Insurance Billing

From Our Resources

From Our Resources

Tag: Insurance Billing
A Realistic Timeline for Credentialing Your Optometry Grad

A Realistic Timeline for Credentialing Your Optometry Grad

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...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

The cloud-based technology will give owners, practice managers, and billers a clear view into their billing operations for the first time. January 2024 CHICAGO, IL – This spring, RevCycle Partners will launch OneSpot, a cloud-based, billing software product for eyecare practices. OneSpot is productivity software that simplifies and organizes complex billing tasks, providing the entire team with a clear view of the insurance side of the business. “OneSpot is based on the enterprise technology...

Tune Up Your Eyecare Practice’s RCM Processes

Tune Up Your Eyecare Practice’s RCM Processes

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...

Signs Your Biller Might Not be on Top of AR

Signs Your Biller Might Not be on Top of AR

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....

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

RevCycle Partners Now Supports MaximEyes.com EHR and Practice Management Software

The revenue cycle management company extends its insurance billing support to optometry practices using MaximEyes.com. October 2023 CHICAGO, IL – RevCycle Partners, a leading revenue cycle management (RCM) company, is excited to announce its extended support for MaximEyes.com, a cloud-based eyecare practice EHR and practice management software. MaximEyes.com recently introduced user-friendly updates to its cloud-based product offerings, aimed at enhancing operational efficiency for eyecare...

Ensuring HIPAA Compliance Beyond Your Practice

Ensuring HIPAA Compliance Beyond Your Practice

"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...

Your Toughest Billing Questions Answered

Your Toughest Billing Questions Answered

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...

Does Your AR Need Some Attention?

Does Your AR Need Some Attention?

The 6 Benefits of an Aging Claims Clean-Up from RevCycle Partners Do you know the true health of your accounts receivables? It’s easy to get caught up in your day-to-day care of patients and assume your billing team has your AR under control. But even the best billers sometimes overlook aging claims. Download the PDF »

Answering Your Questions about Insurance Billing

Answering Your Questions about Insurance Billing

Learn more about Medicare, payer portals, and modifiers. In this live Q&A, RevCycle Partners' experts answer PECAA members' question about insurance billing. From questions concerning the differences between Railroad Medicare and traditional Medicare, how to use payer portals, and when and how to use different modifiers, this webinar provides answers to your most pressing questions about insurance billing.

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

RevCycle Partners Eligibility Verification Service Now Supports OfficeMate

With the expansion to OfficeMate, WeVerify is available to more eyecare practices. August 2023 CHICAGO, IL – WeVerify, RevCycle Partners’ eligibility and verification service, now supports OfficeMate, a leading practice management software solution for eyecare practices. WeVerify is a service that provides practice staff an immediate picture of the benefits available for each patient at least two days before the visit for vision and medical payers. For many eyecare practices, identifying...

Five Strategic Advantages of Outsourcing Your RCM Services

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 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...

Changes to VSP and Eyemed Claim Submissions

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. 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...

Answering Your Questions about Insurance Billing

How to Navigate Payer Portals

What You Need to Know About Payer Portals When reviewing payer portals, it's important to assess your office and what payers are currently taking. For the most part, each payer has a portal available. It's simply a matter of what payer and type of portal is available. In this webinar, RevCycle Partners' billing services group managers Danielle Kiger and Monica Kinnamore share tips on how to navigate payer portals. This webinar will help you understand what payer portals are available, and how...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

IDOC Selects RevCycle Partners as a Referred Vendor

Partnership supports IDOC’s objectives of helping independent optometry practices grow and succeed. January 2023 CHICAGO, IL – IDOC has selected RevCycle Partners as a referred revenue cycle management vendor. IDOC is a service-focused, business development consultancy for independent optometry practices. RevCycle Partners is one of the largest revenue cycle management (RCM) companies serving eyecare practices in the optometry industry. As an IDOC partner, RevCycle Partners will extend IDOC’s...

Understanding QMB in Medicare 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 this video, we're zooming in on Qualified Medicare Beneficiaries, or QMB, a crucial aspect of Medicare billing that can prevent these hairy situations.

The Importance of the Medicare Portal

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 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.

Medicare Billing 101

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 differences between each is the foundation to successful Medicare billing. Here are 3 tips to help you correctly identify each Medicare plan.

Why Payer Portals Are Your Pal

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 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 Quick Breakdown of Billing and Credentialing New Grads and Doctors

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 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...

