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End of Month Reconciliation

Monthly financial, compliance, and operational close-out procedures.

admin monthly closing billing insurance Dental Document

5 steps · about 75 minutes · published by Dental Document

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The steps

01

Reconcile production vs. collection for the month

Compare total production, adjustments, and collections against PMS reports.

15 min Required
Why this matters

Production-to-collection ratio reveals billing efficiency and cash flow health.

How to do it

1. Run monthly production report. 2. Run collections report. 3. Calculate collection percentage. 4. Flag discrepancies over 5%.

02

Review and follow up on outstanding insurance claims over 30 days

Identify unpaid insurance claims and initiate follow-up.

20 min Required
Why this matters

Claims over 30 days risk timely filing limits and represent cash tied up in AR.

How to do it

1. Run aging report filtered to 30+ days. 2. Identify top 10 balances. 3. Call or resubmit each claim. 4. Document action taken.

03

Review patient account balances and send statements

Generate and send patient statements for outstanding balances.

15 min Required
Why this matters

Consistent billing keeps AR current and patients aware of their responsibility.

How to do it

1. Run patient balance report. 2. Review accounts over $50. 3. Generate statements. 4. Send via mail or electronic portal.

04

Verify all compliance logs are complete for the month

Audit sterilization logs, exposure control records, and training documentation.

15 min Required
Why this matters

Monthly verification catches gaps before they become audit findings.

How to do it

1. Review daily sterilization logs for completeness. 2. Check exposure control log. 3. Verify any training sessions are documented. 4. File all records.

05

Back up practice management system data

Perform or verify monthly backup of all PMS data and patient records.

10 min Required
Why this matters

Data loss from system failure without backup can be practice-ending. HIPAA requires backup procedures.

How to do it

1. Initiate PMS backup. 2. Verify backup completed successfully. 3. Store off-site or in approved cloud storage. 4. Document backup date.

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