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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 →You can see patients back-to-back, fit them for glasses and contacts, and keep your schedule full. But when you check your financials, the numbers tell a different story. Cash flow feels tight. Bills get paid late. New equipment has to wait. The problem isn't the number of patients you see—it’s hidden revenue leaking out of your practice through poorly managed accounts receivable (AR).
No one likes to see a denied claim from an insurance or vision plan payer. A denied claim is lost or delayed revenue for your eye care practice.
Researching and resubmitting denied claims can lead to long, frustrating hours trying to figure out why the claim was denied in the first place. That’s why nearly 65% of denied claims are never reworked by providers.
Let’s look closely at common coding denials, reasons, and how you can establish a proactive solution to increase your busin
Running a successful eye care practice means more than delivering excellent care–it also means getting paid accurately and on time. Revenue cycle management (RCM) can be challenging, especially when insurance requirements shift and staffing is tight.
Billing services and solutions should help support your practice in everything from claim submission to denial resolution.
Here are the top 7 billing questions we hear most often from optometry and ophthalmology practices.
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.
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