Answering Your Questions about Insurance Billing

How to Credential a New Provider

The Ins and Outs of Credentialing a New Provider Credentialing a new provider can be tricky. In this webinar, RevCycle Partners' credentialing manager Dave Kegel provides the ins and outs on how to credential a new provider. This webinar will help you understand how to correctly submit forms, how to use Medicare and Medicaid IDs, what to do with closed networks, and more! After watching, you'll have a better understanding of how to credential a new provider.

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With RevCycle, deposits come in quickly and efficiently and I don't have to worry about it! Dr. Jennifer KeadyFamily Eyecare of Harney County

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Our biller is the absolute best, and we love working with her. Hiring RevCycle to handle our billing was one of, if not, the best business decisions I have ever made. Dr. Katarzyna BabinskiLudlow Eyecare

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RevCycle takes the headache out of the practice when it comes to insurance billing/filling/refilling. They have increased our receipts because of no delays in billing and loss of payment for timely filing. Susan Nelson, Office ManagerSt. Anthony Eye Clinic

Your Toughest Medicare Billing Questions Answered

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 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....

Answering Your Questions about Insurance Billing

How to Simplify Billing for Medicare

A Start to Finish Process of How to Simplify Your Billing Billing Medicare can be complicated. In this webinar, RevCycle Partners' Melissa Jacobson and Casey Squicquero provide tips on how to simply billing for Medicare. This webinar will help you understand the different types of Medicare, and teach you how to find key indicators, and know when and why to use Advanced Beneficiary Notice. After watching, you'll have a better understanding of how to simplify billing for Medicare.

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

Kids Vision for Life St. Louis Selects RevCycle Partners as Its Provider for Insurance Billing and Credentialing Services

RevCycle Partners will assist the Missouri nonprofit as it serves the community’s underserved youth.    December 15, 2022 CHICAGO, IL – Kids Vision for Life St. Louis recently selected RevCycle Partners, a revenue cycle management company, to help manage its Medicaid billing claims and credential its optometrists. The nonprofit provides no-cost vision services to underserved students in the St. Louis, Missouri, area. Through its insurance billing and credentialing services, RevCycle Partners...

Answering Your Questions about Insurance Billing

Commonly Confused Modifiers

Common Scenarios of Misuse and How to Use Them Properly Brought to you by RevCycle Partners, this webinar explains how to use modifiers for insurance billing. Learn about common scenarios of misuse, how to properly use modifiers, and the specifics of Modifier 24, Modifier 55, and more. Watch the webinar here.

Demystifying the Most Misused Modifier

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 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...

5 Pressing Questions about Misused Modifiers

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 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...

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We love our medical biller, she has taken such great care of us. RevCycle is an awesome partner. Deb JaegerEye Center of the Dakotas

Answering Your Questions about Insurance Billing

How to Use Modifiers for Insurance Billing

How to Use Modifiers for Insurance Billing Brought to you by Professional Eye Care Associates of America (PECAA), and in partnership with RevCycle Partners, this webinar explains how to use modifiers for insurance billing. Learn about common scenarios of misuse and how to properly use modifiers. Providing additional information on CPTs and HCPCs to payers to make sure providers get paid correctly for their services, modifiers clarify what occurred during a patient's visit. In order to properly...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

Former RevolutionEHR Co-Founder and CTO Jim Schneider Joins RevCycle Partners

As the new CTO, Schneider will lead the development of the technology infrastructure to support the company’s U.S.-based revenue cycle management team. September 12, 2022 CHICAGO, IL – Former RevolutionEHR Co-Founder and CTO Jim Schneider has joined RevCycle Partners as Chief Technology Officer. As CTO, Schneider will lead the design and build out of a comprehensive RCM Portal to support RevCycle Partners’ rapidly growing team of insurance billers, eligibility and benefits team members, and...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

RevCycle Partners Co-Founder and Executive Vice President Recognized as a Most Influential Woman in Optical

Vision Monday celebrates Christine Schneider as a female executive who has shaped the eyecare industry. August 23, 2022 CHICAGO, IL – Vision Monday recently named its 2022 Most Influential Women in Optical, and Christine Schneider, Co-Founder and Executive Vice President of RevCycle Partners, made the list. For twenty years, Vision Monday, the optometry industry's leading source of news and news analysis, has recognized those women who have made a positive difference in the field of optometry....

