#1 Dental Billing and RCM Solution In Utah, UT [2025]

Running a dental practice in Utah takes more than great clinical work. Behind every cleaning, filling, or root canal is a maze of insurance claims, billing, and paperwork. 

‍One mistake, and your payments get delayed or denied. With the introduction of HB0495 in May 2025, understanding and adapting to these changes is crucial for the financial health of your practice. 

At Zeroed-In Dental Solutions, we specialize in helping Utah dental practices navigate these complexities. Here’s what you need to know about HB0495 and how it impacts your revenue cycle management (RCM).

Understanding HB0495: Key Changes for Dental Practices

Enacted on May 7, 2025, HB0495 introduces significant reforms aimed at enhancing transparency and fairness in dental billing practices. Here’s a breakdown of the key provisions: 

1. Transparency in Downcoding and Bundling

Insurers are now required to provide clear explanations for any adjustments made to submitted claims, particularly when:

• Downcoding: Reducing a claim to a less complex or lower-cost procedure code.
• Bundling: Combining multiple procedures into a single billing code. 

These practices must be justified and cannot prevent providers from collecting appropriate fees for services rendered.  

2. Limitations on Automatic Recoupments

Insurers cannot automatically recoup overpayments unless: 

• The recoupment occurs within 60 days of notifying the provider.
• The provider consents to an earlier recoupment.

This provision ensures providers have adequate time to address and dispute any overpayment claims.

3. Prohibition of Mandatory Credit Card Payments

Providers cannot be compelled to accept claim payments via credit cards or similar arrangements. Insurers must offer alternative payment methods, such as tangible checks, ensuring providers aren’t burdened with additional processing fees.  

4. Expanded Dispensing Authority for Dentists

Dentists are now authorized to dispense certain medications, including prescription fluoride, directly to patients, regardless of treatment duration. This change facilitates better patient care and compliance.  

Bottom line? If you’re not reviewing your EOBs, downcoding trends, and payment practices regularly, you may be losing money without even knowing it.

Why Billing Gets Messy (and Expensive)

Even with a trained front desk, billing often slips through the cracks. Here’s what we see most often with Utah practices we work with:

• Claims denied due to coding errors
• Delays in follow-up due to short-staffing
• Uncollected balances over 90 days
• Confusion over new insurance guidelines
• Medicaid headaches

All of this adds up to one thing: lost revenue. And you deserve better.

What Is Dental Revenue Cycle Management?

Revenue cycle management (RCM) is just a fancy way of saying: how your practice gets paid. It includes everything from verifying a patient’s insurance before their visit, to submitting claims, to following up on payments, to billing patients after insurance.

Here’s what a typical dental RCM process looks like:

• Confirm insurance eligibility
• Create treatment plans and apply correct codes
• Submit claims to insurance
• Post payments
• Appeal denials
• Send statements to patients
• Follow up on unpaid balances

If even one of these steps goes wrong, it can delay payments, or worse, result in never getting paid at all.

How Zeroed-In Dental Solutions Helps Utah Dentists Win

We’re not a billing software. We’re not a call center.

We’re a white-glove dental billing service led by experts who truly care about your practice, founded by Linda Kane, a seasoned professional with over 20 years in the industry.

Here’s what we offer to Utah practices:

Ensuring Compliance with HB0495

We stay abreast of all regulatory changes, ensuring your billing practices align with the latest requirements, minimizing the risk of claim denials and audits.

Optimizing Revenue Cycle Management

Our team streamlines your billing processes, from accurate coding to efficient claim submissions, ensuring timely reimbursements and improved cash flow.

Training and Support

We provide comprehensive training for your staff, equipping them with the knowledge to handle billing procedures confidently and compliantly.

Customized Solutions

Recognizing that each practice is unique, we tailor our services to meet your specific needs, whether you’re a solo practitioner or part of a larger clinic.

Let’s Get You Paid The Right Way

At Zeroed-In Dental Solutions, we don’t believe billing should be confusing, stressful, or a black hole. We believe in transparency, results, and truly personalized support for every practice.

Zeroed-In Dental Solutions is your best option in Utah for dental billing and revenue cycle management that’s compliant, consistent, and completely tailored to you.

Chat with Linda Kane today to uncover lost revenue, simplify your operations, and finally take billing off your plate, once and for all.

Frequently Asked Questions

Can you work with our current dental software?

Yes! We work with Dentrix, Eaglesoft, Open Dental, and other leading practice management systems.

Do you only work with Utah dental practices?

While we serve clients across the U.S., we have special expertise in Utah, including local payer knowledge and compliance with HB0495.

Is it expensive to outsource billing?

Not when it’s done right. Most practices see increased revenue and faster collections that more than pay for our service.

Can you help with a messy A/R situation?

Absolutely. We specialize in A/R clean-up projects, getting old claims paid and putting a system in place that prevents backlogs going forward. Chat with Linda today to get started!