Knowing Optometric Billing and Coding Boosts Practice Revenue

One of the key ways to improve revenues in any medical discipline is to handle billing and coding well so that the services provided can transition to revenues earned. And optometry is not an exception.  But, like billing and coding related to any other area, accurate billing and coding in optometry requires knowledge and expertise coding guidelines, conventions, use of modifier, anatomies  and optometric terminologies.

Thorough knowledge of the above factors will help you to deal with issues like medical coverage, establishing the medical necessity of a provided service (or that the services are proper and needed for the diagnosis or treatment), establishing that the service provided was based on the purpose stated by the patient, establishing that the tests were based on actual diagnosis and not individual symptoms etc.

Additionally, optometry frequently sees coming in of new technologies to perform tests. The challenge it brings in for you is any test requires interpretation and report to establish the need of the test. And to meet this requirement, a series of details, starting from the prescription of the test to treatment plan based on the result, needs to be documented in treatment records.

 And even after all this, you may lose revenues to under coding stemming from wrong the choice of office visit codes. There are five codes for office visits and the last number of these codes denotes the level of complexity which is decided based on three factors the patient’s history, examination and medical diagnosis. This requires sound documentation.

So knowledge of billing and coding and related aspects and documentation to support claims are the key factors in ensuring the success of optometric medical billing services and coding.

MBC has a team of billers and coders who combine expertise and years of experience in handling optometric billing and coding. We offer optometric billing coding solutions in keeping with your operations, budget and exact billing and coding needs.

If you have an in-house billing and coding cell, through MBC’s Revenue Management Cycle services, we can optimize your revenue management system to gear it up to meet modern billing and coding challenges. We will assess your in-house process and identify areas of revenue leakage and suggest ways to plug them by replacing old software applications with new ones suiting your purpose and environment, fine tuning your lengthy processes or replacing them with new ones if required and training people in various areas of billing and coding techniques and methodologies.

Our medical billing management cycle includes accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards. It optimizes your revenue cycle, increasing collection rates, patient inflow and referrals.

We can also help you with transition to ICD-10 and HIPAA 5010 compliance.

Our services are flexible and allow you to pick and choose such parts of our services as fit your optometric billing and coding needs and avoid revenue spillage.