Guest Post: Medical Insurance Verification Action Plan

Posted by Madhu Singh on Thu, Apr 09, 2020 @ 08:04 AM

Have you ever discussed a medical insurance deductible with a patient and THEIR deductible is YOUR fault? Or has the patient ever been surprised that their co-pay was $45 at the checkout? These are telltale signs that you have an opportunity to educate your patients on how their medical insurance can cover their eye health conditions.

Most patients do not understand their insurance coverage, especially as it relates to medical eye care, and therefore do not use their insurance to its fullest. When you provide medical eye care, the patient is more loyal than the “retail only” patient. In order to build a lasting relationship, patients should know that optometrists are qualified to provide medical eye care. 

Jerry Godwin from OMS shows us how to verify insurance before patients arrive at your practice so that you don't miss out on revenue. We've included his action plan below, but you can read more information on his website.

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3 Signs Your Optical Practice Outgrew Your Claims Management Process

Posted by Jeff Rezabek on Tue, Mar 31, 2020 @ 10:03 AM

Your practice has come a long way since it opened, but you still have some fire left in you to continue caring for your community’s ocular health. The only problem is, your practice may have outgrown your claims management processes, which could be leaving revenue on the table.

So, how do you know if you’ve outgrown your claim management practices? This post identifies a few different signs you may experience if your optical practice is outgrowing your claims management efforts and provides a remedy that scales.

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Eyecare Practice Owner's Guide to Medical Credentialing

Posted by Madhu Singh on Thu, Mar 05, 2020 @ 08:03 AM

For anyone who owns their own practice, medical credentialing is probably something you're familiar with. If you're researching what you need to open your own optometry practice or to move to a different state, then you'll need to know how the medical credentialing process works for ODs.

In order to work with insurance providers, you'll need to complete a review. Jerry Godwin from OMS provided us with his intelligence on medical credentialing from starting the process to what happens after you've been approved. Keep reading to make sure you're in compliance with your state's laws and requirements.

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Ophthalmic Coding Resources for Electronic Claims Processing

Posted by Sharon Chin on Tue, Feb 25, 2020 @ 10:02 AM

If you are an ophthalmology professional, it is important to keep your coding knowledge up to date. Especially if your practice sees patients with cataracts, oculoplastics, and other ophthalmological disorders 
 
Whether you are a physician, coding/billing staff, office manager, administrator, consultant, ophthalmic medical personnel, or para-professional, taking the Ophthalmic Coding Specialist (OCS) Exam will benefit you. Here are a few frequently asked questions that we can help answer.
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Optometric Billing: How to Provide Your OD with Full Coverage Info

Posted by Janelle Pauli on Tue, Dec 17, 2019 @ 08:12 AM

In any job it can be easy to fall victim to bad habits. And, if you're a biller in an eyecare practice you probably have a routine down for checking patient eligibility and insurance coverage. When it comes to checking eligibility information it should go beyond simply checking for the patient's scheduled procedure. It's likely that the OD will find additional testing that may need to be done during an appointment, and having the comprehensive coverage information at their fingertips will keep the appointment running smoothly.

With a full schedule it can be easy to fall behind, but providing the OD with complete coverage information will help you avoid any disruptions to the workflow. With all the information they need from the start the OD won't have to leave the exam room to ask the front desk to pull any additional information.

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