Wednesday, December 21, 2011

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!

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