# Your Ultimate Year-End RCM Checklist:

Optimizing Your Dental Practice’s RCM Before the New Year

December 18, 2024

As the year draws to a close, dental practices and **_dental service organizations_** (DSOs) across the country are gearing up for their annual **_revenue cycle management_** (RCM) review. This crucial process ensures a healthy financial start to the new year, much like how a thorough dental cleaning sets the stage for optimal oral health.

Let's dive into some essential **_year-end RCM activities_** that can help your practice shine brighter than a perfectly polished smile.

##   Scrubbing the Books: A Deep Clean for Your Finances

Just as you'd recommend a deep cleaning to your patients, your practice's financial records need a thorough scrub at year's end. This involves:

- Reviewing all outstanding **_dental insurance claims_** and following up on those that are aging
- Reconciling payments with bank statements to ensure accuracy
- Analyzing **_denial_** trends to prevent future revenue leakage

While manual reconciliation can be time-consuming, innovative solutions like Remit AI's Claim to Payments Auto Reconciliation can streamline this process, matching remittance data with bank statements automatically.

##   Polishing Your Processes: Enhancing Efficiency

Efficiency in **_RCM_** is like having a well-oiled dental chair – it makes everything run smoother. Take this time to:

- Evaluate your current **_RCM workflows_** and identify bottlenecks
- Update your **_dental billing_** and coding practices for the coming year
- Review and optimize your **_revenue cycle_** flowchart

Modern RCM platforms offer tools to boost productivity. For instance, [**Remit AI's Payment Posting Automation**](/content/payment-posting-automation/index.html) can reduce manual entry by at least 75%, minimizing errors and freeing up staff time for more critical tasks.

##   Filling the Gaps: Addressing Revenue Leakage

Just as you'd fill a cavity to prevent further decay, it's crucial to address any areas of revenue leakage in your practice. Focus on:

- Analyzing your **_insurance aging report_**
- Identifying patterns in denied claims and developing strategies to reduce them
- Ensuring all services provided have been billed accurately

AI-powered solutions can provide valuable insights here. **Remit AI's** **_Denials Management_** feature offers actionable recommendations based on denial trends, helping practices proactively address issues before they impact the bottom line.

##   Preventive Care: Planning for the Future

In dentistry, prevention is key – and the same applies to your practice's financial health. As you wrap up the year:

- Set **_revenue_** goals for the coming year
- Plan staff training to improve **_RCM_** knowledge and skills
- Consider implementing or upgrading your **_RCM software_** for better efficiency

Looking ahead, consider how advanced RCM solutions could transform your practice. Remit AI's suite of tools, including automated EOB/ERA parsing and customizable analytics, can provide the insights needed to make informed decisions and drive growth.

##   Brightening Your Financial Outlook

As you complete these year-end RCM activities, you're setting your practice up for a brighter financial future. Just as advanced dental technologies have revolutionized patient care, cutting-edge **_RCM solutions_** are transforming how practices manage their finances.

By embracing these innovations, you can start the new year with optimized processes, clearer insights, and a healthier bottom line. After all, a well-managed **_revenue cycle_** is the foundation of a thriving dental practice – one that can continue to deliver smiles for years to come.

Remember, in the world of **_dental RCM_**, staying ahead of the curve isn't just smart – it's essential. So why not explore how the latest **_RCM technologies_** could benefit your practice? The future of dental finance management is here, and it's looking brighter than ever.

Ready to boost your practice's financial health? Schedule your personalized demo of Remit AI today and start your journey to optimize RCM.

Don't let another year go by with outdated RCM processes. Embrace the future of dental finance management – your practice will thank you.

## FAQ

## What should dental practices do for year-end revenue cycle management?

Year-end RCM priorities include: reviewing and following up on all outstanding insurance claims especially those aging past 60 days reconciling payments with bank statements, analyzing denial trends to identify recurring issues, auditing your insurance aging report for written-off balances that may still be recoverable, updating CDT coding practices for the new plan year, and setting KPI targets for AR days, clean claim rate, and collection rate going into Q1.

## How do dental practices close out accounts receivable at year end?

Year-end AR close involves identifying all claims outstanding past 90 days and determining disposition (appeal, resubmit, or write off), confirming all December payments have been posted before the books close, reconciling ERA and EFT deposits against bank statements for the full year, and producing a final AR aging report to establish the baseline for the new year.

## What insurance claims should dental practices prioritize before year end?

Practices should prioritize: claims approaching payer filing deadlines (typically 90–365 days from date of service), high-value denied claims that are still within the appeal window, claims where eligibility or benefit information changed during the year, and any claims tied to patients who hit their annual maximum as these must be processed before benefits reset on January 1.

## How can dental practices reduce write-offs before the end of the year?

Reducing year-end write-offs requires a systematic review of aging claims: identify all claims 60+ days with no payment, check denial status for each, confirm whether appeal windows are still open, and assign follow-up tasks to specific team members with deadlines before December 31. Automation platforms like Remit AI surface aging claims automatically and prioritize those with the highest recovery potential.

## What RCM KPIs should dental practices review at year end?

Key metrics to review annually include: average AR days (target under 30), clean claim rate (target above 95%), denial rate (target below 5%), collection rate (target above 98%), and percentage of AR over 90 days (target below 15%). Comparing these metrics to the prior year reveals trends and sets a baseline for improvement targets heading into the new year.

## Should dental practices upgrade their RCM software at year end?

Year end is a practical time to evaluate RCM technology billing volumes are clearer, team availability for training is typically higher in Q1, and a new system can be benchmarked against full-year historical data. Key questions to assess: what percentage of payments are still posted manually? What is your current denial rate? How many hours per week does the billing team spend on reconciliation?

## How does year-end RCM preparation affect Q1 cash flow?

Practices that complete thorough year-end RCM reviews resolving aging claims, reconciling all payments, and setting clear follow-up workflows typically see stronger Q1 cash flow because they begin the year with a clean AR baseline. Unresolved year-end claims left untouched are statistically unlikely to be collected most will age past 90 days and become write-offs in Q1.
