Optometric Billing-Why Good Billing Can Alleviate Your Fears

Watch the clip below. It was apparently posted to you tube by a disgruntled optometry student. If only this student had known about opticXpress!!

Did you know that using opticXpress as your billing service could alleviate over 80% of the problems reported in this video?!?!?!? Espescially diminishing returns!!! In fact, we have references that will prove it!!!

Case In point: One of our doctors billed 13k to insurance this month and we collected over 75% of it before adjustments!!!

Call opticXpress today...and don't wind up disgruntled like this student!

Optometric Billing-New Glaucoma Codes - THEY ARE REQUIRED!

***Pulled the following article from ODWire. As always, you can contact opticXpress for help with your optometric billing.

Robert E Rebello
EyeCOR

As of Oct 1, 2011 new Glaucoma codes went into effect. The majority of Optometrists and Ophthalmologists are unaware or do not have a complete understanding of these new codes. At three Optometry meetings in October, most doctors and their staffs had not heard about these new codes.

We at EyeCOR have put together this article explaining the new codes and their proper usage.

The new Glaucoma codes are “Stage” codes which specify the level or Stage of Glaucoma severity.

The new Stage codes are:

• 365.70 – Unspecified Stage Glaucoma
• 365.71 – Mild or Early Stage Glaucoma
• 365.72 – Moderate Stage Glaucoma
• 365.73 – Severe Stage Glaucoma
• 365.74 – Indeterminate Stage Glaucoma

Use the appropriate Stage code for the patient’s worst eye.

These Stage codes are secondary and coded immediately after the actual Glaucoma Diagnosis code. Stage codes cannot be used without the primary Glaucoma Diagnosis.

Note: These new codes are in effect for Medicare. Other payers are required to use the new codes beginning January 1, 2012. At this time other payers may not recognize them.

The following Glaucoma codes require one of the Stage codes:

365.10, 365.11 365.12 365.13, 365.20, 365.23, 365.31, 365.52, 365.62, 365.63 and 365.65

Do not use the Stage codes for Glaucoma Suspect or other glaucoma diagnoses not included above.

Coding Tip: We recommend not using either 365.70 or 365.74 as they are “Unspecified” or “Indeterminate.” Frequently payers deny reimbursement for Unspecified diagnoses. Instead code the specific Stage of Glaucoma.

Coding Tip: Make sure all procedures that point to the Glaucoma diagnosis using the Diagnosis Pointer (Form Locator: 24 E) point to the actual Glaucoma diagnosis not the Stage diagnosis (See Coding Example 1).

Coding Example 1 - Mild - Primary Open Angle Glaucoma:



Coding Example 2 - Glaucoma Suspect (No Stage code):



Other Ramifications when using the New Stage Codes

Most regions restrict certain procedures based on Severity levels. One example is the frequency limitations for Scanning Laser (OCT, GDx and HRT). Previously, for Advanced Glaucoma damage, you could perform up to 4 Scanning Laser procedures per year. Most regions currently do not allow any Scanning Laser for Advanced or Severe Glaucoma damage. Instead payers may allow up to 4 Visual Fields per year in order to track damage.

Therefore, when you code 365.73 – Severe Stage Glaucoma you will likely be denied reimbursement for Scanning laser. In addition, if you now code “Severe” Glaucoma and previously performed Scanning Laser on this patient, the payer may look back at previous claims and demand you return reimbursement for those procedures.

The current frequency limitations for Scanning Laser for most regions are:

Glaucoma Severity Level	Scanning Laser Frequency
Mild or Suspect Glaucoma	1 Time per year
Moderate Glaucoma	2 Times per year
Advanced or Severe Glaucoma	NO Scanning laser. Up to 4 Visual Fields

Avoid the temptation to stay away from the “Severe” glaucoma code. If you are audited and found to be using incorrect Stage codes, you could be in for more trouble.

Glaucoma Suspect Code Changes

In addition to the new Stage codes for Glaucoma, CMS has also changed the descriptions for two Glaucoma Suspect codes (365.01-.02) and adding two new codes (365.05 -.06). The new descriptions and codes are:

• 365.01 – Open Angle Glaucoma with Borderline Findings – Low Risk
• 365.02 – Anatomical Narrow Angle – Primary Angle Closure Suspect
• 365.05 – Open Angle Glaucoma with Borderline Findings – High Risk
• 365.06 – Primary Angle Closure Without Glaucoma Damage

The differentiation is Low and High Risk and Closure without Glaucoma Damage.

