Optometrists that run an independent or small group practice are focused on providing exceptional patient care. But they also have the added responsibility of running the business and financial operations of an optometry clinic.
It’s not easy in a complex world of claims, payers, and evolving payment models. With AdvancedMD you get all the tools you need to keep up with the financial health of your practice and keep your focus where it belongs on your patients.
Claims that go to payers with errors are denied, causing more work for your team to investigate and correct the error, then resubmit the claim. A common error that leads to claims denials is a problem with insurance information. Since patient insurance coverage can change, our system automatically checks to verify coverage when the patient schedules. Then you can set up the software to check it again in batches one or two days before the appointment.
If there’s a problem, the software flags it so a team member can contact the patient and get the information corrected prior to the appointment. The software can also perform pre authorization checks and verify other information with payers as needed to ensure a smooth claims process.
Optometrists are one of only a handful of medical providers who use both the traditional claims process to submit for reimbursement and collect retail payments from patients who may want to purchase glasses, contact lenses, and sunglasses in your office. Our software supports both the payer claims process and retail payment collections. Both are fully integrated with the practice management software, so every payment is matched to outstanding invoices in the patient’s record.
Send invoices to patients with high deductible plans, outstanding bills after insurance claims go through, or who plan to pay out of pocket without insurance coverage. AdvancedMD automatically generates invoices for outstanding balances, and you can set it up to send those by mail or email. Send text message reminders to patients with overdue invoices and include a convenient link to pay the bill online.
Our software matches payments and reimbursements with outstanding charges, so your team never has to manually match payments. If there is a payment that doesn’t match, the software automatically creates a worklist to help your team quickly go through and match any payments that require attention.
Track your claims from start to finish with our convenient online Electronic Remittance Advice (ERA) tools. See where your claims are from the moment you submit them to payers. See denied claims and get a worklist for team members to review, with detailed information about the error and the deadline for resubmission, so they can quickly correct it and get clean claims back to the payer. View approved claims and payment information so you know when reimbursements are coming.
AdvancedMD is the most efficient software to help small and independent optometry practices get claims out the door so you can get paid faster and maintain healthy cash flow.
See suggested codes based on information in the patient’s record, including diagnosis, medical history, and encounter notes. Providers can also select the billing level and refractive codes right from the EHR, and that information is transferred directly to the billing team to save time and reduce the risk of overcoding or undercoding. Your billing and coding team can also create custom lists of most-used codes, or see their recently used codes for common procedures or encounters.
The ICD-10 and CPT codes are always changing, and AdvancedMD helps your small billing and coding team keep up with it all. We regularly remove old or outdated codes and replace them with the latest version. We also edit codes annually, or whenever the WHO releases any changes throughout the year. Since your software is cloud-based, you get all those updates automatically without stopping to update your system.
Our claims scrubbing services provide clinics with the most effective tool for submitting clean claims on the first round. The service checks for more than 3.5 million errors that could lead to a delay or denial. Your team gets a list of errors to easily locate issues and correct them before the claim goes to the payer. Our first-pass resolution rate is over 95% for claims, which means fewer denials to rework. That’s less work for your billing and coding team, and more revenue for your optometry practice.
Clinics with inexperienced or new billing and coding team members can automatically set up a claims review process before any claims go out. The software sends claims to a supervisor to double-check all the information. You can easily correct issues right in the platform, then approve the claims in batches and send them on immediately. It’s just one more step to ensure clean claims and faster reimbursements.
Schedule a live demo with the AdvancedMD team to see our software in action and discover why it’s the EHR/EMR of choice for small and independent optometrists everywhere.
Jed Shay, MD
The Pain Care Center
Keith Berkowitz, MD
Center for Balanced Health
Estaban Lavato, MD
La Loma Medical Center
Raju Raval, MD
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