While Medicaid dental is often referred to as insurance, in reality it is budgeted healthcare. Reducing the cost of delivering Medicaid benefits leaves more money available to provide appropriate and efficient care to as many members as possible.
Administrative costs, such as processing claims, account for only 2% to 4% of the total cost of any program. The real savings opportunity comes from effectively managing benefit costs.
Benefit management by Scion Dental ensures budgeted dollars make more and better care available to more members while also improving the provider experience through, among other things, higher reimbursement rates. It’s all part of Scion Dental’s commitment to delivering unmatched program stewardship.
Scion Dental helps payers ensure more effective use of taxpayer money in three ways:
Automated Claim Review Using System Edits
Easily and automatically catches and denies claims seeking payment for care that is not appropriate.
Traditional Utilization Management
Using our industry-leading Enterprise System software, we can create custom authorization schedules for any provider and add authorization requirements where necessary. All of which ensures our team of consulting dentists and other professionals can focus their attention where it is most needed.
Enhanced Benefit Management
A Scion Dental exclusive. Our team of specialists use big data to regularly analyze each market on a number of levels to develop strategies that help our clients use the budgeted funding more effectively. Scion Dental can then help implement the recommended strategies or turn them over to the client’s team for them to take action.