Outsourcing: It’s Not All or Nothing. 3 reasons optometry practices outsource a piece of their RCM.

Outsourcing: It’s Not All or Nothing

By Melissa Jacobson, Operations Manager 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: Definitions and examples to help you get it straight.

Commonly Misused Coding Modifiers

By Melissa Jacobson, Operations Manager Modifiers are complicated. 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 …

The Foundation of a Smooth Patient Experience

The Foundation of a Smooth Patient Experience

By Christine Schneider, VP of Operations “But patients will be annoyed! They don’t want to be bothered.” That’s what many patient care coordinators may think when faced with the decision of whether to verify eligibility and benefits by phone prior to a patient’s visit. But what if that extra step actually creates a better patient experience? What if the call …

Relief for an Optometry Practice in Transition

Relief for an Optometry Practice in Transition

By Amanda Kissinger, Billing Services Group Manager Is your optometry practice in transition? 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—especially when …

Medicare Denials for Glasses

Medicare Denials for Glasses after Cataract Surgery

By Amanda Kissinger, Billing Services Group Manager Medicare Denials 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 …