Make sure when coding Glaucoma Suspect, you use the codes with the description matching the patient’s diagnosis.

Glaucoma Severity Definitions

CMS defines Glaucoma severity as follows. Make sure you use the correct Severity Level based on the worst eye:

Glaucoma Suspect or Mild Damage (one or more of the following)

- Intraocular pressure >22 mmHg as measured by applanation.

- Symmetric or vertically elongated cup enlargement, neural rim intact, cup/disc ratio Greater than 0.4.

- Focal optic disc notch.

- Optic disc hemorrhage or history of optic disc hemorrhage.

- Nasal step or small paracentral or arcuate scotoma.

- Mild constriction of visual field isopters.

Moderate Damage (one or more of the following)

- Enlarged optic cup with neural rim remaining but sloped or pale, cup to disc ratio Greater than 0.5 & Less than 0.9

- Definite focal notch with thinning of the neural rim.

- Definite glaucoma visual field defect (arcuate/paracentral scotoma, nasal step, pencil wedge, constriction of isopters

Advanced or Severe Damage (one or more of the following)

- Severe generalized constriction of isopters (i.e., Goldmann I4e <10 degrees of fixation).

- Absolute visual field defects within 10 degrees of fixation.

- Severe generalized reduction of retinal sensitivity

- Loss of central visual acuity, with temporal island remaining

- Diffuse enlargement of optic nerve cup, with cup to disc ratio Greater than 0.8

- Wipeout of all or a portion of the neural retinal rim.

Summary
With the addition of the new Glaucoma Stage codes and new Glaucoma Suspect codes, proper coding can be complex. You need to ensure your practice is coding Glaucoma correctly. Otherwise, you could find your practice receiving unnecessary denials resulting in lost reimbursement.

For additional information contact EyeCOR:
Toll Free: 888-866-5367
Web: www.EyeCOR.com
Email: info@EyeCOR.com Copyright 2011 - Nteon Software LLC
EyeCOR is a register trademark of Nteon Software LLC

Optometric Billing-Jump On The iPad Bandwagon!

Thanks to our friends at the Noble Vision Group we finally have some content that reinforces our belief that tablet computers, especially Apple's iPad, are a great tool for any optometrist to use in their office. Not only can you use opticXpress' practice management software on them, but they are an excellent tool to use during an examination to not only record exam information and notes but also to bring up diagrams and other pictures of the eye to help educate patients. You will find that a tablet will not only help you perform essential office functions like optometric billing more efficiently but more importantly, a tablet will help you to engage and involve your patients more during an examination thus giving the patient the impression that you have performed a more thorough and efficient examination.

Read the article below and don't forget to contact opticXpress today to see how we can help you get started using tablets in your office!

More Apps for Eye Care: Orca Health’s EyeDecide MD

Has your medical practice jumped on the iPad bandwagon yet? There are more and more practices adopting the iPad or other tablets every day, utilizing all kinds of healthcare appsdesigned to improve efficiency, educate patients, and share information.

One of the major challenges in healthcare is patient education, and mobile apps are great tools for addressing this issue. It’s important for patients to understand what is going on with their bodies, why they are receiving certain procedures or medications, and how to take care of themselves after they leave their doctor’s office. Studies show that the current lack of health literacy can cost as much as $238 billion a year.

High patient volume, time constraints, and a lack of appropriate visual aids make it difficult for many doctors to effectively educate their patients.

The healthcare software developer Orca Health addresses this problem with their Decide Medical App Series, which features interactive 3D models of several anatomical parts.

If you’re involved in the eye care field, Orca’s EyeDecide MD is a great tool to use. Recently named one of the top iPhone medical apps of 2011 by Mobihealthnews.com, the app uses a highly detailed 3D model of the eye to illustrate several common conditions. Users can view the 3D model as a whole or as a cross-section, with the ability to toggle on and off layers of skin and bone, or expand the eye to view all the different parts.

You can even view photos and videos to analyze how common conditions affect the eye. If you have one of these conditions, EyeDecide MD will find your geo-location and show you nearby physicians on a map.

EyeDecide MD can be purchased in the iTunes app store for $4.99.

Click here to see some other great apps for the eye care industry.

Optometric Billing-When To Bill Medical Vs. Vision Plans

Here at opticXpress we always council our doctors to do their best to bill a patient's medical insurance vs. the patient's vision insurance whenever possible. Recently, Dr Augustin Gonzalez sent me this article he wrote that explains exactly why a doctor should do this.