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

RevCycle Partners Eligibility Verification Service Now Supports Crystal PM

With the expansion to Crystal PM, WeVerify is available to more eyecare practices. August 18, 2022 CHICAGO, IL – WeVerify, RevCycle Partners’ eligibility and verification service, now supports Crystal PM, a leading practice management and EHR software provider. WeVerify is designed to give practice staff an immediate picture of the benefits available for each patient two days before the visit for vision and medical payers. For many eyecare practices, patient benefits verification before the...

7 Questions to Ask before You Hire a Freelance Insurance Biller

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 to recent polls, one by the Pew Research Center and another by the Becker Friedman Institute for Economics at the University of Chicago, the majority of Americans prefer to work from home—and the majority of workers are at the very least partially working from home. Even though the percentage of work-from-home workers is slightly lower...

Answering Your Questions about Insurance Billing

How to Handle Insurance Payer Denials

understanding payer guidelines Brought to you by RevCycle Partners, this webinar presents strategies on how to handle insurance payer denials. Payer customer service representatives are in the business of denial, and they hold most of the power. But you don’t have to accept what the payer says to be correct. The best way to handle insurance payer denials is to have a thorough understanding of payer guidelines, be specific when inquiring about the denial, and ask specifically why the claim is...

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We have multiple locations, which means there are many claims going out the door on a daily basis. RevCycle Partners is efficient and ensures clean billing. Anytime I've had an issue they are quick to resolve it. We love it! Melissa HaightHarrel Eyecare

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RevCycle has been great to work with for our billing, credentialing, and eligibility verification. They made my job so much easier over the years. Sarah TurnerPrimary EyeCare Centers

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The best move I’ve made in 21 years of business was to outsource to RevCycle. It would have saved so many cashflow dips if I’d partnered with them the first 12 years. Dr. Monte HarrelHarrel Eyecare

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I have been pleased with the years of both billing and credentialing services and will continue to recommend RevCycle Partners. Dr. Laurence LonkyCortlandt Eye Care

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Thank you for all that you do to keep our accounts - our insurance A/R has never been lower! Heidi HipsherNorthland Eyecare

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Our RevCycle biller is very professional, accurate, fast and is like a terrier getting every claim processed to the maximum benefit. We are happy to have her as part of our team. Paul LatkaChicopee Eyecare

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Best decision we ever made. It’s not cheap but it’s consistent and saves you headaches of hiring, training, benefits, etc. Dr. Makenzie ElliottElliott Eye Doctors

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We use RevCycle and like it! It’s much less expensive than paying an employee to do the work. They have been very responsive to any concerns which is important when it comes to money! Dr. Angela BerghoffLoman Eye Care

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We use RevCycle and have a fabulous specialist assigned to us. We use them for posting of medical claims and working the A/R. Elaine StewartWhidbey Vision Care

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I use RevCycle for both medical and vision billing. I learned the hard way and I’ll pay for the peace of mind that my claims are being submitted, and submitted properly and timely. Dr. Jason KaminskiVision Source Longmont

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We appreciate the tremendous efforts and payouts by your billing staff. I don’t foresee us wanting to take medical billing back in house any time soon. It has lifted a load! Talli Vance, Practice AdministratorVance Vision Clinic

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Thanks a million times for your compassionate handling of your customers through the COVID pandemic. RevCycle billing services just about saved my life in February-March and the WeVerify service has proven extremely useful. Jen Heller, Business ManagerPend Oreille Vision Care

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I use RevCycle for medical billing. I have outsourced to at least 3 or 4 different services over the years. When I started with RevCycle my AR was a mess from the prior biller. They have been amazing in cleaning it up. Dr. Sarah Paikowsky 

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Our previous biller retired so we decided to outsource our billing to RevCycle and couldn’t be more pleased. Our transition was very smooth and we have not experienced any problems. We appreciate the outstanding service provided by RevCycle. Lori Dobson, Office ManagerVision Source Mustang

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We use RevCycle for vision and medical billing. It has freed up an entire staff person to focus on patient care. They post everyday so it’s been a lifesaver to keep the A/R down. Dr. Natalie SukontasupFirst Sight Vision Care

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We have multiple locations, which means there are many claims going out the door on a daily basis. RevCycle Partners is efficient and ensures clean billing. Anytime I've had an issue they are quick to resolve it. We love it! Melissa HaightHarrel Eyecare

