Optometric Billing-Choose Office Ally as Your Clearinghouse...or opticXpress..Which is Also a Clearinghouse, And We Use Office Ally Anyway!

When it comes to submitting your medical claims to the insurance company, there is no better place to turn for EVERY optometric practice than office ally. Yes, I know you want to use vision web cause VSP/Eyefinity owns them and you think you have too. DUMB IDEA. Not only does it cost you money (office ally is free so that is a no-brainer) it is incredibly useless in terms of getting your reports back like EOB's/ERA's or correcting claims. Office Ally makes this process, easy, simple and intuitive. It is easy to correct and resubmit corrected claims and downloading and converting remittance advises/EOB's is a breeze. Also, Eyefinity owns officemate and officemate DOESN'T EVEN USE EYEFINITY TO RETRIEVE/IMPORT ERA'S, THEY USE GATEWAY EDI (ALSO, A STUPID AND EXPENSIVE SOLUTION, BUT THAT IS AN ENTIRE POST UNTO ITSELF) SO THAT SHOULD GIVE YOU AN IDEA AS TO HOW NON-USER FRIENDLY THE VISIONWEB SOLUTION IS. 

The following was posted on Office Ally's website today, and I agree with it 100%:

"False Accusations by CompetitorsPosted on: Thursday, January 30, 2014

Office Ally does not have plans to start charging for services that are currently free. Office Ally will continue to allow its clients to submit claims to participating payers electronically FREE OF CHARGE just as we always have. 

When you are at the top in your field, some competitors resort to deceptive ploys and outright lies in an attempt to entice customers to come on board with them. Recently, a competitor of Office Ally sent out marketing materials falsely claiming that Office Ally is telling its clients that we will start charging for clearinghouse services that are currently free. This could not be farther from the truth! 

We want to reassure you that these made-up claims are unfounded and just plain wrong. This is merely an unprofessional attempt by a competitor to scare you into using their services. 

We appreciate your business and thank you for your loyalty!"

YOU WOULD NEVER, NEVER,EVER SEE GATEWAY, VISIONWEB, OR APEX POST A PROMISE LIKE THAT, OFFICE ALLY STANDS BEHIND THIER PRODUCT, THEY ARE EASY TO WORK WITH AND THEY PROVIDE THE MOST CUTTING EDGE SUPPORT YOU WILL FIND ANYWHERE!

Did I mention that Office Ally is also FREE?!!! Do you really need another reason to choose them to submit your claims?

You can always choose opticXpress as your optometric billing service. We not only utilize Office Ally but we pass that savings on to you. CALL OPTICXPRESS TODAY!

CLICK HERE!

Optometry Billing-NEW CMS Form required April, 2014

The new CMS form will be required to submit claims beginning in April of this year. If you are a programmer, you can click this link to find mapping and layouts for the new form in order to update your software. If you are a biller, you should also click the link in order to familiarize yourself with the new form. 

For help understanding the new form, contact opticXpress today at 866-688-3335

or Click Here!

Optometry Billing-G8553...EXPIRED!

• G8553 code is no longer being accepted by Medicare (or other insurance companies for that matter), and will cause your claims to reject. This was the code to report E-rx incentives, which has been ended.

If you have been using this code and seeing claim rejections (espescially if you are using Gateway EDI) check for this proc code and Delete it then resubmit your claims as normal. 

For help with your optometry billing, Contact opticXpress today.

Click Here!

Optometric Billing-Windows XP not HIPPA Compliant as of April 8,2014

According to an email sent out by 1st physicians:

"As of 4-8-14 Windows XP will no longer be HIPPA compliant. Microsoft has announced that as of April 8, 2014, they will not release any security patches for the Windows XP operating system.  Without this support, Windows XP will be non-compliant with HIPAA.   This leaves just 12 weeks for you to replace any PC's on your network currently using Windows XP. Please note that this will not only affect health care, but also all business and government agencies, so it could result in a shortage of equipment available, or shipment delays."

Over the coming days, opticXpress will be listing links on our website where you can buy high quality, HIPPA compliant PC's. For now, you check out two that are sold in our amazon store by CLICKING HERE.

This is the opticXpress Hal500 fully HIPPA compliant PC

Call opticXpress today for help with replacing your non-compliant PC's.