"To my amazement, there continues to be plenty of confusion between eye care
professionals and patients about the role of vision plans and medical insurance. It is no wonder our patients are still more confused! Hopefully, the following information will help clear some of the confusion.

The proper usage of Vision Plans is indicated for refractive care. In other words Vision Care Plans are a pre-paid rider of your medical insurance that is intended to provide a service and a durable good at a reduced fee. It is limited to a refractive diagnosis with the doctor (optometrist mainly as ophthalmologist rarely take Vision Care Plans) performing a screening evaluation of the health of the eye and a full refractive evaluation of vision. Vision plans such as VSP, EyeMed, or Comp Benefits cover vision care diagnosis only, which is limited to the icd9 367.XX series of codes or what is commonly known as nearsighted, farsighted, and refractive astigmatism.

Many OD’s and in such many patients do not realize that Medical Insurance is the responsible entity to be used when a medical related eye problem is detected. Problems such as cataracts, dry eyes, infections, inflammation (even those cause by medical devices such as contact lenses), macular degeneration and complications from diabetes or high blood pressure are often found during the course of the eye evaluation. The management and medical decision process of these eye related medical conditions is not reimbursed by your vision plan.

Medical care involves those situations where during the course of the evaluation, a medical condition with a management decision is related to your eyes and there is a need for counseling, documentation, follow-up care, regular monitoring, prescription of medications or referral to a surgeon is indicate"

Call opticXpress today for more information on how we can help you properly use a patient's vision and medical benefits!

Follow Dr. Gonzalez on Twitter!

Check Dr. Gonzalez's Website!

Optometric Billing-Disadvantages Of Optometry

In this video, Dr. Raj Patel describes what he sees as just the few disadvantages of being in the optometric field. The biggest disadvantage he speaks about is the unique way that optometrists interact with insurance companies in order to provide the best possible service to their patients. We here at opticXpress know all about this and we encourage you to give us a call so that we can help you provide your patients with the best possible care!

Optometric Billing-Funny Video

This is not optometric billing related but it is humorous and we thought we would share it with everyone since we figure stress levels are rising around the office due to Christmas...Enjoy!

YES WE HERE AT OPTICXPRESS HAVE A SENSE OF HUMOR TOO! CALL US TODAY!

Optometric Billing-Mobile Blog

The Beauty of technology is that we can now perform our optometric billing blogging from our mobile phones using #siri on the #iPhone 4s! Isn't that great?!

Wouldn't it be great if your optometric medical billing were as easy as this is? IT CAN BE! Call opticXpress today!

Optometric Billing-Getting Around the "Routine" Conundrum

Ever have a problem billing an insurance company for a patient because your findings only come up with a "routine" problem such as myopia (367.1) or hyperopia(367.0)? A technique you can try is called "billing for refractive error" (367.9). In other words, by making your 367.9 diagnosis code your PRIMARY diagnosis code your claim in essence becomes medical in nature. No, medicare will still not cover refractions but you will have a better chance at helping to keep your patient's out-of-pocket expenses down and your insurances reimbursements up....this will go a long way in helping to reduce your A/R and keeping your patients happy!

Call opticXpress today for reliable and professional help with your optometric billing!

Optometric Billing-Medicare Guidelines

"Medicare Part B provides benefits for ophthalmology/optometry services which are medically necessary for the diagnosis or treatment of an illness or injury. The services must be consistent with the physician’s scope of practice. Where more than one practitioner furnishes concurrent care, services furnished to a beneficiary by both an ophthalmologist and another physician (including an optometrist) may be recognized for payment if it is determined that each practitioner’s services were reasonable and necessary"

This is the link to Medicare's optometric billing guide. As always, you can contact opticXpress for all your optometric billing needs! Call us Today!

Optometric Billing-Customization is key!

Robin yap OD wrote an interesting piece on his blog about customization and how it affects customers. Read his post below:

"I like my customized espresso drink at Starbucks. When I hear a barrista in any coffee shop sigh under their breath because of a complicated drink, I wonder if the training they received that linked their corporate vision to their specific work was clearly articulated.
At a training session in Atlanta this weekend, a colleague of mine, Dr. Carolynn Sweat, and I were swapping customization ideas that we can bring back to our training environments. I showed her Warby Parker and Marvel Create-Your-Own Superhero and she showed me Wizard101.
Warby Parker has a good story to tell, has a clear corporate responsibility program (buy a pair/give a pair) and the glasses can be virtually worn through self-pic upload mechanism – their customization piece. I like it (see the 4 choices I had above – tell me which one you like on me, if any, in the comments). This capability allows individuals to see exactly what they would look like when the classes are worn. Does this create an emotional connection with you? It does to me.
Then there’s Marvel Create-Your-Own Superhero. This is an old favourite as I’ve used this in training classes before. Saves you copyright costs if you build it yourself. Animate a sci-fi comic concept, create a universe, make sure you make money through a point system and voila, you have Wizard101.
Back to Starbucks, there are around 87,000 combinations at Starbucks and when it  connects to an emotional level to a customer, that customer’s loyalty  meter goes up dramatically. At least, it does for me. Does this happen with the comic strip idea? Bring this further up, would this work when you build training materials? How about when you talk with a client or potential client? How about when you connect with your work colleagues? So how many permutations of customization can your company products and services have? What activities should you create to have that emotional connection with your clients?"

How does this relate to optometric billing? Our service is not all things to all people ( see Eyefinity, officemate et al). Our service is designed exclusively for optometry. Each client can then further request custom items based on their particular needs. We feel this is extremely important because as Dr Yap mentioned, it creates a personal and emotional connection with our clients that helps them see we understand and get them!

Give opticXpress a "LOOK" today. Maybe we can customize something for you!

Optometric Billing-Business Innovation

Pulled this from Dr. Alan Glazier's Twitter today. This is not an optometric billing post per-se but it is important to note that by implementing opticXpress' billing service into your practice you too can be an innovater and help get and keep your practice at the top of it's game for years to come! Call opticXpress today!


CONGRATULATIONS TO DR ALAN GLAZIER ON YOUR ACHIEVEMENT !


View a pdf of this year's Optometric Business Innovators 2011

Optometrists face business challenges every day. As CEOs of their practice, they must provide a vision for where their practice is headed.

That issue is behind The Optometric Business Innovators report, a special first-time collaborative project between Vision Monday and Review of Optometric Business.

Whether it’s incorporating new technologies into existing practice structures, managing managed care, training staff teams or learning to embrace new digital media—even as they provide first-rate vision care delivery to patients—the why’s and how’s of processes and procedures need attention…and inspiration!

With the help of a Professional Advisory panel composed of a mix of ODs from both the private and corporate arenas and professional OD business consultants, VM and ROB solicited input and suggestions to identify Optometric Business Innovators from across the U.S. They were asked to nominate individuals who excel at using creative and results-oriented approaches in a range of business areas.

From these suggestions, we also identified a group of Influencers who have taken lessons and ideas from their own practices and translated their business-savvy ideas into larger groups, organizations and projects which influence many optometrists about the ways in which consistent business knowledge and innovation can work hand-in-hand and even enhance the delivery of the ultimate in patient care.

The result is our 2011 Optometric Business Innovators; a diverse group of men and women who are redefining and moving the practice of optometry forward. ■

–The Editors of VM and
Review of Optometric Business

Downloaded from "Vision Monday" on Thursday, December 15th, 2011

Optometric Billing-Marketing Advice

This Marketing Tip comes from our friends at Mirro, Inc. Optometry Consultants. You can view their webpage for more marketing tips and as always, don't forget to check opticXpress.com for help with your optometric billing!

Luxury Is Key: When Dispensing
When dispensing frames and/or lenses to a patient, it is important that your staff presents the product in a manor that displays luxury. During your presentation, dispense items in jewelry trays (that contain a felt or leather base), not in plastic “job” trays. Present the customer with a cleaning cloth, a case (even if dispensing a patient’s own frame), a spray cleaner, and a nice bag where your practice’s logo is displayed. Even if you don’t sell high-end eye wear, you can still present a high-end experience that your patient’s will love.

Optometric Billing Dry Eye-Grow Your Practice

Pulled this from our friends at Noble Vision Group

"Research shows that artificial tears, although beneficial, appear to be palliative and there is no evidence that they can treat the inflammation in dry eye disease. Doctors that want to build this part of their medical practice need to employ the use of medications that target the disease.

Articifial tears such as Systane, Optive, Blink, Theratears, Soothe, Refresh, Genteal etc. are a good starting place in the management of mild dry eye but may not be a sound treatment strategy alone for active disease. For example, in the phase III clinical trials for cyclosporine A 0.05% (Restasis) there were two treatment arms: one that recieved cyclosporine and one that received the vehicle, which turned out to be one of the best artificial tears available known as Endura a few years ago. When biopsy’s were performed on patient’s conjunctival tissue after six months of treatment the group treated with cyclosporine had less T-cells measured showing an improvement in the inflammation associated with the disease. However the group treated with the artificial tears alone (Endura BID + Refresh PRN) showed an increase in inflammatory T-Cells of over 39%!