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We use RevCycle and have had great success. They are quick to get claims filed and do a great job working our aging. We have a good relationship with our RevCycle Partners representative. She lets us know if we are leaving off anything, like diagnosis codes, and always answers any questions we may have. Jennifer Carter, OptometristWest Georgia Eye Care

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We absolutely love our RevCycle Partners representative. She scrubs our claims, finds errors that we would have never caught. She shows us our mistakes, so we can be better informed next time. Jolean DresbachSanderson Eye Clinic

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We could not be happier with RevCycle Partners. Our biller doesn't miss a thing. We were leary after a horrible experience with another billing company, but we are thrilled with RevCycle Partners! Katy Baldry, Office ManagerSanderson Eye Clinic

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My main billing person loves RevCycle Partners. Our AR is under good control. They are less expensive than another billing employee. David Wolf, OptometristLake Oswego Vision Clinic

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It’s been a real lifesaver using RevCycle Partners the past few years. Your crew has done a terrific job, and I have recommended your services to anyone who has asked (and several who have not!). Kelly has been great to work with and very patient. Jean Wrightnour, O.D. 

What to Do When You Face Insurance Payer Denials

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 to be. And yet insurance payer denials continue to wreak havoc. Think of the number of times an insurance payer denies payment. You did your research. You used the right CPT codes for the service provided. You reported the necessary additional information, such as the referring provider. You know it was posted within the...

3 Reasons Optometry Practices Outsource

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 staff. When the subject of outsourcing comes up, the office mood can tighten. Staff can feel threated as they wonder, Will my role be eliminated? Am I not doing a good enough job? In some cases, the job simply isn’t getting done, and outsourcing every aspect of the function is a necessity for practice survival. High...

Commonly Misused Coding Modifiers

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 payment, or worse, non-payment. As a refresher, below are commonly misused coding modifiers for optometry insurance billing. MODIFIER 25:“Used for significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.” This is most...

Alleviate Your Transition Period: Outsource Your Insurance Billing

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 your practice is being purchased. Or maybe because of the pandemic-induced staffing shortages, you’re having trouble hiring staff. Whatever the reason for the transition, it likely will be a chaotic time for your practice. If you outsource your insurance billing, even for a brief period, you can alleviate some of your stress. If you’re...

Medicare Denials for Glasses after Cataract Surgery

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 frustrating are Medicare denials for glasses after cataract surgery—even though you are credentialed with Medicare. What’s going on? Here Are Some Helpful Tips To Keep In Mind To Ensure You Don’t Have To Deal With Medicare Denials For Glasses: Glasses after cataract surgery are considered medically necessary...

Improve Your AR with Electronic Payments

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 out at 62 percent—the lowest in years. It rebounded a bit by March of 2021 to 84%. But even that number falls short of the agency’s target of 96%. If your optometry practice receives a bulk of its payments or processes claims by snail mail, your AR could suffer. You can improve your AR with electronic payments. When you process claims...

Details on the 2021 ABN Update

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 of Non-coverage (ABN) Form. The ABN Form CMS-R-131 is issued to the patient or client by providers, physicians, practitioners, and suppliers in situations where Medicare payment is expected to be denied. The biggest change to the ABN is the special guidance that was added for people who are dually enrolled in both Medicare...

New Evaluation and Optometry Coding Changes for 2021

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 changes for 2021. 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...

6 Vexing Insurance Billing Questions for Eyecare Practices

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, you’re a master problem solver. Each patient is unique, their needs and their coverage. But even the most experienced billers run into vexing billing questions. Here are a few common insurance billing questions that stump the best of us — and their answers to help you provide better optometric patient care. Insurance Billing Question...

Does Your AR Need Some Attention?

Your Bench Just Got Deeper

Revenue Cycle Solutions for the Eyecare Industry RevCycle Partners provides revenue cycle management services for hundreds of eye care practices across the United States. Our calling is to deepen your bench - to serve your practice with our team of revenue cycle management experts. Download the PDF »

How to Simplify Billing for Medicare and Medicaid

How to Simplify Billing for Medicare and Medicaid

BILLING FOR MEDICARE AND MEDICAID. Brought to you by RevCycle Partners, this webinar discusses the struggles of billing for Medicare and Medicaid and provides tips on how to simplify billing. It is difficult to navigate Medicare and Medicaid, from billing wrong payers to receiving denials for medical necessities. The simplest tip when billing for Medicare and Medicaid: you need to have a firm understanding of what your practice is credentialed for and the plans and coverage you accept when it...

