The 4 most-pressing questions eyecare practices ask when weighing whether to outsource their insurance billing. The situation feels out of control. Your AR is drifting out to sea. Some of your claims have hit 90 days. You’ve just lost a staff person. And other key team members are grumpy about the additional load. Billing tasks are delayed until they’re neglected. Oh—and another claim denial just came through. Many eyecare practices struggle to stay on top of their insurance billing. Practice...

In this testimonial, Dr. David Anderson, OD and Co-Founder of Optometric Management, shares how outsourcing through RevCycle Partners became an essential component of growing his practice.

How to strengthen your access controls to better manage patient data. No eyecare practice expects to violate HIPAA compliance. But violations sneak in because of human error. In 2020, Verizon revealed that 31% of healthcare breaches were due to human error. There might be vulnerabilities in your current system that allows unauthorized individuals access to sensitive patient information. This, of course, can lead to serious HIPAA compliance issues. But there’s a simple solution: strengthen your...

In the video, RevCycle Partners Credentialing Services Manager Dave Kegel answers the most frequently asked questions about outsourcing your practice's ongoing credentialing. The video helps optometry practices sort through the decision of outsourcing credentialing.

It takes longer than you think. Here are tips to stay on track. You snagged a promising optometry grad. She will perfectly round out your team. You’re eager to pull her into the rotation. But first things first: She must get credentialed. Don’t be surprised if the credentialing process takes longer than you thought. To help you frame credentialing your optometry grad, Dave Kegel, manager of RevCycle Partners’ credentialing team, sheds light on how long it really takes and offers ideas for...

A checklist with tips to make insurance billing efficient in the new year. by Melissa Jacobson, RevCycle Partners Operations Manager As the countdown to the new year ticks away, it's time to ensure your eyecare practice is well-prepared for 2024. It's easy to get caught up in the day-to-day operation of your practice—and let the little things slip. But revisiting some fundamental best practices—in credentialing, E&B verification, and billing—can make a significant difference in your...

And strategies to keep your billing in tip-top shape. by Melissa Jacobson, RevCycle Partners Operations Manager Are you concerned about the state of your eyecare practice's finances? Is your biller doing the work they were tasked with? Are they falling behind on accounts receivables (AR)? Could there be money on the table waiting to be claimed? These are vital questions every eyecare practice owner should ask. Efficient billing management is essential for your practice's financial well-being....

"Are my vendors HIPAA compliant?" It's a question most physicians overlook. They're too focused on internal measures. However, ensuring HIPAA compliance beyond your practice is key to safeguarding patients' protected health insurance (PHI). In this episode, RevCycle Partners' experts Christine Schneider and Jon Kettner explain the importance of vendors in ensuring HIPAA compliance. They highlight the proactive steps RevCycle Partners takes and offer guidance to bolster defenses against...

A comprehensive guide for modifiers, payer portals, and timely filing. You’re the billing expert. But even experts come up against roadblocks. And when it comes to insurance billings, roadblocks crop up at unexpected times. When RevCycle Partners’ team of billers asked for you to share your toughest billing questions, we received a variety that boggle the best of billers, from misunderstood modifiers, payer portal logins, and timely filing best practices. Whether you’re a seasoned healthcare...

Are you an optometrist grappling with whether to outsource your Revenue Cycle Management (RCM) activities? Maybe you’re expanding to multiple locations. Maybe you’ve had a string of billers leave, wreaking havoc on your AR. Or maybe you’re merging or being acquired, have specific compliance concerns, or simply desire to focus more on patient care. Whatever your reason, outsourcing is a big decision—especially if you have never outsourced before. It's natural to have concerns. What will the...

CPT II Codes Required for Diabetic Diagnosis Important changes have been made to claim submissions with VSP and Eyemed that directly impact your insurance billing. Both payers now require the use of CPT II codes in conjunction with diabetic diagnosis codes. Here are the details you’ll need to adjust to the changes: VSP Claim Submissions and CPT II Codes VSP now requires the reporting of an accompanying CPT II code when a diabetic diagnosis code is used. The purpose of these CPT II codes is to...

Have you ever unintentionally billed a patient who wasn't responsible for specific charges? Such situations can be stressful for both you and the patient. In this video, we're zooming in on Qualified Medicare Beneficiaries, or QMB, a crucial aspect of Medicare billing that can prevent these hairy situations.

Insurance claim denials due to eligibility issues can cause significant delays. And that leads to frustrations for patients and your practice. Dealing with Medicare denials can feel like navigating a labyrinth – winding, confusing, and filled with dead-ends. But there’s a tool available to help you overcome these challenges so your practice is more efficient: the Medicare portal. If you’ve ever take this tool for granted, tune in so you can learn how helpful it can be for billing Medicare.

Do you ever feel overwhelmed when dealing with Medicare billing? It's understandable. Medicare comes in several types, each with their unique billing requirements. Understanding the differences between each is the foundation to successful Medicare billing. Here are 3 tips to help you correctly identify each Medicare plan.

A smart resource to tap into in addition to your clearinghouse. By Sarah Gray, RevCycle Partners When you have a clearinghouse portal to submit your claims, you may wonder why you would ever need to use an insurance payer portal. What’s the point of using payer portals? More portals create more pains: another system to learn; more passwords to manage; too many windows open on your desktop monitor. You might be surprised to know the hidden benefits of using payer portals in addition to a...

A Q&A with WeCredential Manager Dave Kegel From billing locum tenens to CAQH applications to when you can start billing under a new grad: there are plenty of misunderstandings about billing and credentialing. Dave Kegel, Manager of WeCredential, breaks down your most pressing questions to help you with billing and credentialing new providers. Q: I’m opening a cold start with only me as a doctor. Do I need a group NPI? DK: It depends on how your organization is classified. Usually, if it's...

Medicare is tricky. Our billing expert simplifies it for you. By Casey Squicquero, Staff Development Manager, RevCycle Partners Just when you think you have a grasp on Medicare, a claim is denied. Medicare has a dizzying number of exceptions that make billing not for the faint of heart. In a recent webinar, “Simplifying Medicare: A Start to Finish Process,” your toughest Medicare billing questions were answered. But our audience had more tough Medicare Billing questions after the presentation....

How to use Modifier 59 properly. By Melissa Jacobson, Operations Manager, RevCycle Partners Misuse of modifiers remains a consistent problem amongst optometric practices. They can be tricky to understand. And even trickier to know when to use. Misuse of common modifiers leads to inevitable claim denials (and headaches for providers). One of the trickier modifiers—the most misused modifier—is Modifier 59. What Is Modifier 59? Modifier 59 is used to identify procedures and services that are not...

Insurance billers asked. And we answered. Melissa Jacobson, Operations Manager, RevCycle Partners When a medical claim is denied, it’s often because of a missing modifier or a misused modifier combination. It’s easy to mix up modifiers. Unfortunately, mix-ups can lead to delays in payments or, in some cases, nonpayment. Worse, they might trigger an audit that can lead to hefty fines. RevCycle Partners recently presented a webinar, “Commonly Confused Modifiers: Common Scenarios of Misuse and...