This goes out to all of the Walmart Vision Center O.D's and their staff...Clearly, you have it rough!
opticXpress is an optometric billing company that provides a clearinghouse, billing service and software strictly for optometrists.
Tuesday, June 5, 2012
Wednesday, April 4, 2012
Optometric Billing-Today's Funny Video-04/04/2012
As usual, we here at opticXpress enjoy a good laugh. Watch the video below and remember to clean the glass at your offices regularly!!!!
Friday, March 23, 2012
Optometric Billing-How To Properly Bill For Visual Fields
Using Medicare's Local Coverage Determinations (LCD's) as a guide to billing ALL insurance companies is a good strategy to employ. Though it does not guarantee payment across the board, it is, in my opinion, a key way to increase reimbursements. This is because Medicare is, by far, the most stringent payer in terms of rules for coverage.
As an optometrist, one of the most important procedures you give your clients is a Visual Field (92081,92082,92083) but it is also one of the most commonly misbilled procedures in the optometric billing field. The biggest reason for this is that it is commonly not paired with a correct diagnosis code which means you loose money because it is denied as "medically unnecessary". You can avoid this by first determining whether or not it is deemed medically necessary to perform a visual field by check the attached chart to see if the diagnosis you are suspecting qualifies for a visual field. If it does not then you need to explain to the patient that you feel it is necessary to perform the procedure and CHARGE THE PATIENT! You would then bill the insurance company with a "-GY" modifier. MAKE SURE THAT YOU INCLUDE THIS INFORMATION IN THE PATIENT'S ADVANCE BENEFICIARY NOTICE (ABN) !
As an optometrist, one of the most important procedures you give your clients is a Visual Field (92081,92082,92083) but it is also one of the most commonly misbilled procedures in the optometric billing field. The biggest reason for this is that it is commonly not paired with a correct diagnosis code which means you loose money because it is denied as "medically unnecessary". You can avoid this by first determining whether or not it is deemed medically necessary to perform a visual field by check the attached chart to see if the diagnosis you are suspecting qualifies for a visual field. If it does not then you need to explain to the patient that you feel it is necessary to perform the procedure and CHARGE THE PATIENT! You would then bill the insurance company with a "-GY" modifier. MAKE SURE THAT YOU INCLUDE THIS INFORMATION IN THE PATIENT'S ADVANCE BENEFICIARY NOTICE (ABN) !
Friday, February 24, 2012
Optometric Billing: Digitally Active Contact Lenses!
Just makes me wonder how we would start billing for this!!!!
"Digitally Active Contact Lenses – Are We Near It's hard to trace the active contact lens' birth date, but the year might be 1973. , researchers at the National Environmental Research Center created a contact lens with a thermocouple built in. The sensor-cum-contact was arguably the first digitally active design to be realized. As the electronics revolution commenced in the 1970s and 1980s, though, little work was done to expand on this precocious design. Interest revived in the late 1990s, but it was not until 2001 that the device began to step from concept into commercial reality. Researchers used micro-electro-mechanic sensors (MEMS) to create a contact lens that monitored ocular pressure -- an important indicator of Glaucoma. The research was presented at the New Directions in Cellular and Tissue Biomechanics conference in Les Diablerets, Switzerland. In 2009, a company Sensimed AG launched the world's first commercial digitally active contact lens. The design, dubbed "Triggerfish", used an embedded a MEMS strain gauge sensor and microprocessor inside a soft silicone contact lens. The circuit elements were exocentric, out of the line of sight. The device received power from and ferried signals via a circular antenna around the eye socket. In the last decade several devising and even more ambitious designs were introduced in this hot field. Among the most noteworthy is Professor Babak Parviz of Seattle's Washington University, who added pixel displays to the mix. Perhaps inspired by Triggerfish - medical sensors, such as a glucose sensor (monitoring tear glucose, an indicator of blood sugar in diabetics), are also inculcated into the design. But creating a contact lens display has been a major obstacle for focusing the image. In short, we need miniature lenses to focus the image on the eye. Ultimately the digitally active contact lens of the future aims to be a high resolution display, which can assert an augmented reality, including text and images over human vision. Such a design would work for business (work displayed right in your eyes), communications (text messages, emails), and pleasure (imagine watching movies or "tripping" without drugs via in-eye vision). The lens will also likely optionally incorporate glucose, occular pressure, and possibly other sensors to monitor eye health and overall body health. , it may be a few decades before the perfected contact lens product is released commercially, but in just 10 years we may have crude commercial contact lens text displays, if you're willing to wearing a bulky wireless power device around your eye socket." (full article here)
Talk Back! Let us Know What You Think!
