Getting reimbursed for the patients that you see is a critical part of keeping your practice profitable and operating. Whether you have one biller in your office, submit claims through a clearinghouse, or enlist of the help of a billing service you need to make sure that you're getting fully reimbursed for your services, and keeping rejections and denials at a minimum.

If you're looking for ways to improve your billing and claims
management it might be worth looking into a clearinghouse solution that can help you better manage your claims. With a claims management solution you should be able to manage claims with thousands of payers in one location, spend less time on the phone, quickly identify and correct rejected claims, generate comprehensive reports, and simplify remittance and payment reconciliation. We've got a list of important questions to consider if you're looking for a solution that can help improve your claims processes.

Ask Your Optometry Insurance Billing Company These Questions

Turnaround time is everything. You should know how quickly the new solution will help you get reimbursed. It is also important to know how many days your billing company needs to work rejections. It's one thing to submit claims every day or every other day, and it is another to work rejections in a timely fashion. Remember, a claim isn't truly filed until it has been accepted by the insurance company.

"What is the average number of days it takes from the time a claim is submitted until it is processed?"

Knowing the average claim processing time of your clearinghouse is important to get an idea of the amount of time it should take for you to get reimbursed.

"What is the rejection rate?"

Are denials common? Knowing the rejection rate can let you know if you're receiving more denials than what is normal.

"How is missing information handled? And how often should I receive those requests?"

Sometimes additional information is needed for reimbursement. You should know what that process looks like with your billing company.

"What kind of reporting and analytical information should I receive?"

Analytics are important for improving your practice overall. You should know what reports your billing company offers and what they mean for your office.

"What kind of HIPAA concerns are addressed?"

HIPAA compliance is a big part of the claims process. You should always know how your billing company takes care of their compliance.

Are you unsure if your claim filing processes are up to par? Take this efficiency quiz to find out!