EXPERT INSIGHT
Stay ahead of shifting insurance rules and industry updates. Your go-to resource for optimizing accounts receivable and building a financially resilient healthcare practice.
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 →Learn how EVAA Fast Pay automates eligibility verification, claims submission, and payment posting to reduce billing workload, improve accuracy, and accelerate reimbursements.
The version of Form CMS-R-131 currently in your files is scheduled to expire on January 31, 2026. However, as of the posting of this blog, CMS is actively developing an updated version of the form. Providers should continue using the existing ABN form until the new form is available from CMS.
Ophthalmology and optometry practices with a large Medicare and Medicare Advantage patient base face unique billing challenges. However, overlooking key billing processes may lead to costly mistakes and reduced cash flow. In this blog, we discuss a client case study and review critical Medicare and Medicare Advantage billing dos and don’ts to help your eye care practice succeed and boost net collections. collections.
The conversation in optometry offices this fall isn't just about scheduling—it's about cash flow. Every OD knows that providing excellent patient care is your core mission, but securing the revenue for that care is the single most significant factor in your practice's long-term sustainability. This requires a robust Revenue Cycle Management (RCM) strategy.
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.
Schedule your Free Revenue Cycle Analysis today and learn how Fast Pay Health can help strengthen your financial performance.
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