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Most healthcare practices have experienced the same frustrating scenario. The patient was seen. The documentation was completed. The claim was submitted correctly. Every step appears to have gone according to plan, yet weeks later, the payment still hasn't arrived...
Read Article →Are you frustrated with eye care insurance and vision plan claims being denied? Dealing with denied claims is a common part of running a practice. However, knowing how to appeal a claim can protect your revenue and ensure patients get the care they need.
Do not despair; there are ways to appeal and win your claim. In this blog, we'll share tips to help you successfully navigate the denied claim appeal process.
Lost insurance revenue can devastate an eye care practice. Navigating the complexities of insurance coding can be challenging. That’s why assigning the correct diagnosis codes, procedure codes, and modifiers is critical before you file a vision plan or medical insurance claim.
In this blog, we’ll review the difference between billing codes and modifiers.
When you're not bogged down by repetitive revenue cycle management (RCM) tasks, such as verifying insurance coverage and meticulously filing claims, you can dedicate your energy to what truly matters—enhancing the quality of patient care.
An efficient RCM process is crucial for a thriving optometry or ophthalmology practice. Here are a few key areas to focus on.
Medical insurance and managed vision care (MVC) billing audits can be stressful, time-consuming, and costly for eye care practices. That’s why it’s critical to have a process in place to protect your practice (and sanity) before you get the dreaded audit request letter, or the auditor shows up at your door.
In this blog, we will review what triggers a vision plan and medical insurance audit, how to prevent audits, and what to do if you get audited.
Your eye care practice faces numerous challenges every day. You’re keeping up with constant Medicare regulatory and coding changes, declining reimbursements, or worse, getting Medicare to pay claims at all.
Are you noticing more Medicare claim rejections or denials appearing in your inbox? Review a few common Medicare billing dos and don’ts to guide your practice toward healthier revenue.
Researching and resubmitting denied claims can lead to long, frustrating hours trying to figure out what claim denial and claim adjustment reason codes mean, and what action to take. The good news is that almost 90% of claim denials are avoidable with a proactive revenue cycle management and optometric billing solution.
Optometric billing rejections and denials can be a nightmare for eye care providers. They delay payments and affect cash flow. This blog will explore three common reasons for medical billing rejections and denials and offer actionable insights on how to avoid them.
Every time you think your optometric billing is under control, new reimbursement, coding, or staffing roadblocks appear. Increasing collections and improving out-of-control accounts receivable (AR) is critical for revenue growth. Follow these optometric billing tips to help your eye care business thrive.
Claim denial management strategies for optometry and ophthalmology practices are critical to quickly identifying, resolving, recovering from, and preventing denied claims. How can you keep the denial rate below 5% and boost unhealthy cash flow? In this blog, see common reasons for claim denials and solutions to help you improve your cash flow.
Opticore Optometry Group faced several optometric billing challenges that affected its revenue stream before transitioning to Fast Pay Health. Dr. Taylor Tedder, President of Opticore Optometry Group, shares how a tailored billing and RCM service resulted in positive solutions and a return on investment in a few months.
Schedule your Free Revenue Cycle Analysis today and learn how Fast Pay Health can help strengthen your financial performance.
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