ABOUT THE GUIDES:
MEDICAL OPTOMETRIC CARE will give you the absolute best return on investment of any ophthalmic equipment you have in your clinic. It is a readiness, resource, and survival guide for medical optometry.
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We show how to get started, how to enroll, getting credentialed, setting your fees, and understanding medical insurance terminology. We discuss if, when, and how to outsource to a billing company.
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We help you understand appropriate examination documentation, choosing appropriate examination CPT codes, understanding modifiers, and comparing and contrasting all the different exam codes (Ophthalmological, Evaluation & Management, and S-Codes).
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The guide includes comprehensive service coding for diabetes care, cataract surgery co-management, dry eyes, allergies, Plaquenil use, and glaucoma including templates for patient letters to their primary care physicians you can use and modify. Example claims are shown with appropriate coding and modifiers.
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The guide outlines full coding and documentation requirements for the special ophthalmic diagnostic services: fundus photography, OCT, anterior seg photography, visual fields, extended ophthalmoscopy, gonio, pachymetry, etc. including sample interpretation and reports.
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THE GUIDE IS FULLY UPDATED FOR CURRENT E&M CODING.
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Three appendices discuss reading and understanding EOBs and remittance advices. We show numerous claims we’ve submitted and the remittance advices we’ve received for those claims. We post examples of where it went wrong when we received claim rejections and discussed how we screwed it up . . . and we complain when we did everything right and the claim was still screwed up. :)
FRONT DESK MANAGEMENT is a staff resource guide for managing patient inflow and outflow through an optometry practice.
This guide teaches numerous ways we save money and address patient issues before they become problems we have to fix afterwards.
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We describe beginning the day, front desk organization, staff responsibilities, and tasks managed by the front desk.
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We help the staff understand appropriate and effective communication for patient intake. How to manage patients calling with questions, explaining fees, making appointments, and investigating insurance benefits.
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WE PROVIDE SCRIPTS TO BETTER ILLUSTRATE HOW WE TALK WITH PATIENTS.
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We discuss how to greet patients, how to manage history forms, insurance forms, and how to explain what's to be expected from filing their insurance.
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The guide includes coding and billing basics so the front desk has an understanding of how to get started with insurance filing.
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WE REALLY PUSH HOW TO AVOID SCHEDULING PATIENTS THAT ARE GOING TO END UP BEING NO-SHOWS.
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We discuss how to track insurance submissions and how to fix broken claims.
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We discuss managing accounts receivable and provide an example of our invoice we send to patients when their insurance fails to cover their exam.