This is probably why doctors that TREAT the dry eye with targeted treatment options seem to grow their medical practices faster as opposed to simply providing an artificial tear samples alone. Gallup pole data shows that most patients had already tried 3-5 artificial tears before seeing an eye doctor and yet over 70% of doctors put that patient on another artificial tear. No wonder they are seeking new practitioners.

Now, as I stated, I do begin all treatments with an artificial tear alone in mild cases, or in addition to targeted treatments. So when should a doctor consider targeted treatments such as Restasis and steroids such as Lotemax, which effectively target the dry eye disease?

There are three times I would consider the need for targeted treatments such as Lotemax and Restasis. If a patient is on a good artificial tear (as opposed to drops with BAK such as Visine or ClearEyes) and you see ANY of the following:

• The patient has dry eye symptoms including dryness, grittiness, burning, stinging, foreign body sensation, transient blurred vision, redness, irritation, epiphora etc.
• The patient shows signs such as corneal or conjunctival staining or an osmolarity reading above 308mOsmol/L
• The patient when using an artificial tear does not feel that the symptoms resolve for more than 4 hours or requires 4 or more drops per day.

All of these indicate that there is likely some degree of underlying inflammation or unprotected areas of the ocular surface and that warrants a more targeted treatment approach."
-Dr. Paul Karpecki

As always, opticXpress is your one stop for all your optometric billing and procedural needs!

Optometric Billing For Contact Lens Bandage

Over the last few days we have received a few requests to find a more effective method of billing insurance companies for a "contact lens bandage ". To date, many doctors have been submitting a "92070- Fitting of contact lens for disease" but we want to know if there is a better code. We are specifically looking for a code that is more detailed. Maybe there is none maybe we have just been looking in the wrong places but we are relying on your experiences to help us out.

Please contact opticXpress today and share with us. We want to know!

RELATED POSTS:
http://optometricbilling.blogspot.com/2012/02/optometric-billing-billing-for-contact.html

http://optometricbilling.blogspot.com/2012/02/optometric-billing-one-more-way-to-bill.html

How Good Optometric Billing Practices Can Help you Find and Retain Profitable Patients!

"80% of your business comes from just 20% of your patients"

That quote was pulled from a post on practiceprnciples.net tweeted to us by the TSO Network. The gist of post was simple, get to know your patient's, serve them well and learn them so you can identify more patients like them. Good optometric billing practices can help you identify profitable patients because you will learn which insurances cover the most services and reimburse the best. Properly billing these patients' insurances will help you earn repeat business from that patient and word of mouth by these patients will lead you to more patients like them!

It's no secret that many optometric practices derive sometimes 50% or more of their revenue from cash patients. This is not a viable business model because finding and serving these cash patients will require you to be in a region that supports that demographic, like one of our clients in Boca Raton, Fl. However, we serve many practices that operate on insurance only and are just as profitable, if not more profitable than their "mostly cash" counterparts. Why? Because learning and employing good optometric billing techniques has enabled them to provide ongoing, quality health care to the same patients AND their referrals...over 80% of thier income is from insurance alone and, when done properly is a highly efficient and dependable business strategy.

Call opticXpress today and learn how they can help you employ good optometric billing so you can begin identifying your most profitable patients right away!

OPTOMETRIC EMR NO NO'S

opticXpress publishes Optometric EMR software. We believe that it should be easy to use and affordable and that it should ADD to the patient-doctor interaction...not DETRACT from it.

I came across the following article and thought I would share it with you all since it highlights 5 key points that we believe about our EMR software here at opticXpress.

"1. Should not make you design it

Many EMRs on the market today ask that physicians design their own templates. This is not only time consuming, indeed would require many days of not seeing patients just to enter the data, but can force an ophthalmologist to try to fit a very complicated patient into a pre-set template that does not address his or her issues properly. Thus, the physician is left editing the template at nearly every visit, another time-consuming task. The solution is to do away altogether with the idea of templating medical notes. The EMR that we are currently working with comes out-of-the-box with the knowledge of a 2,000-page ophthalmology textbook. It easily harnesses that information to present you with only the options that you need for any given diagnosis and then remembers your preferred settings. Each time you use the EMR, it automatically updates the way you dose your medications and do your procedures. There is no need for you to make any additional effort to tell the program what you do each time. Once it is done once, the system learns, but allows you to choose unique items for what are doubtlessly your unique patients.

