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.

Read More

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.

Read More

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.
Read More

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.

Read More

Do you know about the new Medicare Beneficiary Identifier (MBI)?

Posted by Madhu Singh on Thu, Dec 12, 2019 @ 10:12 AM

We're getting close to the effective date for the new MBI, so it's time to prepare your staff for the changes to their claim processing.

As of January 1, 2020, Medicare will only accept the MBI in the "Insured's ID Number" box. This will be based on submission date, not Date of Service. However, the appeals and adjustments will continue to allow providers to use HIC number and MBI. This increases the importance of the practices obtaining the new card from the patient.
 
Keep reading to find out more important information.
Read More