Providing excellent patient care is undoubtedly the top priority of any optometrist. However, to offer excellent patient care, it is also vital to give the business in your optometry practice the attention it deserves. Without sufficient billing processes, you can face several challenges, such as revenue losses, problems in claim settlement, and lower reimbursements. On the other hand, well-organized optometry billing solutions can help you use the staff time more efficiently and offer a better overall experience to your clients.
Optometry billing solutions simplify administrative functions and allow your team to focus on their core competency, i.e., patient care. The following blog discusses 7 optometric billing solutions that can help solve critical problems in optometry billing.
Solutions to Optometric Billing Problems
- Allow Efficient Team Communications
Claim denial is one of the most serious problems with optometry billing. But did you know almost 90% of denied claims can be avoided with a robust billing strategy? Yes, that’s right, having a solid strategy can help prevent common mistakes and errors. Implementing an easily accessible communication platform can enable effective communication among the team members, decreasing the scope of errors.
The communication platform can help your staff members and the optometry biller to communicate promptly, sharing news and announcements. This allows everyone to stay abreast with the latest health care, optometry, and insurance billing developments.
- Digitize the System
In most cases of claim denials, rejections occur due to errors made during data entry. In the traditional method, patients fill out medical forms in the waiting room and give them to the staff, who then transcribe the information to the computer while sending claims to the insurance company. If any patient detail gets entered wrong, it results in claim rejection or denial.
Optometry billing solutions allow sending digital forms to patients before they even visit your clinic. Therefore, using digital forms saves time, eliminates the risk of errors, and ensures prompt claim submissions and maximum reimbursements from insurance companies.
- Enable Instant Messages to Patients
Getting in touch with patients for appointment scheduling or insurance clarification can become challenging if they do not receive the call. All-in-one business software as part of the optometry billing solutions allows you to engage in a messaging chat with patients, reminding them of their appointment or asking them questions about their insurance providers.
Investing in messaging software will not only reduce billing errors but also help deliver a satisfactory patient experience.
- Use Common Modifiers
Several optometry practices under the CMS radar lose revenue due to the misuse of optometry billing modifiers. Your practice can face a hefty fine if a fault with the optometry billing and coding is found during the audit.
An efficient optometry billing solution can help with the correct use of modifiers, helping you prevent audits. Besides fines, billing modifier errors can also result in claim denial and revenue loss.
- Streamline the Payment System
Optometric billing solutions streamline the payment system with structured tools and procedures. It helps providers prevent issues with late or missed payments by clients. Deductibles, copays, and coinsurance should be collected from patients at the time of check-in or check-out through innovative payment software.
Offering in-app payments can be beneficial for both you and your patients. While you get a simple payment tool with HIPAA compliance, your patients can choose the payment method, such as manual card entry, mobile payment, or text-to-pay.
- Have an Easy Process for Insurance Verification
The optometry billing solution gets the details of the patient’s insurance when they make an appointment before visiting your healthcare facility. The optometry biller must ask for up-to-date information regarding the insurance status, verify the details, and understand the covered services. This helps prevent irregularities during claim submission.
If an issue arises during insurance verification, the optometric biller can message the patient to resolve the problem before they visit the clinic.
- Understand the Common Mistakes in Optometric Billing
Sometimes, even the most experienced billers can get their claims rejected or denied. The solution to the problem is understanding what causes common claim denials or rejections. Generally, settlement claims are denied under three categories: clinical, administrative, and policy.
You can prevent about 90% of claim denials and recover from 63% of denials. By focusing on the errors that caused denials and using the latest software, you can rectify mistakes, solving one of the major problems in optometric billing.
Solve All Your Optometric Billing Problems With CS Eye!
The easiest way to solve your optometric billing problems whilst ensuring profits is to outsource your optometric billing requirements to a specialist like CS Eye. CS Eye’s optometry billing solution can minimize your hassles and boost your profits. Being an industry leader in optometry billing services, the team at CS Eye can deliver best-in-class solutions to elevate your reimbursement rates. Contact us to learn more about our optometric billing services.
