HOW TO MAKE COORDINATION BETWEEN MEDICAL AND VISION PLAN BILLING EASY?
MANY PATIENTS HAVE VISION PLANS AS WELL AS MEDICAL INSURANCE PLANS. IT CAN BE CHALLENGING TO SELECT WHICH ONE TO BILL, ESPECIALLY WHEN PATIENTS WANT TO BE INVOLVED AND ARE CONCERNED ABOUT HOW MUCH THEY WILL HAVE TO PAY. PATIENTS MAY EVEN REQUEST THAT YOU CHARGE THEIR VISION PLAN RATHER THAN THEIR MEDICAL INSURANCE. BY FOLLOWING SOME STRATEGIES, YOU CAN MAKE COORDINATION BETWEEN MEDICAL AND VISION PLAN BILLING MORE EFFICIENT AND EFFECTIVE.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
MEDICAL VS. VISION INSURANCE PLANS
WITH THE PENDING CURRENT HEALTHCARE REFORMS, THE DISCREPANCY BETWEEN VISION INSURANCE PLANS AND MEDICAL INSURANCE PLANS HAS PLACED OPTOMETRISTS IN A BILLING PREDICAMENT THAT OTHER PROFESSIONS HAVE YET TO SEE. DENTISTRY IS THE CLOSEST EQUIVALENT SITUATION.
• HOW TO TAKE ADVANTAGE OF BOTH PLANS?
THE FOLLOWING STEPS SHOULD BE FOLLOWED TO GRAB THE ADVANTAGE OF BOTH PLANS:
1) THE PATIENT’S PRIMARY COMPLAINT MUST DRIVE THE RATIONALE FOR THE VISIT. THE PRINCIPAL COMPLAINT MUST BE MEDICAL TO BILL PRIMARY MEDICAL INSURANCE.
2) THE PRESENTING GROUNDS FOR THE PATIENT’S VISIT SHOULD INCLUDE ADEQUATE DOCUMENTATION OF THE PATIENT’S MEDICAL CONDITION(S), HIGH-RISK MEDICATIONS, AND RELATED EYE SYMPTOMS.
3) A STANDARD OF CARE IS PROPER OBJECTIVE TESTING WITH DOCUMENTATION AND REPORTING.
4) FINALLY, ACCURATE DIAGNOSTIC AND BILLING CODING AND PATIENT COMMUNICATION OF THE TREATMENT PLAN COMPLETE THE SOAP FORMAT THAT OPTOMETRISTS ARE TRAINED TO USE.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
POINTS TO BE KEPT IN MIND
• NO BENEFIT OF SUBMITTING ONLY THE REFRACTION
YOU CANNOT SEND VSP MERELY THE REFRACTION WHILE SUBMITTING THE EXAM CODE TO THE MEDICAL CARRIER. THE 92- OR 99-CODE FOR THE EXAM, AS WELL AS THE 92015 CODE FOR REFRACTION, MUST BE PROVIDED TO MEDICAL FIRST, FOLLOWED BY THE WHOLE EOP AND A PAPER COPY OF THE ORIGINAL CLAIM SUBMITTED TO THE MEDICAL CARRIER, WHICH IS THEN SENT TO VSP FOR SECONDARY PAYMENT.
• USE UP THE PATIENT’S VSP ELIGIBILITY
COORDINATING BENEFITS WILL DEPLETE THE PATIENT’S VSP ELIGIBILITY, REGARDLESS OF THE AMOUNT INVOICED. A PATIENT MAY NOT BENEFIT FROM PRIMARY-SECONDARY BILLING IF THEY HAVE A HIGH DEDUCTIBLE OR AN HSA OR FSA ARRANGEMENT, WHICH COULD RESULT IN HIGHER OUT-OF-POCKET EXPENDITURES FOR THE PATIENT.
Clean Claims Means You Get Paid Quicker
24/7 MEDICAL BILLING SERVICES SPECIALISTS ARE WELL-VERSED IN OPHTHALMOLOGY AND OPTOMETRY BILLING AND CODING. OUR CODING EXPERTISE ASSISTS IN DETERMINING
HOW TO BILL THE VISIT AND ENSURE THAT CLAIMS ARE CLEAN AND ERROR-FREE BEFORE WE SUBMIT THEM. WE UNDERSTAND THAT BEING QUICK AND AVOIDING REJECTIONS MEANS GETTING PAID FASTER. BEGIN TODAY WITH A FREE PRACTICE ANALYSIS.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
https://www.247medicalbillingservices.com info@247medicalbillingservices.com