One of the great things about running a blog is that I get to take a look at data. This data comes from my readers and those they pass us on too. I get to see trends, likes, dislikes and more. The most important piece of data I get to see, however, is exactly which articles my readers love the most.
Over the past few months I have noticed that when we publish a piece relating the billing of insurance companies for cataract post-operative procedures our hits go way up! This, among various Google and Bing searches, leads me to believe that this is a hot button issue for optometrists. In fact, I know it is a hot button issue because we get calls at opticXpress concerning this issue all the time.
What I don't understand is why? Why is it that it is so hard for optometrists to bill for this procedure and get paid for it?
There are just a few steps needed to properly bill and get paid for the procedure.
After looking back at all those steps and how wordy it is I can see why so many doctors don't get paid for these services! It's too bad, it can be very lucrative for your office. However, unless you are handwriting these claim forms, it's most likely not your fault that your getting nothing for these services. The bottom line is that you just spent way too much money on office management software without taking into account the fact that it needs to be able to help you provide these services to your clients! If you had known about or chosen opticXpress software , the 8 steps listed above....GONE! You could have stopped at number 3!
Billing for Cataract Post-Operative care should not be hard. It should be as easy for billing for an eye exam. With opticXpress at your side, billing for these services IS EASY! Watch this 59 second video to see just how easy it can be. Then...
CALL opticXpress AND LET US HANDLE CATARACT POST-OP BILLING FOR YOU!
Is this something that you have experienced in your office? Do you have stories about billing for cataract post-op care? Use the comment section below to let us know.
Melanie Denton OD, MBA, FAAO recently wrote and article for optometry times relating to the "insurance game". She is 100% right...INSURANCE IS A GAME and unless you learn the rules your practice will never be as successful as it could be, it's just that simple.
One of the biggest things she points out is sometime I've been telling clients for years: when it comes to your insurance billing it's important to STAY INVOLVED! This doesn't mean to hang over your biller's shoulder and check every little thing they do. It means learn and understand the process and the intricacies so that you can have informed and intelligent conversations with your biller and/or the insurance companies. If you know how things work, you'll be that much better prepared to check up on things, make adjustments when things go wrong and make intelligent and informed decisions about the direction your practice is going.
I have included an excerpt of her article below. You can always click the link to read the whole thing.
I know exactly how insurance is billed at my office. Is that the best use of my time?
This is how we get paid, so I think staying involved is a good idea right now when our patient load is smaller.
Staying involved is also effective in making sure that as a practice we set things up correctly. I have watched countless YouTube videos about CMS 1500 forms and how to fill them out, how to read explanation of payment forms, and clearinghouse-specific training.
Related: Defining success: Is more better?
I know how our practice management system interfaces with our clearinghouse, and often I send the claims myself. In the setup period, it is critical to be attuned to the details.
Even if your practice is well-established, it is important to spot check claims and ensure that they are completed correctly not only to ensure your revenue stream is what it should be but also to guard against potential audit concerns.
In addition, staying involved helps me to know which commercial carriers are excluding us from specific panels without telling us. (Sometimes PPO or HMO panels require a primary-care referral first or require your participation on that specific sub-panel).
There is no shortcut to setting up your office for the first time on insurance panels. The process is time consuming and at times maddening. Some of the companies we are now regularly taking payments from took six to eight months to credential us.
This is a marathon, not a sprint. Don’t take no for an answer. Fight the good fight.