial data and patient accounts while managing billing processes, payment plans, and collections. By implementing stringent data security measures and remaining vigilant against potential threats, dental accountants uphold the integrity and security of both financial and patient data within dental practices.

Cash Flow Management & Overhead Costs

Managing cash flow in a dental practice can be daunting, especially in an environment where costs and inflation are continually on the rise, while revenue streams tend to dwindle. Seasonal variations in patient appointments and insurance reimbursements, cancellations or no-shows, and other factors can significantly impact a dental practice’s cash flow. As an accountant, you must ensure that essential financial obligations are met even during these times.

Rising interest rates can be a significant factor affecting dental accounting, putting considerable pressure on cash flow and potentially leading to defaults in credit facilities. According to a 2023 ADA survey, rising operational costs are the second most significant challenge that most dental practice respondents anticipated facing in the coming six months.

Dental practices often have substantial business expenses, including staff salaries, equipment maintenance, and facility expenses. Managing these costs efficiently while maintaining profitability can be challenging, particularly when the finance team is not proactive in communicating with patients regarding their financial responsibilities and providing different payment options.

To overcome these challenges, dental practices need to adopt a proactive approach. Efficient cash flow management and strategic financial planning are essential for dental practices to remain profitable and sustainable. They must leverage technology, such as accounting software and automated financial reporting processes, to streamline financial operations and optimize cash flow. 

Revenue Cycle Management & Complex Billing Processes

Managing revenue cycles and billing procedures in dental practices can be a complex and challenging task. The numerous insurance plans, co-payments, deductibles, and treatment codes make it essential for dental accountants to maintain a vigilant oversight to ensure accurate revenue collection throughout the patient care cycle.

The registration process, medical coding, and standardized claims require a highly specialized and experienced accounting team to mitigate errors that could lead to payment denials or delayed reimbursements. Dental accountants play a crucial role in overseeing accounts receivable, diligently following up on any outstanding payments, and ensuring that payments align with the services provided.

These tasks demand a high level of attention to detail and expertise to avoid discrepancies that could impact the financial health of the practice. Additionally, accurate tax reporting, maximizing deductions, and planning for tax liabilities add another layer of complexity, emphasizing the necessity for specialized knowledge in dental accounting. 

Effective revenue cycle management and billing processes are crucial not only for financial stability but also for maintaining regulatory compliance. Dental accountants leverage their expertise and implement strategic approaches to streamline operations and optimize cash flow, ensuring smooth operations and financial health for the practice.

How does Bright Balance address and ease these challenges?

Despite the challenges inherent in dental accounting, these obstacles can be effectively managed through a combination of accounting expertise, regulatory knowledge, and efficient practice management strategies. For many dental practices, hiring a professional dental accountant or outsourcing accounting services, such as those provided by Bright Balance, offers a valuable solution. 

Bright Balance offers a flexible staffing model to help dental organizations handle the unique financial challenges that arise when scaling up.  Thanks to our team of highly skilled and motivated experts, we seamlessly integrate with your team to optimize cash flow and costs while ensuring compliance with industry regulations. 

Bright Balance has a team of experts with extensive DSO accounting experience ranging from small to large Integrated Health Care Service Providers. Our team can leverage background knowledge and experience to respond to the challenges faced by clients in the industry and tailor appropriate measures/processes to respond to each client’s needs.

With our available expertise and strategic financial insights, we have helped countless dental practices overcome staffing challenges, achieve cost savings, and maintain profitability during rapid growth and expansion. Our services encompass Transaction processing, CFO augmentation, and Financial Planning & Analysis in addition to the multiple strategic partnerships we bring in finance and efficiency optimization. Our clients in the healthcare industry have reported cost savings of up to 30% compared to maintaining a full-time accounting staff, thanks to our flexible staffing model. 

By partnering with Bright Balance, you can effectively manage seasonal fluctuations, mitigate financial risks, and maintain efficiency while scaling up your dental practice. Our precision, passion, and attention to detail ensure that every number counts towards building healthier and happier smiles. Contact us today to learn more about how we can help your dental organization thrive.

info@brightbal.com

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