"Digitally Active Contact Lenses – Are We Near It's hard to trace the active contact lens' birth date, but the year might be 1973. , researchers at the National Environmental Research Center created a contact lens with a thermocouple built in. The sensor-cum-contact was arguably the first digitally active design to be realized. As the electronics revolution commenced in the 1970s and 1980s, though, little work was done to expand on this precocious design. Interest revived in the late 1990s, but it was not until 2001 that the device began to step from concept into commercial reality. Researchers used micro-electro-mechanic sensors (MEMS) to create a contact lens that monitored ocular pressure -- an important indicator of Glaucoma. The research was presented at the New Directions in Cellular and Tissue Biomechanics conference in Les Diablerets, Switzerland. In 2009, a company Sensimed AG launched the world's first commercial digitally active contact lens. The design, dubbed "Triggerfish", used an embedded a MEMS strain gauge sensor and microprocessor inside a soft silicone contact lens. The circuit elements were exocentric, out of the line of sight. The device received power from and ferried signals via a circular antenna around the eye socket. In the last decade several devising and even more ambitious designs were introduced in this hot field. Among the most noteworthy is Professor Babak Parviz of Seattle's Washington University, who added pixel displays to the mix. Perhaps inspired by Triggerfish - medical sensors, such as a glucose sensor (monitoring tear glucose, an indicator of blood sugar in diabetics), are also inculcated into the design. But creating a contact lens display has been a major obstacle for focusing the image. In short, we need miniature lenses to focus the image on the eye. Ultimately the digitally active contact lens of the future aims to be a high resolution display, which can assert an augmented reality, including text and images over human vision. Such a design would work for business (work displayed right in your eyes), communications (text messages, emails), and pleasure (imagine watching movies or "tripping" without drugs via in-eye vision). The lens will also likely optionally incorporate glucose, occular pressure, and possibly other sensors to monitor eye health and overall body health. , it may be a few decades before the perfected contact lens product is released commercially, but in just 10 years we may have crude commercial contact lens text displays, if you're willing to wearing a bulky wireless power device around your eye socket." (full article here)
Talk Back! Let us Know What You Think!
OpticXpress Handles Optometrists’ Billing
From Elaine Rose at "Press Of Atlantic City"
Full Article Here
Full Article Here
OpticXpress provides medical billing services and office software for optometrists. We give them the software to help comply with records requirements and to connect with patients as part of doing the billing.
We have multiple clients nationwide that use our service and our software.
I work with companies in Vineland for developing software, creativity and for printing forms. I try to work with local companies when practical.
Optometry is an underserved specialty in the medical billing world. There are a lot of nuances in the codes that most generic medical billers are not familiar with.
Entry: Until the early 1990s, optometrists weren't considered to be providing medical services, and dealt with vision insurance. But then the government opened the opportunity for them to provide medical services, which are covered by Medicare and Medicaid.
We were able to capitalize on the change, and could educate doctors. We post a lot of information we get from our community and various articles[ to our blog ] as a resource to help in their practice.
We specialize in post-operative cataract billing. It's an issue that's very hot among optometrists. A lot of them have patients who go to ophthalmologists for the surgery, and then come to optometrists for after care. We can virtually guarantee that an optometrist will get paid for those services.
The average optometrist's practice is small, about $500,000 to [$1.5] million a year in revenue. The biggest challenge is to educate practitioners that it's better to outsource their billing, so they don't have to do it anymore. They often can't afford to hire a billing department, so they rely on untrained staff to bill patients and deal with insurance companies.
The future: We want to become synonymous with optometric medical billing nationwide. We want optometrists seeking to take their practice to the next level to think of OpticXpress.
Staff writer Elaine Rose
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Tuesday, February 14, 2012
Optometric Billing-Californa Optometric Association Integrates VSP
Recently the California Optometric Association voted to support the inclusion of VSP in the California Health Insurance Exchange.
Read the Letter Below and tell us what you think by using the comment section to talk back! We want to know what you feel!
