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Video instructions and help with filling out and completing Medicare reconsideration form
Hello my name is Eric BOTS and I am a practicing optometrist I help many doctors and their staff efficiently file insurance claims and maximize the reimbursement I know there are many practices that struggle to get paid I am offering you a solution to the problem of filing your Medicare insurance claims where do you begin here are four scenarios that you can choose from to ensure that you are maximizing your insurance reimbursement you choose which one is best for you so scenario number one this is not the most efficient way to submit claims but easy to access you're going to utilize a clearinghouse like Gateway or ENSO those are two that I've used in the past some requirements here for you and your staff those you must understand how to code and use modifiers it's a slow enough inefficient because you have to put the information into their website you have to submit secondary insurance claims you have to resubmit denied claims after you've researched why they were denied and then you have to send a bill to the patient for the balance due so you have to hire you have to train and you have to maintain a billing person in your office unless you the doctor are going to do this yourself here's websites and information for to the clearinghouses that I mentioned earlier the ENS Ingenix and Gateway scenario number two this is much more efficient you're gonna utilize practice management software you're going to connect to a clearinghouse you still have to understand coding and modifiers you're still going to submit claims to secondary insurance you're going to send bills to the patient for balance due and you're gonna resubmit any denied claims after you have researched them you need to hire you need to train and maintain a billing person in your office now this is efficient because it utilizes practice management software so you don't have to type in the patient's personal information more than once scenario number three this is the easiest most efficient way you can utilize practice management software you're gonna hire a billing service and you're going to connect to a clearinghouse you the doctor only have to complete the exam and document your diagnosis and procedure codes then your billing service will submit the secondary claims resubmit denied claims after they research them and bill patient for any balance due you do not have to hire or train or maintain a billing person there's no need to do that because the billing service will access your claims over the Internet therefore you don't have to have a billing person on the premises this is the easiest and most efficient way especially if you don't have trained billing staff in your office I'm gonna tell you that not having a billing specialist in your office is not an excuse to not adopt a medical model of optometry there's no reason not to submit medical claims.