Improving medical billing procedures to avoid optometry billing malpractice claims

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Improving Medical Billing Procedures to Avoid Optometry Billing Malpractice Claims Optometry has emerged as an alternate medical stream that is fast sharing the burden of primary eye care providers and offering increasingly specialized services. With healthcare industry undergoing consistent reforms aimed at bringing more and more patients under Medicare or Medicaid coverage, Optometry practitioners are experiencing an increasingly diversified payer mix. While this means increased profitability and long term financial sustainability for every Optometry practice, it also means an increased patient liability. Most Optometry practices are prone to malpractice claims because patients can’t perceive the true value of the services offered by an OD. More often than not, patients leave disgruntled due to erroneous diagnosis and dissatisfactory healthcare services. To avoid Optometry malpractice claims, the best way is to improve optometry medical billing services.

Optometry billing practices are based on some fundamentals that can dramatically enhance the productivity of medical billing services if fine tuned properly. 

Coding and billing correctly – Biggest Optometry billing challenge lies in correctly assigning codes for eye disorders diagnosed. Optometry medical billing primarily deals with 9900 and 9200 CPT codes which pertain to diagnosis alone. As the scope of Optometry is expanding, OD practitioners are likely to employ more and more codes for varied procedure. This is where the chances of error increase as many a times an incorrect code can get assigned to diagnostic procedures. To avoid fraudulent billing charges and malpractice claim, therefore, it is essential to update your EMR database with coding changes regularly.

Updating and recording medical data electronically – In addition to coding, recording of patient data in the HIPAA approved format is equally important to save your practice from malpractice claims. Optometry medical billing is a niche and specialized area, wherein regular coding changes are rare and therefore difficult to track. Healthcare industry has adopted ICD-10 coding standards but majority of Optometry coding still happens with ICD-9 codes. Therefore, medical data recording has to be scrutinized and reviewed regularly to maintain proper patient database. www.medicalbillersandcoders.com Copyright ©-2013 MBC. All Rights Reserved.

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