VISION BILLING SERVICES

VISION BILLING INSURANCE VERIFICATION

Accurate insurance verification is possible with our experts who are skilled and ensures if all the information is provided completely without any errors. This could possibly keep away from rejections and denials.

CODING SERVICES FOR VISION BILLING

With two set of codes for vision billing, it’s not easy for providers to submit the claim, our coding expertise will ensure to code according to the guidelines and payer rules to avoid other possible rejections.

FOR ENQUIRY

VISION PATIENT DEMOGRAPHIC ENTRY

Not all the details provided will be correct. There will be few things missing out especially when it comes to crucial patient information. It’s essential to check and enter accurate demographic details before claim submission.

VISION CHARGE ENTRY

The team can provide Charge entry for the services by examining the procedures separately and assigning payments and costs liable for vision billing. We also ensure error free charge entry process before submitting the claims.

VISION A/R FOLLOW UP

For any claim to get paid regularly, frequent follow up with the claims is very essential. We do regular follow up with payers to know the status of our claim and resubmit within timely filing limits before revenue flow is interrupted.

DENIAL MANAGEMENT FOR VISION BILLING

Rejections and Denials cannot be predicted. They might occur for various reasons. But a perfect denial management team can keep your practice safe from such occurance. We are one among them. We deal with denials to have systematic flow of revenue.

frequently asked questions

  • What is Vision Billing?

    Clean claim submission and timely payments are the main reasons that help vision billing sustain and maintain constant revenue. But it isn’t that easy to make revenue payments for vision billing. Unlike other medical Billings, vision billing is unique with two set of vision billing codes to choose. This option leaves the providers at confusion. There are many things to watch out for before coding perfectly. The coder must check for the insurance companies’ rules, the exam elements performed by provider, medical necessity requirements and reimbursement rates for the services and procedures that have been considered for coding. Use of E/M codes for medical element visits is must. If there are no medical elements, eye code is ready to go for. Most of the healthcare providers choose out of network billing which could lead to many risks including denials, delayed payments, violations, frauds and abuse laws.

  • What's important for Vision Billing?

    • Accurate coding with E/M codes • Avoid out of network billing • Accurate billing for diagnostic testing

  • Can vision billing be billed with medical insurance?

    Medical insurance may cover medical eye problem but not eye exams. Few eye problems such as eye infection, corneal disorders, glaucoma, double vision can be accepted under medical insurance as the visit will be considered as medical issue. Routine eye exam like blurred vision or headache must be billed under vision insurance.

  • What is the difference between Routine eye exam and medical eye exam?

    Routine eye exam mostly has the similar elements as a comprehensive medical eye exam, and consulting an ophthalmologist doesn't make the exam medical in common. If it's routine eye exam or medical eye exam is usually determined by the purpose of the visit and diagnosis.

  • What does vision insurance cover?

    Vision insurance usually covers the cost of annual eye exam along with prescribed sunglasses or contact lenses. These qualify under vision plans for billing.

  • If patient obtains both medical and vision insurance, which would be considered as primary?

    The primary insurance consideration depends on the reason for the visit. Medical plans must be billed for the exams, evaluation od complaint but at the same time exams to check vision, screen for disease and eyeglasses or contact lenses are to be billed under vision plan.

COMPLIANCE / AFFILIATIONS

We Respect Rules & Regulations

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HIPAA

Compliance to HIPAA regulation

HBMA
HEALTHCARE BILLING

Robust quality system with stringent controls at highest standards of data security.

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ISO 9001:2015