Thursday, March 5, 2015

OPTOMETRY BILLING-SPECTERA ELECTRONIC CLAIMS SUBMISSIONS

opticXpress is pleased to announce that we are now online with Spectera as an approved clearinghouse to submit claims to them electronically. Providers will still have to sign up with optum-payments to receive Electronic Remittance Advices and request EFT however, which is a let down, but this is a step in the right direction for an insurance company that is arguably one of the most archaic and backwards thinking insurance companies in the market (most vision plans are similar, as well all know!).

Contact opticXpress today by CLICKING HERE or calling (866)688-3335 and let us be your go-to optometry billing service!

Wednesday, January 28, 2015

Optometry Billing-Medicare, VSP and Others Increase Audits

* "Medicare, Blue Cross, VSP and ALL  other payers have increased their audits. They know that most practice's documentation is NOT COMPLIANT! Typical Penalties are between $100,000 and $200,000 ! Most practices fail these audits. "





*This came from our friends at Eyecor. opticXpress is a re-seller of Eyecor coding software you can contact us by clicking here to get more info about this ground breaking software. For help with a pending insurance Audit, a Past Insurance Audit or to protect yourself from a possible future audit please contact Eyecor's Nteon Practice consultants by clicking here. 

Nteon Practice Consultants are experienced in what auditors are looking for. They have conducted many audits throughout the country and these audits include a review of compliant documentation, reports, HIPPA and lost reimbursements just to name a few.

Wednesday, January 7, 2015

opticXpress Provides 835 ERA File Interpretation and Translation Services

Dear Medical Biller,

    One of the most important aspects of your job, if not THE MOST IMPORTANT, is posting and reconciling payments. However, without expensive software, it is near impossible to do this automatically costing you valuable time, money on salary and worse, CLERICAL ERRORS.

opticXpress has a solution that you may be eager to learn about. WE NOW PROVIDE 835 ERA INTERPRETATION AND TRANSLATION SERVICES! Simply put, you receive an 835 file from your payers or clearinghouse, pass that file along to us in its original format and we translate it and send it back to you in ANY FILE FORMAT you wish! Using our service, the possibilities are endless, your clients will benefit and so will your bottom line.

     To find out more about this invaluable service, give me a call today at (866)688-3335 X1 and ask for more info on our 835 Interpretation and translation service. I guarantee that you will have nothing to lose but the seemingly endless piles of EOB's on your employee's desks!

   Sincerely,

   Andrew W. Roy
   President
   opticXpress


Expanded Optometry Billing Services To Choose From This New Year !

Hi All,

    Andrew Roy here, President of OpticXpress. I just wanted to key you in on some of our core services that we offer . As a busy optometric practice, any or all of these services may fit your needs perfectly and I invite you to give me a call and chat with me about them.

    We offer:
  1. Free practice management software
  2. Paid practice management software that includes fully accredited EMR allowing your practice to take advantage of meaninful use payments
  3. Full medical billing services including clearinghouse, claim submission, claim denial resolutions, payment reconciliation, patient invoicing, patient consultations regarding invoice/balance questions, patient access to quick and easy online invoice payments
  4. Patient recall services including low cost post-card mailing
  5. Access for your practice to discounted equipment just for being an opticXpress client. This equipment includes retinal cameras and OCT machines as well as all other major equipment.
  6. Staff training
  7. Full practice management
    You can choose from any or all of the above solutions that best fit your practice. Once you have an idea of where you want to go we will help integrate these services into your office. 

Give me a call about these wonderful services today, I can't wait to hear from you. 866-688-3335

HAPPY NEW YEAR!

Sincerely,


Andrew W. Roy
President
opticXpress

Friday, September 12, 2014

Optometric Billing: Why I Hate Officemate, Part 4

In part 4 of this mini-series we will look at Officemate's Automatic Insurance Payment Posting System. The bottom line...IT IS BROKEN and has been since the first generation of the software.

Take a look at the below screen shot:








In the above example, the user imported a remittance advice file into office mate and auto-posted it. It clearly shows that the patient paid their $25.00 co-pay but still transferred a $25.00 copay to the patient's responsibility! As usual, I approached office mate tech support with the issue and they told me what they always tell me : "Works as designed, no plans to fix".  Can you believe that?!?!

What this means to your practice:
Quite literally, this means that if you are using auto-post, you will never be able to trust the system when it applies payments to patients' balances. The problem goes deeper as financial errors always snowball (think back to that missing check # in your check book that you can't reconcile for the life of you). If you don't check the work, which literally defeats the purpose of auto-posting, you will not be able to keep accurate financial records or send accurate statements and invoices to patients. This will not only mean that any financial reports you run out of officemate will NEVER be accurate (which again, defeats the purpose of having automated office management software), but you will also cause your patients to either over-pay you or get extremely upset at you causing you to loose customers and receive negative reviews in the community that you serve....all because you chose officemate. I can tell you from experience, having an patient call you due to an officemate-generated statement you sent them is NEVER pleasant experience.

There is good news. There are tons of software solutions you can choose and opticXpress can help you find the right one...



Wednesday, May 28, 2014

Optometric Billing-Why I HATE Office Mate- Part 3

The Problem:

In Part 3 of this "mini-series" on reasons not to purchase office mate, or get rid of it if you already have it, we are going to explore Ledger Balances.

In Office Mate, ledger balances are often incorrect, as seen below. (HINT: The picture is quite large so you will need to click on it in order to get a better view. )



What this means to your practice:

This is kind of a no-brainer. As has been my mantra with Office Mate, and ALL Eyefinity produced software for that matter, you purchase office management software to help you MANAGE YOUR PRACTICE which means that you are entrusting it to provide you with accurate financial information. As seen in the example above, however, Office Mate provides you with a balance for the patient, "Alexa" of $54.89 but if you click on the detail you will find that the ACTUAL ACCOUNT BALANCE is zero!!! These in-accurate balances are found throughout the patient ledger in office mate and usually occur after legitimate write offs have been posted to patient accounts. Basically, your staff is writing off these charges but a balance remains. Often, these erroneous balances are left to age and generally end up being billed to patients on statements! To Office Mate's credit, they have created a separate program you can download to "TRY" and fix some of these errors (this program is called "iBal" and will be explored in a subsequent post) but the program does not always work and you have to ask for it if you want it. It is not offered to you by Office Mate when you purchase the program nor can it be found in the Office Mate download center. 

As with every other error I have posted about and will post about in the future, Office Mate does not deny the existence of this costly bug and has deemed it to be part of the program "as designed" which means they have no immediate intention of fixing it. When you buy Office Mate, regardless of what price you pay for it, YOU ARE BUYING SOFTWARE THAT DOES NOT WORK PROPERLY AND YOU PAY A YEARLY MAINTENANCE FEE OF UP TO $2,000.00 TO SUPPORT THIS BROKEN SOFTWARE!

Did I mention that not only are these ledger errors reflected on patient statements but on the reports you and your staff generate using Office Mate as well? It's true! This means that if you run an "open balance" report or an "aging report" YOU CAN'T TRUST THE NUMBERS THE SYSTEM IS GIVING YOU WHICH EFFECTIVELY MEANS THAT YOU WILL NEVER HAVE A TRULY BALANCED ACCOUNTING WHEN USING OFFICE MATE! This is truly a COSTLY shame.

For recommendations on the best software for your practice, contact opticXpress today by clicking here. We can point you in the right direction and help you get the best, most cost-effective software for your practice.