Wednesday, February 1, 2012

Optometric Billing-The OpticXpress Facebook Page!

Take A Look At Our New Facebook Page and Like Us Today!


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Tuesday, January 31, 2012

Optometric Billing-Another Hilarious Video!

Another Hilarious "optifog" video...were gonna have them make us an optometric billing commercial I

think!  Enjoy and don't forget what we were all taught as children...SHARE!






Optometric Billing- 25% Of All U.S Physicians Own a Tablet!

At least twice per month it seems that we bring to light just how important it will be for optometrists to "Jumb on the iPad bandwagon"! Well, today, our friends at Noble Vision have said the same thing. They posted an article today that highlighted just how important these new tools are/can be.

"Today, 25 percent of all US physicians own a tablet device, while average consumers can use mobile devices asdiagnostic tools and share healthcare information via social networking. Mobile devices also provide consumers with the concept of “quantified self,” helping them monitor and improve their health."
Read the entire article here


We believe whole heartedly that tablets are the new "PC" and will become more mainstream this year and into 2013. In fact, it was announced yesterday that Apple is now the leading provider of "PC's" thanks to record sales of the iPad in the last quarter '04 having toppled the once dominant Hewlett Packard. 


Here at opticXpress we test our optometric billing software and services on tablet devices regularly and encourage clients and non-clients alike to implement tablets into their office structure whenever possible. We encourage you to do the same if you haven't already. 



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Monday, January 30, 2012

Optometric Billing-Getting The Most Out of Medicare


I received a letter from one of my doctors today concerning certain types of Medicare Rejections having to do with patients that have Medicare but are actually covered by another insurance company for vision services.  He asked me for some tips as to how to minimize these rejections and get more out of his services to Medicare patients. The following excerpt from my reply letter to him should efficiently help any optometric practice or optometrist who has the same questions regarding the billing of Medicare.

***Please note that you will see references in this excerpt to the opticXpress software system. Though most of you do not use it just know that if you do use it to bill Medicare we can virtually guarantee the payment of your Medicare claims provided you enter the required information into the system correctly.


TIPS ON GETTING THE MOST OUT OF YOUR MEDICARE BILLING FOR OPTOMETRIC SERVICES

    Here are some things that you should follow when performing an exam on a Medicare patient:
1) Medicare does not cover refractions. Make the patient pay for the refraction after you complete
   the exam.
2) Make sure your staff collects ALL of the patient's insurance information and scans it into
   opticXpress. This includes ID cards, social security cards and driver's liscense. Many times
   a staff member sees one insurance card and then stops instead of proceeding forward with finding
   out whether the patient has other insurance. If the staff member collects all of this and enters it
   into opticXpress then it will be most valuable for us should a claim be denied...it allows us to
   work the rejection ASAP.
3) Every medicare patient is required to pay Co-insurance of 20% of the allowed amount of the service.
   This means that if your examination fee is $100.00 you should collect $20.00 in addition
   to what you are charging for the refraction. If the patient has secondary insurance that will cover
   co-insurances and deductibles then Medicare will usually "cross the claim over" to the patient's
   secondary if the patient has alerted Medicare of this additional coverage. If the patient has not updated this    information with Medicare or they don't have secondary
     coverage, than collecting these fees up-front assures cash flow from Medicare while you are
     awaiting final payment. Additionally, if your staff has entered all of the patient's insurance
     info into the system it allows us to "cross the claim over" to his/her other insurance
     on the patient's behalf. You will then receive this additional payment from the patient's secondary
     insurance company.
4)   Remember that Medicare's deductibles are a yearly payment each patient must pay. That means that
     most Medicare patients you serve during the first 4-6 months of the year will owe this deductible
     and hence, they will have to pay you for the service out of pocket after Medicare denies or
     any secondary (supplemental) coverage will cover it but it will add to the turnaround time on
     that claim. Just remember this when working with your Medicare patients and remind them while
     they are in the exam room with you or at another designated time. Most Medicare patients are
     elderly and it is imperative that you take your time to try and help them understand their
     benefits. In the long run, you will profit more.
5)   Finally, ask your patients the following before you begin the procedure:
     a) "Do you fully understand our policy concerning Medicare patients?"
     b) "Are you comfortable or able to pay for a refraction and/or your co-insurance today?"
     c) "Do you understand that Medicare requires you to pay a deductible out-of-pocket and
         you may owe this if you have not met it for the year and do not have supplemental
         coverage to take care of this for you?"


Wednesday, January 25, 2012

Optometric Billing-Apple Leading The Way In Mobile Computing

Take a look at this article from ZDnet. It's just one more reason to choose iOS products as your mobile device
of choice to fuel your optometric practice!

"via ZDNet for iOS
Enterprise iPhone 4S activations spike, highlight Apple's halo effect

Apple sold more than 37 million iPhones in its December quarter and apparently a nice chunk of those went to the enterprise, according to Good Technology. Tim Cook, Apple CEO, gave his quarterly nod to the enterprise and highlighted enterprise accounts and Fortune 500 adoption stats of iPhones and iPads. In a nutshell, Apple is seeing a halo effect in its corporate, consumer and education account...(Read more)

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Optometric Billing-More Mobile Platform Information

Another Optometric Billing NO-NO!

"A New Whiteland optometrist could retire any time he wanted, but he keeps going because he likes the work and the patients, some of whom he has treated for decades. Joseph Claudy began his practice after graduating from Indiana University School of Optometry in 1968. He began his career working from the New Whiteland home he still shares with his wife, Mary Jo, before moving to the current office a short distance away on U.S. 31.

Claudy, 75, works nearly full time. Patty Towles has worked for him for 23 years, scheduling appointments, billing patients and helping repair glasses.  (entire article)"

I want to congratulate Dr. Claudy for finding and doing something he loves, it is a rare thing to be able to do that these days, it seems. However, I want to rebuke him for what he has put poor Patty Towles through for 23 years. Dr. Claudy has given a perfect example of the BIGGEST mistake I find being made in optometrist's office day and day out; USING ONE STAFF MEMBER TO DO TOO MANY THINGS.

When we go to Walmart and ONE cashier is ringing out customers don't we get agitated when no one is sent in to open another line and help relieve the traffic at the check out? WE ALL GET AGITATED AT THIS, so doesn't it stand to reason that when we run our practices shouldn't we provide the best customer service possible by not assigning one staff member too much work?

I understand that alot of times this decision is driven by economics. However, it is a proven fact that medical practices whose billing departments are made up of regular office staff routinely post lower collection amounts from insurance than their out sourced counterparts. So, with this in mind, doesn't it make more financial sense as a BUSINESS OWNER (notice the emphasis on business ower) to pay a few extra dollars in the short term to hire someone that specializes in insurance and patient billing than to loose more money in the long run relying on "Patty Towles" to do it all by herself for 23 years?


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Optometric Billing-The REAL Way To Simplify Insurance Billing