Legion Healthcare Solutions

What Is The Role Of Optometry Medical Billing Services Provider?

What Is The Role Of Optometry Medical Billing Services Provider -Legion Healthcare

Optometry is the branch of science that studies vision, its phenomena, and diseases. Optometrists are also known as ophthalmologists or doctors of optometry. In this article, we will explore what optometry is in medical terms and understand the role of an Optometry Medical Billing Services Provider. We will find out how they help an optometric facility recover payments in the form of fees from the patients and reimbursement from the insurance companies.   

Who Is an Optometrist in Medical Terms?


As discussed earlier, optometry is a medical specialty related to the eyes. An optometrist deals with eye-related corrections. Optometric doctors also make sure that they take steps through medication to prevent vision problems. 


What Does an Optometry Medical Billing Company Do?


The key duties and roles of an Optometry Medical Billing Service Company are as follows: 

1.    Complete Eligibility And Verification Of The Patient:


Many optometry facilities give the benefits check of the patient to the optometry billing and coders so that the patient knows in advance what they have to pay and the doctor also knows before the treatment about the money that the insurance company will bear.  

2.              File Optometry Claims on Time. 


Each insurance company has a specific time period to file the claim. The optometry biller makes sure that the claims are filed on time and that there are no errors in claim filing. 

3.              Collect All The Necessary Information To Submit The Claim


A Medical Billing Provider for Optometry has to make sure that they collect all the necessary information before they file the claim. This information includes

a)      Gather the patient’s personal information.

b)      Collect insurance-related information.

c)      Find out the relevant diagnosis.

d)     Gather important information about the treating optometrist, like their National Provider Identifier (NPI) number.

4.              Quote The Right CPT Codes 


Each and every optometrist’s treatment has a specific code attached to it. On the basis of the information gathered, it is very important that the billing company quotes the right CPT code. 


For example,

  • The code 65220 is for the removal of a foreign body from the eye without a slit lamp.
  • Code 65222 is for the removal of a foreign body from the eye with a slit lamp.

5.              Denial Management 


There are some claims that are denied. There are many reasons for the denial of a claim some of these reasons are


a.      Lack of proper documentation 

b.      Wrong CPT codes quoted

c.      Untimely filed 

d.      The service has already been used in the past, and the insurance company has a limit on the number of services. 

e.      Minor errors. 


It is important to do the proper follow-up to understand why a claim is denied so that there can be an outcome of the denied claims. Otherwise, denied claims will go on piling up and the date for a recheck will slip away. Optometry Billing and Coding Experts help in this matter and try to get a result on the claim. 

6.              Additional Ophthalmology Jobs


An Optometric Can Give Additional Optometric Facility Jobs Like The Following:

a.                Scheduling the patients’ appointments 

b.                Refill of medicines of the patients 

Why Should Legion Healthcare Solutions be Your Optometric Billing Solutions Provider?


Legion Health Care Solutions is a prominent Optometry Medical Billing Company In Ohio and other parts of the United States for the following major reasons: 

1.    Meticulous Coding System


We have in-depth knowledge of all the Medicare Billing Guidelines For Optometry as well as the regulations of other insurance companies. We understand the format of medical and clinical billing in optometry and code it in a precise manner.

2.              Good Reporting System 


We also have an excellent reporting system that helps our clients see where they are heading in the revenue cycle and what can be done to cut the costs and increase the revenue. Moreover, we also have virtual meetings with our clients from time to time to make sure that we are working together on a common goal of helping the optometry facility grow.


3.              Help You With Perfect Interpretation And Report (I & R)


We also have a thorough understanding of I & R. This is compulsory for each and every optometry practice. It shows the conclusion and reports of the tests that the optometrist performed. It additionally shows the clinical information, clinical discoveries, and so on. We make sure to never neglect this report and follow strategies to make sure that it is done in the best possible manner.


4.              Interpretation And Report (I & R)


An interpretation and report is the procedure that is mandatory. Every optometry practitioner has to do it. It shows the diagnosis and reports of the tests that you performed. It also shows the medical data, any clinical findings, etc. Failing to follow this I & R procedure will not only result in the rejection of the claim, but in the worst cases, you may even be liable for the penalty.


5.              Paperwork Assistance


The Billing and coding require tons of paperwork. However, this paperwork is a prerequisite in order to make sure that the practice’s claims are accepted and the practice receives reimbursement. This desk work is an exceptionally extended process in itself. We make sure to help the staff and the practice complete this paperwork in a hassle-free manner. So that the practice can concentrate on other important chores of the practice and serve the patients better. 


Do get in touch with us if you want to Outsource Optometry Medical Billing.

You can call us at (727) 475-1834 or send an email with your specific needs to Info@legionhealthcaresolutions.com

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