How To Make Coordination Between Medical And Vision Plan Billing Easy

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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.

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• 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 patients 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 patients visit
  should include adequate documentation of the
  patients 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.

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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 Patients VSP Eligibility
• Coordinating benefits will deplete the patients
  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.

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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.

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About 24/7 Medical Billing Services
24/7 Medical Billing Services is the nations
leading medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to 50.
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Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel [phone] Email
info_at_247medicalbillingservices.com Website
https//www.247medicalbillingservices.com/
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