How to Avoid 4 Common Claim Filing Mistakes that Cause Denials

Posted by Janelle Pauli on Tue, Aug 20, 2019 @ 11:08 AM

Claim denials in your practice can put a lot of stress on your biller and your reimbursements. If you aren't keeping up with rejections and denials, your practice could be missing out on a lot of cash. And, if you're using a practice management system or clearinghouse for your billing needs, you can't rely on it to do absolutely everything for you. There are still some things you need to know to make your system work for you.

Today we want to take a look at 4 common claim filing mistakes that can cause denials for many practices, and how you can go about handling and preventing these types of denials in the future.

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Playing Hide and Seek with Your Claim Denials

Posted by Madhu Singh on Thu, Jul 18, 2019 @ 11:07 AM

Many ODs may notice their claims aren’t being reimbursed, and in many cases they don’t have the bandwidth to investigate or they don't know where to start in order to figure out what went wrong. For someone who doesn’t handle the billing process on a daily basis, fixing denials can be a daunting task.

However, if you have defined your processes, it’s just a matter of reviewing each of them to find out where it has broken down. For practices who don’t have a system in place for managing claims, an in-house biller might be the most obvious solution.

We want to examine the processes at a typical office and review the biggest mistakes that could be made at the following stages:

  1. The OD Performs the Service
  2. The Front Staff Invoices the Patient for the Services
  3. A Biller Files the Claim
  4. The Clearinghouse Scrubs the Claim
  5. The Payer Accepts or Rejects the Claim
  6. The Payer Produces an EOB/ERA
  7. The Payment is Posted into Your PM System
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Infographic: Simplifying Your Claims Management with a Billing Service

Posted by Jeff Rezabek on Tue, Jun 25, 2019 @ 10:06 AM

The claims management lifecycle is a complex and detailed process. While electronic claims have reduced phone calls with payers, minimized duplicated data entry, and decreased reimbursement times, they have increased the scale of the insurance claims your biller has to create, track, and manage throughout the lifecycle.

Now, if you or your biller are submitting a batch of claims every week while trying to keep up with other claims already in the lifecycle, then you might be risking reports slipping through the cracks and rejected claims piling up before you even get a chance to correct them.

The Insurance Revenue Cycle Management service from VisionWeb offers vision and medical billing services to take the more painstaking, detail-heavy parts of the optometric billing cycle off your practice's hands. All you and your staff have to worry about is checking the patient’s benefits eligibility and creating the batch of claims. Then we take over to keep your claims moving forward so you can focus more on patient satisfaction.

Follow this infographic to see how VisionWeb’s Insurance Revenue Cycle Management Service works the billing cycle for you to simplify your claims lifecycle.

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17 Insurance Definitions Your Billing Manager Should Know

Posted by Janelle Pauli on Tue, Apr 23, 2019 @ 11:04 AM

The world of health insurance and medical billing and coding can be a complicated one. Even experienced billers have to face ever-evolving changes from insurance companies and government regulations. It makes it even more challenging when your office has hired a new biller or someone with less experience who needs to get up to speed quickly with all of the correct information and processes.

Today, we want to share a quick list of some of the most common insurance and billing terms and definitions that every optometry biller should know. This list can be useful when you're on-boarding billers or getting the rest of your optical team familiar with the insurance process.

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Infographic: Lifecycle of a Claim

Posted by Meagan Vitek on Thu, Jan 31, 2019 @ 14:01 PM

"Efficiency" and "time-saving" are two of our top priorities when it comes to optometry software solutions and insurance claims processing services. We strive to make the OD's life easier by providing your team with top of the line services and streamlining your daily tasks.

One of the best ways to save time and money in your busy eyecare practice is to take advantage of VisionWeb's electronic claims processing services. Processing claims electronically has an endless list of benefits, including spending less time on the phone with payers, reducing redundancies of duplicate data entry, ensuring proper coding of claims, decreasing reimbursement times, and many more. While we are sure you are aware of all these benefits, have you ever wondered what the actual claim filing process looks like on our end? 

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