New Evaluation and Coding Changes for 2021

by Casey Squicquero, Billing Support Group Manager, RevCycle Partners Rather than using history, examination, medical decision-making and time to determine the level of E/M service, like providers have always used, the update to the E/M coding guidelines will be determined based on 1 of 2 factors: 1. Level of service is defined by medical decision-making for the service – Medical …

Embracing Outsourcing as a Strategy

  Is it time to rethink your strategy now that you are reopened? When it comes to outsourcing your optometry office’s functions, it’s natural to look only at the direct costs. You analyze your in-house staff wages. And then compare them to a vendor’s fees. But there’s more to it than a basic wage to fee comparison. And it’s not …

advances in improving your AR

Advances in Improving Your AR

How we are changing our aging claims process to fight your insurance battles. by Melissa Jacobson, Operations Manager of RevCycle Partners Transparency translates to accountability. And accountability translates to better service. That is why we are improving our aging claims procedures. Our goal, each month, is to touch every aging claim, and place them in front of you in an …

Avoid Billing Detours for Co-Managing Cataract Care

Avoid Billing Detours for Co-Managing Cataract Care

3 Essentials for proper insurance billing. by: Melissa Jacobson, Operations Manager Co-managing cataract care with ophthalmologists is one way you can provide continuity of care to patients before and after surgery. But the logistics of transfer of care can be tricky, and, if not addressed correctly, can slow down the billing process. Here are three things to keep in mind …

2 ODs Share Their Struggles with Benefits and Eligibility Verification

2 ODs Share Their Struggles with Benefits and Eligibility Verification

Why you need a system to improve AR and patient care. Gather a group of optometrists to talk about the challenges of operating an eye care practice, and benefits and eligibility verification will likely crop up. Docs know they should be doing it, but it often is incomplete or sporadic. RevCycle Partners recently chatted with two seasoned eye care practitioners, …

Growing Practice. Growing Pains.

A case study about the benefits of outsourcing your credentialing. By Jon Kettner The Pain: A large optometry practice—with multiple locations, more than 20 providers, and spanning two states—was growing faster than its half-day credentialing specialist could keep up with. Without a dedicated full-time staff, revenue cycle management issues cascaded. The leaders of the practice worried about cash flow implications …

Changes to Medicare in 2020

What you need to know about member IDs, deductibles, and Medigap plans. by Christine Schneider Billing Medicare can be dizzying work because of the multiple updates to policies from year to year, and sometimes even from month to month. In 2020, there are changes to Medicare that will affect your billing if not handled correctly. Below are three changes to …

Cross Your Credentialing T’s and I’s

Make note of these important changes to credentialing for 2020. By Jon Kettner For many optometry practices, the new year is a time when practices ask, “What are my growth goals?” Growth, of course, is tied to healthy revenue cycle management. The new year is the perfect opportunity to make sure you’re aware of changes to credentialing in your state. …