How to Successfully Bill Insurance

How to Successfully Bill Insurance

SUCCESSFULLY BILL INSURANCE. Brought to you by RevCycle Partners, and in partnership with RevolutionEHR, this webinar presents various tips on how to successfully bill insurance. The best way to successfully bill insurance is by collecting the necessary information up front. By collecting insurance information as soon as possible, you can explain to the patient which of their plans are active and what benefits they qualify for, which sets you up for a smooth billing process. And when you use...

How to Work Your Aging Claims

How to Work Your Aging Claims

WORK YOUR AGING CLAIMS. Brought to you by RevCycle Partners, and in partnership with RevolutionEHR, this webinar explains how your practice can stay on track of aging claims, and how you can work your aging claims. Learn useful tips on how to prevent aging claims from occurring and how to work your aging claims once they appear. In this webinar, you will, more specifically, learn about processes and procedures surrounding AR. To prevent aged claims from occurring, you should periodically...

Why Should You Outsource Your Insurance Billing?

Why Should You Outsource Your Insurance Billing?

OUTSOURCE YOUR INSURANCE BILLING. Brought to you by RevCycle Partners, this webinar discusses whether you should outsource your insurance billing. A group of panelists tackles various questions that concern outsourcing. Learn more about the value of outsourcing when you’re understaffed or in transition, what specifically your eyecare practice should outsource, and how you can strategically and effectively outsource your insurance billing. In this webinar, you will learn what outsourcing is and...

Options to Outsource Your Insurance Billing

Options to Outsource Your Insurance Billing

OUTSOURCE YOUR INSURANCE BILLING. Brought to you by RevCycle Partners, and in partnership with RevolutionEHR, this webinar provides an overview of what it looks like to outsource your insurance billing. Learn more about the outsourcing options for your practice and how outsourcing can help when you’re wrestling with staffing issues. This webinar also provides a general overview of outsourcing and tackles common misconceptions practices have when it comes to outsourcing their insurance billing....

Embracing Outsourcing as a Strategy

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 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 an all-or-none decision. Here are some reasons for embracing outsourcing as a strategy. Free to Focus on Your Care Outsourcing at its best augments a practice’s team, with the outsourcing vendor...

Advances in Improving Aging Claims Process

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 translates to better service. That is why we are improving our aging claims process. Our goal, each month, is to touch every aging claim, and place them in front of you in an easily digestible format. At the beginning of each month, you will receive a spreadsheet of all aging that is 46 days and...

How to Account for a Medicare Pre-Payment

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 for a Medicare pre-payment? Read below for some helpful tips. Create a Medicare Invoice The best way to account for a Medicare pre-payment in RevolutionEHR is to create a Medicare invoice (inside of a dummy patient) and apply that payment to the invoice to generate an invoice credit. Process EOB as Normal, But Apply Same Total as a Negative...

Avoid Billing Detours for Co-Managing Cataract Care

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 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 to ease co-managing cataract care: 1. Completely and accurately fill out the patient consent form. All...

Changes to Medicare in 2020

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 make note of now, so you hit your stride on January 1st. Changes to Medicare Member IDs on January 1 You must submit claims with the...

Coordinating Benefits for Your Eyecare Practice – 3 Easy Steps

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 and VSP benefits. Here are a few guidelines for coordinating benefits for your eyecare practice — to streamline billing, increase cash flow, and better serve patients: Know What’s Primary, What’s Secondary A patient with multiple medical insurance plans always has a primary payer and secondary payer. A...

Billing Medicare and Medicaid

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 affect payment and even patients—who might be billed more than expected. There are multiple pain points that begin the moment the appointment is made and end with payment collection. Here are 7 Tips to simplify billing Medicare and Medicaid from start to finish: Stay on Top of Your Credentialing. You might be sick of hearing it, but...

Outsourcing to Improve the Cash Flow of Your Practice

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 could improve the cash flow of your practice by outsourcing your billing. But will it really? In “Improve Cash Flow by Outsourcing Billing and Coding”, Coss offers a series of questions to help you determine whether outsourcing will really help to improve the cash flow at your eyecare practice. Questions include: How long do claims sit in your...

Want a More Efficient Eyecare Practice?

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 more efficient eyecare practice. And that means you’ll likely be more profitable. There are a bundle of tasks to do so your practice stays on top of the rapidly changing healthcare system. When you’re on top of the administrative tasks, your patients actually reap the benefits. In a recent article, “5 Ways to Make Your Practice More Efficient”...

