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Reduce Claim Denials with Professional Billing Services

There’s nothing more frustrating than seeing hard-earned revenue slip away due to claim denials. Whether it’s a coding error, missing information, or changing insurance regulations, each denial means lost time, increased stress, and delayed payments. With the right medical billing services, you can reduce denials, speed up reimbursements, and focus more on patient care.

At Optometric Billing Consultants (OBC), we help optometry practices navigate the complexities of claim management. Our team of billing specialists is dedicated to minimizing claim denials and optimizing your revenue cycle management, so you can maintain a healthy cash flow. Here’s how we do it:

Coding & Documentation

One of the top reasons for claim denials is incorrect coding. In optometry, even minor errors can lead to rejections or delays. Our billing specialists stay updated with the latest coding standards, ensuring every service is documented correctly and submitted with accurate codes. This attention to detail reduces the risk of denials and speeds up the reimbursement process.

Claim Scrubbing

Before submitting any claim, our team conducts a comprehensive review to catch errors and missing information. This includes verifying patient details, insurance eligibility, and coding accuracy. In optometry, this means double-checking vision and medical insurance coverage, confirming refraction charges are correctly billed, and ensuring diagnostic tests like OCT or visual fields are documented with the required medical necessity. We also review modifiers to avoid coding conflicts and ensure each service is accurately linked to the appropriate diagnosis.

Claim Management & Follow-Up

Denied claims aren’t the end of the road. Our claim management process includes diligent follow-up to resolve denials quickly. We investigate the reason for each rejection, correct errors, and resubmit claims promptly. This persistent approach maximizes your revenue recovery and minimizes write-offs.

Proactive Revenue Cycle Management

Revenue cycle management starts long before a claim is submitted. At OBC, we work with your team to optimize every step of the billing process, from patient check-in to final payment. This includes verifying insurance benefits during appointment scheduling, collecting copays and deductibles upfront, and educating patients on their financial responsibilities to reduce payment delays. We also help implement efficient workflows for documenting medical necessity, especially for specialized optometric services like contact lens fittings and glaucoma management.

Staying ahead in the billing world requires continuous learning. We provide training sessions to keep your staff informed about industry changes, coding updates, and insurance requirements. Contact Optometric Billing Consultants to start reducing claim denials and improve your revenue cycle!

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Tags: medical billing services claim management revenue cycle management billing specialists