Read the Letter Below and tell us what you think by using the comment section to talk back! We want to know what you feel!
Optometric Billing- What opticXpress Believes
In this day and age it is hard to find a person, let alone a company, that acts in a moral and ethical manner. Yesterday, for example, it was released that Apple is ordering the investigation of it's manufacturing partners plants in China so as to eliminate harsh working conditions and become the first "fair trade" manufacturing company in the world. However, though this looks great on the outside, a deeper look at the company's profit margins will show that though this is a benevolent undertaking, the roots of this effort have their taps in the lore of marketing. Apple stands to make billions off this approach to becomming "fair trade" as it will undoubtedly give them just the marketing edge they need to justify their higher than average prices on their product. Can't you see the waves of "Apple Nerds" now, wearing their "Apple Fair Trade" t-shirts shouting at you from the top of their lungs while they stand in line waiting to fork over their hard earned cash for the iPad 4?!?!
This being said, I want to tell you exactly what we stand for here at opticXpress. opticXpress is a Christian company. We are a second generation Medical Billing Company owned solely by family members since 1991. Though we are not perfect in all that we undertake, we strive to be honest and loyal; not just to our customer but to The Lord from whom we believe our company has been made possible. We want every single one of our clients, readers and potential clients to know that 10% of our gross revenue is donated Monthly in the form of Tithe and offerings to the local Spanish Seventh Day Adventist Church in Vineland, NJ. With this money, the NJ Conference of Seventh Day Adventists helps fund schools and mission work throughout the state. Specifically, one of the newer and more successful of these schools is the Vineland Regional Adventist School for which we have been a supporter of since its inception just a few short years ago.
"We are God's stewards, entrusted by Him with time and opportunities, abilities and possessions, and the blessings of the earth and its resources. We are responsible to Him for their proper use. We acknowledge God's ownership by faithful service to Him and our fellow men, and by returning tithes and giving offerings for the proclamation of His gospel and the support and growth of His church. Stewardship is a privilege given to us by God for nurture in love and the victory over selfishness and covetousness. The steward rejoices in the blessings that come to others as a result of his faithfulness. (Gen. 1:26-28; 2:15; 1 Chron. 29:14; Haggai 1:3-11; Mal. 3:8-12; 1 Cor. 9:9-14; Matt. 23:23; 2 Cor. 8:1-15; Rom. 15:26, 27.)" (Entire Quote Here)
This being said, I want to tell you exactly what we stand for here at opticXpress. opticXpress is a Christian company. We are a second generation Medical Billing Company owned solely by family members since 1991. Though we are not perfect in all that we undertake, we strive to be honest and loyal; not just to our customer but to The Lord from whom we believe our company has been made possible. We want every single one of our clients, readers and potential clients to know that 10% of our gross revenue is donated Monthly in the form of Tithe and offerings to the local Spanish Seventh Day Adventist Church in Vineland, NJ. With this money, the NJ Conference of Seventh Day Adventists helps fund schools and mission work throughout the state. Specifically, one of the newer and more successful of these schools is the Vineland Regional Adventist School for which we have been a supporter of since its inception just a few short years ago.
"We are God's stewards, entrusted by Him with time and opportunities, abilities and possessions, and the blessings of the earth and its resources. We are responsible to Him for their proper use. We acknowledge God's ownership by faithful service to Him and our fellow men, and by returning tithes and giving offerings for the proclamation of His gospel and the support and growth of His church. Stewardship is a privilege given to us by God for nurture in love and the victory over selfishness and covetousness. The steward rejoices in the blessings that come to others as a result of his faithfulness. (Gen. 1:26-28; 2:15; 1 Chron. 29:14; Haggai 1:3-11; Mal. 3:8-12; 1 Cor. 9:9-14; Matt. 23:23; 2 Cor. 8:1-15; Rom. 15:26, 27.)" (Entire Quote Here)
Though we do not advocate forcing one's religion or beliefs upon another human being it is our goal to be a beacon of light to our customers. To minister to them by our actions so that they can see we truly are moral and ethical.
If you feel that you too would like to make a donation in the form of tithe, contact your local church and ask them how to go about doing it. If you would like to become a supporter of the Vineland Regional Adventist School, Please click here and contact Carlos Torres. Maybe your donation will help to train future optometrists!
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