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Insights. Education. News.
Our Blog
Insights. Education. News.
In our library of articles, our team of experts answer questions and provide insights about everything related to RCM in optometry.
Five Strategic Advantages of Outsourcing Your RCM Services
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 ...
Changes to VSP and Eyemed Claim Submissions
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 ...
Understanding QMB in Medicare Billing
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 ...
The Importance of the Medicare Portal
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 ...
Medicare Billing 101
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 ...
Why Payer Portals Are Your Pal
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 ...
A Quick Breakdown of Billing and Credentialing New Grads and Doctors
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 ...
Your Toughest Medicare Billing Questions Answered
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 ...
Demystifying the Most Misused Modifier
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 ...
5 Pressing Questions about Misused Modifiers
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 ...
7 Questions to Ask before You Hire a Freelance Insurance Biller
Beware of the security concerns before you outsource your billing and hire a freelance insurance biller. The Covid 19 crisis reshaped work in America. According ...
Credentialing through a Practice Transition
A Q&A with the RevCycle Partners Credentialing Team Credentialing your optometry practice through a practice transition can feel like jumping through endless hoops. You hop ...
Time to Revalidate Your Medicare Enrollment!
It’s time to revalidate your Medicare enrollment By Dave Kegel, Manager of Credentialing Two years ago, during the COVID-19 Public Health Emergency (PHE), Centers for ...
What to Do When You Face Insurance Payer Denials
When insurance payer denials continue to wreak havoc By Amanda Kissinger, RevCycle Partners Billing Service Group Manager The best insurance billers are tenacious. They have ...
3 Reasons Optometry Practices Outsource
Reasons Optometry Practices Outsource By Melissa Jacobson, Operations Manager While there are many reasons optometry practices outsource, it’s never an easy subject to discuss with ...
Commonly Misused Coding Modifiers
MODIFIERS ARE COMPLICATED By Melissa Jacobson, Operations Manager Using the incorrect procedure modifiers—or missing them altogether—can lead to denials. Denials, of course, mean delays in ...
How Eligibility and Benefits Verification Create A Better Patient Experience
“BUT PATIENTS WILL BE ANNOYED! THEY DON’T WANT TO BE BOTHERED.” By Christine Schneider, VP of Operations That’s what many patient care coordinators may think ...
Alleviate Your Transition Period: Outsource Your Insurance Billing
IS YOUR OPTOMETRY PRACTICE IN TRANSITION? By Amanda Kissinger, Billing Services Group Manager Maybe you’re growing and buying up a practice or two. Or maybe ...
Medicare Denials for Glasses after Cataract Surgery
MEDICARE DENIALS By Amanda Kissinger, Billing Services Group Manager Medicare denials are perplexing. And frustrating. One small detail missed—and a service won’t be covered. Particularly ...
Improve Your AR with Electronic Payments
MAIL DELIVERY IS SLUGGISH Blame it on the Covid pandemic or the politicization of the system, but the United States Postal Service’s delivery rate bottomed ...
The Hidden Complexities of Credentialing a New Doctor
credentialing a new doctor By Christine Schneider, VP of Operations Credentialing Seems Simple But even practices that pride themselves in being on top of credentialing ...
Details on the 2021 ABN Update
ABN Update By Melissa Jacobson, Director of Insurance Billing In January 2021, the Centers for Medicare and Medicaid Services (CMS) revised the Advanced Beneficiary Notice ...
New Evaluation and Optometry Coding Changes for 2021
Optometry coding changes By Casey Squicquero, Billing Support Group Manager, RevCycle Partners The new year always brings new coding guidelines. Here are a few coding ...
6 Vexing Insurance Billing Questions for Eyecare Practices
common insurance billing questions that stump the best of us By Christine Schneider, VP of Operations If you’re an insurance biller for an optometry practice, ...
Embracing Outsourcing as a Strategy
IS IT TIME TO RETHINK YOUR STRATEGY When it comes to outsourcing your optometry office’s functions, it’s natural to look only at the direct ...
Advances in Improving Aging Claims Process
HOW REVCYCLE PARTNERS IS CHANGING AND IMPROVING THEIR AGING CLAIMS PROCESS. By Melissa Jacobson, Operations Manager of RevCycle Partners Transparency translates to accountability. And accountability ...
How to Account for a Medicare Pre-Payment
DO YOU HAVE QUESTIONS ABOUT HOW TO ACCOUNT FOR A MEDICARE PRE-PAYMENT? By Christine Schneider, Vice President Do you have questions about how to account ...
Update on Medicare Reimbursements for Telemedicine Visits
WHAT YOU NEED TO KNOW ABOUT THE RECENT CHANGES. By Christine Schneider, Vice President In these unprecedented and difficult times, we want to help you ...
Avoid Billing Detours for Co-Managing Cataract Care
THREE THINGS TO KEEP IN MIND TO EASE CO-MANAGING CATARACT CARE. By Melissa Jacobson, Operations Manager Co-managing cataract care with ophthalmologists is one way you ...
2 ODs Share Their Struggles with Eligibility and Benefits 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 eyecare ...
Growing Pains of a Growing Practice: The Benefits of Outsourcing Your Credentialing
A CASE STUDY ABOUT THE BENEFITS OF OUTSOURCING YOUR CREDENTIALING. By Jon Kettner The Growing Pains of a Growing Practice: A large optometry practice—with multiple ...
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 ...
Important Changes to Credentialing for 2020
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 ...
Coordinating Benefits for Your Eyecare Practice – 3 Easy Steps
A START-TO-FINISH PROCESS. By Christine Schneider, VP of RevCycle Partners Coordinating benefits for your eyecare practice is complicated. Optometrists have to deal with coordinating medical ...
Billing Medicare and Medicaid
A START-TO-FINISH PROCESS. By Christine Schneider, VP of RevCycle Partners Billing Medicare and Medicaid can be a messy process. If not handled correctly, it can ...
Outsourcing to Improve the Cash Flow of Your Practice
QUESTIONS TO ASK TO DETERMINE IF IT WILL BENEFIT YOUR EYECARE PRACTICE. In “The Review of Optometric Business,” Peter J. Cass, OD claims that you ...
Want a More Efficient Eyecare Practice?
TIPS TO CUT TIME SPENT ON ADMINISTRATIVE WORK AND INSURANCE OBSTACLES. Staying on top of administrative tasks and insurance billing is key to making a ...
Do You Have Time to Be Present with Your Patients?
AN ESSAYIST DISCUSSES THE CHALLENGE OF MAKING MORE TIME FOR FACE-TO-FACE INTERACTION IN A TECH ERA. Staying on top of your optometry practice’s details–whether filling ...