Stop Chasing. Start Collecting.

Stop Chasing. Start Collecting.

3 reasons to outsource your billing and credentialing to RevCycle Partners. Are you tired of chasing claims over and over? Do you feel like you don’t have the time to stay on top of all the details of credentialing? Are you weary of the grind of hiring and managing a competent biller? Are your unpaid claims strangling your cash flow and stealing the joy from what you do as a doctor? Download the PDF »

Does RevCycle Partners review claims prior to submission?

RevCycle will scrub claims prior to submission. Some examples of things your biller will look at: adding necessary modifiers, diagnosis for medical necessity based on service code and payer, and cataract co-manage claims for surgeon information and billing details.

How does RevCycle Partners handle transfers?

RevCycle will transfer necessary patient responsibility based on insurance processing: deductibles, co-insurance and copays. RevCycle will provide as much detail as possible using transfer reasons to describe why a transfer was done and why a patient may owe you money.

What if a claim is denied?

If a claim is denied, RevCycle Partners will investigate the denial and take the appropriate action. We will:• Fix the claim and resubmit. RevCycle Partners will file any appeals as needed, as long as we have the documentation to back it up.• Relay the denial back to the office for review/correction. RevCycle Partners will refile the corrected claim.• Drop the denial amount to the patient with a detailed transfer reason.

Will I be required to sign a long-term contract?

With RevCycle Partners there is no long-term commitment. Our service is a month-to-month. You may cancel at any time. We ask for a 60-day termination notice so we can properly wind down the account and reallocate our resources.

Sometimes my staff forgets to add a procedure performed such as a visual field, is this something RevCycle Partners checks for?

No. That is the responsibility of the doctor or office to make sure all services that are performed are coded and applied to an invoice. RevCycle Partners asks that the office verify this as well as make sure that there is a diagnosis on the claim prior to authorizing it. RevCycle Partners will submit corrected claims if something was missed.

Does RevCycle Partners handle patient questions?

There is a relationship between the office and a patient that RevCycle Partners is not familiar with. Our team doesn't want to risk causing any issues for the office or the patient. If the office has a question about a patient balance, they can send their biller a message and/or call. We are happy to provide further details to help explain why the balance is owed.

The 5 Hidden Costs of an In-House Biller

The 5 Hidden Costs of an In-House Biller

Does it make financial sense to outsource your insurance billing? The math seems simple enough. You get a quote for outsourcing your insurance billing. You compare it with what you’re paying your part-time biller. Outsourcing seems a bit more expensive. But is it, really? Download the PDF »

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

iRefract Selects RevCycle Partners as Its Billing and Credentialing Partner

Fast-growing, national chain plans to outsource key functions of its optometry clinics. March 28, 2022 CHICAGO, IL – iRefract, a nation-wide network of best-in-class optometry clinics, has selected RevCycle Partners as its revenue cycle management (RCM) outsourcing partner. An RCM company for the optometric industry, RevCycle Partners will support iRefract’s growing network of eyecare practices with billing and credentialing services. “RevCycle Partners gives us the opportunity to scale our...

RevCycle Partners Now Supports Eye Cloud Pro EHR and Practice Management Software

RevCycle Partners Now Supports Eye Cloud Pro EHR and Practice Management Software

The revenue cycle management company extends its insurance billing support to optometry practices using Eye Cloud Pro. September 21, 2021 CHICAGO, IL – RevCycle Partners, a revenue cycle management (RCM) company, now supports Eye Cloud Pro, an eyecare practice EHR and practice management software. “It is apparent that Eye Cloud Pro is gaining momentum in the market,” says CEO Paul Hartge. “We are excited to add support for their software to our outsourced insurance billing service and look...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

Optometric Management Group (OMG) Collaborates with RevCycle Partners for Insurance Billing and Credentialing

Ohio-based eyecare company looks to streamline its revenue cycle management operations. August 12, 2021 CHICAGO, IL – Optometric Management Group (OMG) announced that it has selected RevCycle Partners as its outsourcing partner for insurance billing and credentialing. OMG currently owns eight Ohio-based locations and has bold plans to acquire more practices in the next few years. Outsourcing its revenue cycle management functions enables OMG to create efficiencies in its operations. “We’re...

