{"id":7812,"date":"2018-04-03T10:01:41","date_gmt":"2018-04-03T10:01:41","guid":{"rendered":"http:\/\/www.medicalbillersandcoders.com\/blog\/?p=7812"},"modified":"2024-10-17T12:08:44","modified_gmt":"2024-10-17T12:08:44","slug":"optometrists-need-optometry-billing-companies","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/optometrists-need-optometry-billing-companies\/","title":{"rendered":"Why Optometrists Need Optometry Medical Billing Companies to Win Patient Trust?"},"content":{"rendered":"

As an Optometrist, you are not just providing eye care services to your patients, but your facility is your business as well. Optometry specialists should know that there are fundamentals of medical billing and coding concepts that must be understood. And if not done correctly you may stand to lose patient trust.\u00a0While some optometrists knowingly and willingly committed fraud, then there are others who find themselves in trouble because of misunderstandings or lack of knowledge of optometry medical billing.<\/p>\n

How Outsourcing Optometry Medical Billing to<\/strong> Companies help Optometrists Win Patient Trust?<\/strong><\/p>\n

Not knowing if you’re in-house billers codes according to HIPAA<\/h3>\n

HIPPA has a set of codes that every insurance company must use. However, some insurance companies in the process of becoming compliant can make the optometric billing service<\/a> very confusing. Until everyone is HIPAA compliant, if there is a question about the code set being used, the doctor\u2019s staff should call the insurance company\u2019s customer service department.<\/p>\n

Optometrists and their employees stay on top of the insurance company guidelines. Doing these things has added a little bit more to my workload, but in the long run, payments are coming in a little more quickly. This keeps both, the Optometrist and patient happy.<\/p>\n

Charging two insurance companies for the same procedure<\/h3>\n

Some in-house optometry billers wrongly bill, both the patients\u2019 medical and vision insurance for the same procedure. It is possible, however, to bill [the patients] medical service to their medical insurance and their vision service to their vision insurance, if he or she is being seen for both a medical and a vision service on the same day. And, in fact, patients, in that case, can actually have two copays. Thus, keeping your patient satisfied.<\/p>\n

Billing office visit and foreign-body removal done on the same day to the patients\u2019 medical insurance<\/h3>\n

The only way you could bill an office visit to the patients\u2019 medical coverage on the same day as a foreign-body removal, is if the two were unrelated. For example, a patient came in for a glaucoma evaluation, but during that evaluation, the doctor found lashes scratching on the cornea and decided to remove them. S this procedure would be separate from the office visit. The doctor should inform the payer of this by putting the appropriate modifier (separate procedure) on the surgical procedure and by using the glaucoma diagnosis code with the office visit.<\/p>\n

Using the time at the wrong time<\/h3>\n

Another possible coding mistake is when optometrists use the time to increase a visit to higher coding levels, when in reality; no time has been spent counseling or coordinating the patient’s care.<\/p>\n

The three important factors in the selection of an Evaluation and Management (E&M) code are history, exam, and medical decision making. Time is only to be considered when counseling and coordination of care dominate the visit. You can\u2019t simply look at the number of minutes spent with the patient and use that to determine what code level you have performed. This will make the patient pay higher and you may lose his trust.<\/p>\n

Using maximum reimbursement to choose a code<\/h3>\n

You cannot choose a code based on reimbursement. The bottom line is you have to work from the correct side of the coding equation, which is based on history, exam, and medical decision making. Also, lots of issues have propped up regarding coding incorrectly for extended ophthalmoscopy.<\/p>\n

For this, there must be a medical reason for this procedure, and you must perform all the components of the procedure to be considered truly extended ophthalmoscopy.<\/p>\n

To know more about our Optometry Medical Billing<\/a> and Coding services, contact us at info@medicalbillersandcoders.com<\/a>\/888-357-3226<\/a>.<\/strong><\/p>\n

FAQs:<\/h2>\n

1. How can outsourcing medical billing enhance patient trust?<\/h3>\n

Outsourcing ensures accurate coding and billing, minimizing errors that can lead to patient dissatisfaction or mistrust.<\/p>\n

2. What common billing mistakes should I be aware of?<\/h3>\n

Mistakes include double billing insurance for the same procedure and incorrectly using time-based coding, which can affect patient costs and trust.<\/p>\n

3. How does HIPAA compliance impact my billing process?<\/h3>\n

HIPAA requires specific codes for insurance, and understanding these can prevent confusion and ensure timely payments for services rendered.<\/p>\n

4. Can I bill both medical and vision insurance for the same appointment?<\/h3>\n

Yes, if both services are provided, you can bill accordingly, which may result in two copays and increased patient satisfaction.<\/p>\n

5. What should I do if I’m unsure about my billing practices?<\/h3>\n

Consult an outsourcing company with expertise in optometry billing to ensure compliance, accuracy, and optimal revenue management.<\/p>\n","protected":false},"excerpt":{"rendered":"

As an Optometrist, you are not just providing eye care services to your patients, but your facility is your business as well. Optometry specialists should know that there are fundamentals of medical billing and coding concepts that must be understood. And if not done correctly you may stand to lose patient trust.\u00a0While some optometrists knowingly […]<\/p>\n","protected":false},"author":2,"featured_media":9067,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[469],"tags":[1086,961,746,9,973,12,1156,680,1158,813,919,1012,27],"class_list":["post-7812","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-optometry-billing-services","tag-american-healthcare-billing-services","tag-billing-and-coding-for-optometry","tag-billing-services-for-doctors","tag-medical-billing-companies","tag-medical-billing-service-provider","tag-medical-billing-services-2","tag-optometric-billing-consultants","tag-optometry-billing-and-coding","tag-optometry-billing-and-coding-book","tag-optometry-billing-companies","tag-optometry-billing-guidelines","tag-outsourcing-billing-in-optometry","tag-revenue-cycle-management-2"],"yoast_head":"\r\nOutsourcing Optometry Medical Billing will Optometrist to Win Patient Trust<\/title>\r\n<meta 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