Vision Billing Services

Our certified coders possess extensive expertise in the realm of eye care billing and coding. They are well-versed in a spectrum of aspects, including diagnosis and procedure coding, evaluation and management (E/M) codes, the utilization of code modifiers, electronic data interchange (EDI) procedures, industry standards, and the steadfast maintenance of 100% HIPAA compliance. Our focus lies in:

• Precise Billing:

We place paramount importance on billing in strict accordance
with state-specific coding and audit guidelines.

• Thorough Review:

Our team diligently evaluates medical documents and physician
notes to ensure that claims are neither under-coded nor over-coded.

• Denial Resolution:

We investigate and address previous denials stemming from coding
errors, thereby contributing to the reduction of your accounts receivable (AR).

Managed Vision Care Plans and Medical Insurance Claims Submission

We possess an in-depth understanding of various payers and their requirements, enabling us to ensure that your claims are submitted devoid of errors, consequently promoting a consistent and positive cash flow for your practice.

• Electronic Claims:

When filing claims electronically, our clients typically experience insurance payments within two weeks, as opposed to the 3 to 4 weeks commonly taken by major commercial payers.

• Vision Insurance Claims:

We expertly submit vision insurance claims via portals like VSP and EyeMed for services such as exams and contact lenses.

• Paper Claims:

For payers necessitating paper submissions, we undertake the task of submitting paper claims, thus ensuring a seamless process.

Secondary Claims Filing

Handling secondary insurance claims can often result in timely filing denials, especially since many payers stipulate a specific period for billing a secondary carrier after receiving primary payment. Our team efficiently manages this process by consistently processing claims daily.

Accounts Receivable (AR) Cleanup & Insurance Follow-up

We maintain a dedicated team of experts focused on daily AR cleanup. Our Fast Pay Health eye care billing consultants take care of the following:

• Scrutinizing AR and aging claims to identify the reasons behind outstanding open balances.
• Analyzing unpaid claims and taking requisite steps to recover the outstanding amounts.
• Reducing the time you spend on phone calls with insurance companies, thereby allowing you to see more patients and enhance revenue.
• Verifying the receipt of claims with insurance companies and entering them into your practice management system to ensure a cleaner AR.

Practice Billing Audits

Preventing delays in reimbursements is our priority. We conduct claim audits to guarantee the cleanliness and accuracy of your insurance claims. By reviewing accounts receivable aging claims daily, we pinpoint the causes of outstanding open balances, thus proactively expediting revenue recognition.

Business Analysis

Our comprehensive reports delve into the work completed for your practice, providing insights into strategic business moves that can propel your optometry practice forward. This empowers you to augment top-line revenue, ultimately leading to a healthier bottom line.