(866)-688-3335 x1

Optometric Billing-Increase Reimbursement From Vision Insurances (VSP, DAVIS, EYEMED, SUPERIOR, ETC)

Yes. It's true. You can increase your reimbursement from vision plans that you participate with. There is no special trick to doing this. No special coding that you are required to learn. It's such a big secret, the vision company execs would probably kill me if I let this get out...but I'm gonna take the risk.

It's not hard to make this happen, in fact, it's actually quite simple. All you need is an individual working for you that is talented on the phone and the "cohones" to say "Cancel my contract"!!! Don't believe me?

Here at our clinic, we have successfully negotiated will ALL BUT ONE of our vision plans for an across the board increase of base pay for exams. Where we were receiving $38-$45 before for eye exams, we are now receiving $75 per exam FROM EACH COMPANY and many of the vision insurance companies have been gracious enough to raise our materials reimbursements as well, in most cases without us asking! The only company that didn't want to "play ball" was N.V.A and guess what? I just faxed them our notice of termination.

The bottom line is this: you don't have to continue to accept these low-ball reimbursements from vision plans! You can do something about it...especially if you are in a market where allot of employees utilize a particular plan or if it is a "high rent district". 

Not sure you are ready to try this on your own? Want some help from an optometric billing specialist ? Call us today and we can help you get paid what you deserve from vision insurance companies!

Call Toll Free: (866)688-3335 x1, ASK FOR ANDREW!

Optometric Billing at Vision Expo East

I will be walking around the Expo center at Vision Center East, Saturday and Sunday March 29th and March 30th. We will not be presenting nor hosting a booth at this time. It is my goal to meet OD's and other billers in the industry as well as practice management software vendors in the hope of networking and finding new opportunities to serve both OD's and peers in the industry and create partnerships with software vendors. If you, or a representative of your practice or company, will be there I would love to meet you! Please call or send me an email and we can set up a meeting time in the expo center when it is most convenient for both of us.

You can reach me by calling Andrew Roy at opticXpress/Stowe Eyecare or emailing me. My contact info is below! I look forward hearing from you and hope to be of service to you as an optometric billing specialist at this years vision expo east!

Toll Free: 866-688-3335 ext 1
Desk: 802-253-7201
Fax: 802-253-7522
E-Mail: rlr.consulting@gmail.com

To learn more about opticXpress and Stowe Eyecare please click below!

Click Here for opticXpress                         Click here for Stowe Eyecare

Optometric Billing-Keeping It Legal After ObamaCare-The Affordable Care Act

Good Morning,

As exchange plans continue limiting provider networks and ramp down compensation, it’s not surprising that more professionals are exploring or pursuing different options. Some physicians are conducting a concierge or retainer practice that offers upgrades to cash-paying patients. Some have decided to “opt out” completely of insurance programs. Others, who continue to participate in governmental and managed care arrangements, however are considering whether going “out of network” makes more sense financially and operationally, than remaining network providers.

The Affordable Care Act has imposed new requirements that impact the ability to accept and charge patients for concierge (retainer) service, even if they are participating in exchange plans, or in Medicare and traditional commercial plans. The law also requires every citizen to obtain insurance, meaning that many “cash” patients will in the future be covered.

Providers who seek to “opt out” have to follow a set of procedures to extricate themselves from Medicare or managed care plans. They will need to enter into agreements with Medicare patients regarding future care. Further, payer requirements and state laws also impose limits on doctors or groups establishing a cash or a concierge practice.

Join us for this Live Audio Conference - "Concierge Practice: How To Keep It Legal Post Affordable care Act" on Thu, Jan 16, 2014 at 1 pm ET | 12 pm CT | 11 am MT | 10 am PT where expert speaker Wayne J. Miller, Esq. will discuss the current limitations on a concierge practice and how it may still be viable in the new environment.


Highlights of the session:

• What requirements do exchanges impose on providers?
• Definition of services that are “covered” in exchange and other plans as per ACA
• Private vs. public exchanges: what providers need to know
• Must you serve exchange patients under existing contracts?
• Terms to look for in new deals to serve exchange patients
• Reducing liability risk for nonpayment
• Due diligence steps recommended before taking on exchange business

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

If interested, please click the following link to register and get your early bird discount:-

CLICK HERE TO REGISTER

Please apply discount code "SAVE20" at checkout to get an additional $20 discount on registration.

Looking forward to your participation here.

Thanks,
Jennifer Smith