Revenues accrued out of optometric billing of patients covered by medical insurance are more than those realized by billing the ones covered by vision insurance. The reason is quite simple, there are more patients covered by medical insurance than by vision insurance. Moreover, when it comes to reimbursements, the amount realized from medical insurance is […]
Rules for Medicare & Medicaid Optometry may differ with states and it is beneficial to know the differences. Although Medicare and Medicaid optometry sounds almost the same, they are quite different from each other. Medicare is meant for seniors who have crossed the age of 65, though younger people with certain disabilities are eligible as […]
The ambulance billing services industry is growing. Medical Billers and Coders (MBC) has the expertise required to streamline revenue for Ambulance transportation clients, providing end-to-end revenue cycle management services. With vast medical coding requirements and deep knowledge required for medical billing, the EMS billing services industry is fast expanding to cater to the growing needs […]
Getting credentialed with the right insurance panels is key to growing your practice revenue. However, Credentialing for Optometry Practices can be a daunting task. Are you aware that a Medicare application is a minimum of 30 pages for a solo provider and may surpass 50+ pages if you are a corporation or group practice? Even […]
Optometry includes curing vision-related problems, fitting lenses, diagnosing and treating certain ailments of the eye, sight testing, and correction by the initiation of diagnosis, treatment, and the supervision of vision changes. Having its own set of issues with billing and reimbursement, Optometry must focus on receiving the entire payment for the treatment provided. Rules for […]
The voluntary program Physician Quality Reporting System (PQRS) is meant to pay eligible professionals (EPs). This includes physicians under Medicare as well as a few select therapists and service providers who extend their services to beneficiaries under Medicare. However, there does exist a bit of confusion with medical practices on whether the requirements of PQRS […]
The medical practice has, and, is seeing a great many changes taking place in terms of healthcare reforms, the CMS rules & regulations with respect to reimbursements, and the ICD-10 coding system recently introduced in October 2015. These changes have affected a broad spectrum of both small, mid, and large healthcare providers specifically in terms […]
Physician credentialing or provider credentialing is a prolonged yet crucial procedure. Every physician who joins a new practice requires credentialing. It is a process of acknowledgment, attestation, and authentication of knowledge, proficiency, and motivation of the physician to provide medical care. If postponed for a long time or done arbitrarily, it can cause glitches in […]
EOB is an outcome of the claims process and is alternatively termed as a Beneficiary Notice, Summary of Benefits, Remittance Advisory, or Coverage Determination. EOB is NOT A BILL though it looks like one. It is simply an explanation of the claim covered/not covered by the healthcare insurers to the healthcare provider along with any […]
This is chiefly due to the number of hands the bill goes through; the count roughly being close to 300 people that are involved in the billing process at some stage(billing specialists, coders, medical practitioners, administrators, and insurance providers). There are numerous errors related to medical billing; patients are sometimes overcharged (charged for services not […]
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