RevCycle Partners Now Supports Eye Cloud Pro EHR and Practice Management Software

Eyefinity and RevCycle Partners Team Up to Offer Billing and Management Solutions

May 17, 2021 RANCHO CORDOVA, Calif. and CHICAGO, Il – Eyefinity®, a VSP Global® company and leader in practice management and electronic health records software, today announced partnership with RevCycle Partners, a leader in revenue cycle management in the optometric industry. The partnership will enable eyecare professionals to focus on patient care by outsourcing services, such as insurance billing and credentialing, through RevCycle Partners. “This partnership is the latest example of our...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

RevCycle Partners Now Supports Eyefinity Optometry Practice Management and EHR Software

The revenue cycle management company now supports optometry practices using Eyefinity. November 1, 2019 CHICAGO, IL -- RevCycle Partners, a revenue cycle management company serving eyecare practices, now supports EyefinityPMS, an optometry practice management and EHR software provider, with its insurance billing services. “Supporting Eyefinity is a natural extension of our Officemate support,” says CEO Paul Hartge. “As practices migrate from Officemate to Eyefinity we are excited to be able to...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

Cleinman Performance Partners Selects RevCycle Partners as a Referred Vendor

Partnership supports Cleinman objectives of helping private optometry practices grow and succeed. September 16, 2019 CHICAGO, IL – Cleinman Performance Partners, the business development consultancy for larger optometry practices, has selected RevCycle Partners, a revenue cycle management (RCM) company serving eyecare practices, as their referred revenue cycle management vendor. Cleinman works exclusively with larger private practice optometrists, providing solutions for virtually any business...

RevCycle Partners Now Supports Eye Cloud Pro EHR and Practice Management Software

RevCycle Partners Now Supports Compulink EHR and Practice Management Software

The revenue cycle management company extends its insurance billing support to optometry practices using Compulink. August 1, 2019 CHICAGO, IL -- RevCycle Partners, a revenue cycle management company serving eyecare practices, now supports Compulink, an EHR and Practice Management software provider. “It was important for us to add support for the Compulink platform for our billing services,” says CEO Paul Hartge. We see Compulink in many large practices through the U.S., and we are pleased to...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

RevCycle Partners Becomes a Preferred Vendor Partner of PECAA

The partnership strengthens both organizations’ mission to help optometry practices thrive in today’s competitive environment. April 21, 2019 CHICAGO, IL – RevCycle Partners, a revenue cycle management company serving eyecare practices, has become a preferred vendor partner of Professional Eye Care Associates of America (PECAA), one of the premier doctor alliance groups in the U.S. The sponsorship enables RevCycle Partners to provide its expertise in insurance billing and credentialing to...

RevCycle Partners Now Supports Eye Cloud Pro EHR and Practice Management Software

RevCycle Partners Now Supports Officemate and CrystalPM

The revenue cycle management company positions itself to grow its insurance billing services with the addition of the leading platforms in optometry. April 1, 2019 CHICAGO, IL -- RevCycle Partners, a revenue cycle management company serving eyecare practices, now supports Officemate and CrystalPM, two of the leading practice management and EHR software providers, with its insurance billing services. “By adding support of Officemate and CrystalPM to our existing RevolutionEHR offering,” says...

RevCycle Partners Now Supports Eye Cloud Pro EHR and Practice Management Software

RevCycle Partners Now Supports Practice Director Practice Management and EHR Software

The revenue cycle management company takes first step in broadening its platform support for its insurance billing services. June 1, 2018 CHICAGO, IL -- RevCycle Partners, a revenue cycle management company serving eyecare practices, now supports Practice Director, a practice management and EHR software provider. “We are pleased to take our first step in our vision to provide broad platform support within the eyecare vertical,” says CEO Paul Hartge. “It is a validation of the strategy we...

RevCycle Partners to Launch Insurance Billing Software for Eyecare Practices

RevCycle Partners Spins Out of RevolutionEHR/Rev360 and Forms New Company

The success of the software’s billing service leads executives to form an independent company. May 15, 2018 CHICAGO, IL – RevCycle Partners, a revenue cycle management company serving eyecare practices, has formally separated from RevolutionEHR/Rev360 and become an independent company with separate ownership. In 2013, RevolutionEHR, the leading cloud-based software for optometrists, launched “RevCycle” as an outsourced billing service for its software customers. The meteoric rise of RevCycle’s...

 

Credentialing Services for Optometrists

RevCycle Partners provides credentialing services for optometrists.

Do you have credentialing headaches that you are ready to relieve?