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Ophthalmology Blog

Up-to-date weekly advice for ophthalmology practices, other specialty practices, ambulatory surgical centers, academic eye hospitals, and optical practices

Why You Should Spend More Time Thinking About Medical Billing

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By Michael Carroll on September 28, 2018
two doctors looking at clipboard

Much has been reported on the patient impact of the Affordable Care Act (ACA), and its subsequent debates and repeals. The good news is more patients have insurance coverage or come under Medicare. However, patients aren’t the only ones affected. Healthcare reform has brought about drastic changes for individual practices, and medical billing is one […]

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Ophthalmology Billing 101

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By Byrd Evans on September 21, 2018
doctors and nurse looking at computer screen

Medical billing is the backbone of a healthy revenue cycle for any medical practice, regardless of specialty. An ineffective billing strategy can slow cash flow, increase the rejected claim rate, and ultimately lead to large revenue losses. According to the American Academy of Family Practices’ list of 10 Ways Practices Lose Money, five out of 10 […]

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8 Common Reasons for Denied Claims in Ophthalmology Practices

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By Michael Carroll on September 7, 2018
person signing document while another person is showing them numbers on their calculator

Denied claims have a significant impact on a provider’s cash flow. The good news is that 63% of denied claims are recoverable. However, even if your practice eventually collects the funds, you’re still losing money via the administrative costs associated with reworking the claim. In fact, one study found that it costs providers $118 per claim to work […]

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3 Ways to Make Sure Your Ophthalmology Practice is Verifying Insurance Properly

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By Byrd Evans on August 31, 2018
person signing papers

According to Modern Medicine Network, the time it takes your front desk staff to verify insurance costs the practice about $2.55. Compare that to the $10.5 billion in uncompensated care provided by practice physicians each year, as calculated by Health Affairs. Spending $2.55 per patient to confirm they have coverage and to increase the likelihood that you’ll […]

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4 Ways to Ensure Your Ophthalmology Practice is Maximizing Its Front Desk Staff

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By Michael Carroll on August 24, 2018
patient talking with receptionist with doctor looking on

The importance of front desk staff is two-fold. First, their efficiency or inefficiency has a trickledown effect. A mismanaged front desk can affect the standard of care, billing, claims and ultimately practice revenues. Second, your front desk staff is your face to the world: the first impression patients get of your practice. Did you know the […]

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Five Benefits of Outsourcing Your Ophthalmology Billing

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By Michael Carroll on August 16, 2018
woman using mobile phone while looking at her laptop

Consulting. Outsourcing. Third-party vendors. Contractors. Whatever you want to call it, businesses from every industry are getting help with services that used to be handled in-house. The same is true in the medical industry, and billing is one area that has seen a wide-spread transition to outsourcing in recent years. Is it worth it? Many […]

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Transform Your Patient Statements and Get Bills Paid

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By Byrd Evans on July 20, 2018
two people looking over notes and taking notes

Is getting bills paid–especially in a timely manner–a constant struggle for your practice? Do you find yourself sending out notice after notice, printing a fresh statement for your patients every 28 days as their past due fees add up and the odds of sending the bill to collections increase? While there are numerous strategies that […]

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8 Important Reasons to Verify Insurance in Your Ophthalmology Practice

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By Michael Carroll on July 12, 2018
nurse meeting with patient

Verifying insurance is a critical part of your everyday practice operations. It’s easy to check patient cards as they come in, but verifying their coverage with their company is a critical step that you must take before offering treatment–even if you’re working with a long-term patient. Not only is it important to ensure that the […]

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Are You Efficiently Working Patient Statements?

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By Michael Carroll on June 27, 2018
man drawing projected growth graph on clear board

According to the CDC, Americans with high deductible health plans increased by 50 percent between 2011 and 2016. As a result, patients are responsible for a higher percentage of their health care bills. Providers and facilities are reaping the results of this shift in financial responsibility. Analysis by TransUnion Healthcare revealed that two out of three patients do […]

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How Often Should Your Ophthalmology Practice Submit Claims?

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By Michael Carroll on June 13, 2018
person working at mac computer holding mouse and stylus

Did you know healthcare practices and organizations spend $250 billion each year processing a total of 30 billion healthcare transactions? Your claims submission process is critical to decreasing the economic toll of claims processing for your office. A study performed by PricewaterhouseCoopers found that the average healthcare organization spends $20 in labor to file each paper document, $120 in […]

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