2. Should not make it difficult to render drawings

An EMR that uses a mouse to render drawings on cornea and fundus diagrams is not only time consuming, but sometimes impossible. We are not graphic artists, we are ophthalmologists, but our diagrams are just as important. An EMR for ophthalmologists needs to allow us to quickly translate what we are seeing on our exam onto the screen and touch-based technology is a perfect vehicle for this. A few swipes of your finger should signify where the retinal tear or cataract is, how big it is, and any other features you choose to note.

3. Should not take away from the doctor-patient encounter

As Dr. Pauline Chen confessed last year in the New York Times, after implementing an EMR, “In order to use the computer, I had to turn my back to the patient as I spoke to him. I tried to compensate by sitting on a rolling stool but soon found myself spending more time spinning and wheeling back and forth between patient and computer than I did sitting still and listening. And when my patient did talk, his story came only in spurts because every time I turned my back to him to type, the room fell silent.”2 This is, of course, unacceptable, but all too common. We have found that it is absolutely imperative that the EMR not take away from our encounter with our patient. The EMR with which we are working allows the physician to rest an iPad on his or her lap and easily touch a button here or there to record an exam and history, all while maintaining eye contact with the patient.

4. Should not ask you to make further capital equipment purchases

The capital equipment costs for an ophthalmology practice are high and we should not be asked to purchase an expensive server to utilize an EMR. The advent of so-called cloud computing has made the need for an office-based server a thing of the past and quite an unnecessary purchase. Cloud based systems are far and away better suited to managing patient records. They are available anytime, anywhere, on any device. If an EMR company is providing the remote servers, they can support massive economies of scale in redundancies and backup, providing the service without interruption in almost every scenario. If the server in your office has a hard-drive fail, or the power supply dies, or someone spills coffee on it, everything must stop until it is fixed. Having an EMR that utilizes cloud computing allows you to at least have one less piece of equipment that you are responsible for.

5. Should not cost you time

As physicians, time is our most valuable resource. More minutes or even hours spent with your EMR, mean less time for your patients or your family. Your EMR simply cannot cost you any time and ideally should be a time-saver. According to a New England Journal of Medicine article, as of 2008, only 4% of physician practices in the United States were using fully functional EMRs.3 The reason for this often comes back to the amount of additional time many EMRs ask physicians to devote to documentation-- time we just don’t have. The motto of the company we are working with is “What’s Your Time Worth?” Time considerations need to drive everything an EMR company does.

For years, many EMR companies have been concerned with the needs of pharmacists and administrators, neglecting the needs of physicians and expecting them to adapt their practice to the EMR. But physicians have been voting with their feet and rejecting the vast majority of the products on the market. Recently, the tide has turned and ophthalmologists are demanding the things we need our electronic records to do. Let us not forget the things that they also must not do."

Now our software is not perfect but we are working hard every day to make it as close as possible. Hopefully we too will meet all 5 of these requirements for you and then some.

Optometric Billing NoNo

This post is not necessarily about optometric billing! But like all of you I am a business owner and I can tell you one thing NOT TO DO IN YOUR PRACTICE IF YOU CAN AVOID IT: DON'T USE COMCAST SERVICES FOR YOUR PHONE OR INTERNET.

To date, we have been in our new office for two months and received 3 bills from Comcast (inexplicably as we transferred service from our prior location and had already paid a month in advance ) and in that time WE HAVE PAID FOR PHONE BUT HAVE HAD TO USE CRAPY MAGICJACK AS WE STILL HAVE NO PHONE SERVICE.

Every time we call for support we have to speak to THE CANCELATION department to get anything done as thier other CS departments are in various other countries and the language barrier is insane!

Long story short: PROVIDE THE BEST CUSTOMER CARE AROUND BY NOT USING COMCAST IF YOU CAN AVOID IT. YOUR PATIENTS AND STAFF AS WELL AS YOUR WALLET WILL THANK YOU !

FREE EMR FOR OPTOMETRISTS!

By hiring opticXpress as your optometric billing specialists you will be eligible for their FREE practice management/EMR software! This software is only for optometry and when you use it opticXpress can VIRTUALLY GUARANTEE PAYMENT ON ALL CLAIMS THEY FILE FOR YOU!

Call opticXpress today!