Eye Care Billing Consultants

Products And Services

• Dedicated Account Management

  Dedicated Account Management For Ophthalmology Practices Navigating the complexities of ophthalmology is challenging, but practice management shouldn’t be. Our ophthalmology practice management company is committed to your success. We specialize in handling intricate ophthalmology medical billing and offer a dedicated account management service. This ensures you always have a dedicated account manager with extensive experience in ophthalmology billing, making your practice management smoother and more efficient. How Does It Work? Your assigned account manager will take charge of seamlessly onboarding your ophthalmology practice with our Eye Care Billing Consultants Team. Supported by a skilled team well-versed in ophthalmology coding, your personal account manager, specializing exclusively in dedicated account management for ophthalmology practices, ensures thorough and efficient service. How About Ophthalmology Codes? Apart from having your dedicated ophthalmology billing manager, a significant number of our account managers hold certifications as coders. This signifies that we possess in-depth knowledge of ophthalmology codes! We employ cutting-edge ophthalmology practice management software to ensure that you achieve the highest possible return on your collection rates. Partnering with our team, and working alongside or in collaboration with your ophthalmology billing manager, we will: Minimize coding errors to ensure accurate billing and documentation. Identify any gaps in your practice’s revenue cycle and address them. Provide assistance with patient onboarding and training for both new and existing staff members. Decrease the frequency of denied claims to improve revenue flow. Boost recovery rates for delinquent accounts to maximize income. Improve receivables management and optimize cash flow. Guide you through the process of monthly performance reporting for better insights into your practice’s financial health. Eye Care Billing Consultants – Dedicated Account Management Managing your ophthalmology practice is now simpler with Eye Care Billing Consultants as your trusted practice management company. Reach out today to discover how having a dedicated account manager offers the utmost expertise tailored to your unique practice needs.

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• Claim Filing & Processing

  At ECBC we recognize and value the importance of accurate and timely healthcare claim filing & processing. The medical claims and billing specialist assigned to your account will very carefully and meticulously examine all pending charges or superbills for accuracy and completion. → Overview of Claim Filing & Processing Current procedural terminology (CPT), HCPCS codes, ICD-10 diagnosis codes – with their associated pointers, and modifiers as well as any active corresponding LCDs and/or NCDs are closely reviewed and compared against prior billing history (as to avoid bundling edits for those patients in an active global period) while our talented specialists concurrently review against the latest coding logic and smart edits available. → Coding Verification We routinely examine every claim to verify that coding not only meets established payer guidelines, but that our providers are credited for every service rendered to their patients. This is made possible via thorough review of the patient’s electronic medical record. Providers are made aware of any inconsistencies found in the record and are presented with an opportunity to make corrections, if applicable. These important steps allow us to make the most of every claim while in turn, maximizing collection rates. → Data Verification Demographic and insurance data is also reviewed for data entry precision. We work closely with our provider offices to streamline the patient registration process and to share the most accurate and up-to-date information regarding known policies for most of the major insurance carriers. → Staff Training for Effective Claim Filing We go the extra mile when needed, provide training of front-desk personnel, and assist with analysis of patient eligibility data so that our provider offices are well-equipped and prepared to handle patient flow. When claim filing, we believe a clean claim begins with ensuring that office support staff is set up to acquire accurate patient data. Providing the needed support in this important area is standard practice at ECBC. After a thorough review of all insurance claims marked for submission, claims are then filed either electronically through the applicable clearinghouse, via paper claim submission or through their respective portals. → Claims Monitoring We work with an array of clearinghouse companies and have experience with EDI enrollment registrations for any providers submitting to new payers or to a new clearinghouse for the first time. Once claim filing has begun, we monitor and track the claims to ensure acceptance and proper forwarding to payers. Errors, if any, are resolved and turned around immediately, reducing the number of AR days. → Claims Filing from ECBC While there are many claim filing & processing companies available to choose from, our attention to detail and close partnerships with our clients are what we truly believe sets us apart.

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• Denied Claims and EOB Analysis

  Denied claims management in medical billing is the most important aspect of what we do. Working every denial is part of what makes ECBC effective. → Overview of Denied Claims Collection Service Denied claims in medical billing is the area of a provider’s revenue that is most overlooked. This ties into automated posting, which if not properly reviewed, causes your denials to quickly pile up. At ECBC, we review unpaid claims and EOB analysis to correct and reprocess rejected claims to recover the amount due. → Aggressive Follow-Up Of Denied Claims Aggressive insurance follow-up of denied medical claims is our specialty – by working and, if necessary, appealing the denial. We have a specific team that is focused just in this area. We make sure your practice is reimbursed at the proper rate. For example, claims denial management makes up about 20% of your average day of posting. If not scrubbed daily, a provider’s loss of revenue adds up significantly. → Experienced Team Medical billing denials and solutions to denials requires an experienced team. At ECBC, we have extensive experience working with various payers which enables us to quickly identify and respond to the many different denials that can occur. For example, some payers don’t use the standard universal denial remark codes and have their own legend and reference codes. It is only through working with these payers that one will gain the knowledge and understanding required to address and work these specific denials. → ECBC Denied Claim Management Service Denial analysis in medical billing begins with having an understanding of claim adjustment codes and what they may actually mean. It involves analyzing the entire claim, not just the denial message itself, as the meanings can vary payer to payer. Our expect team at ECBC will ensure that your eye care practice collects any missing claim payments, so you can focus on who matters most, your patients, while we optimize your revenue. Reach out to Eye Care Business Consultants today!

  Link: Denied Claims and EOB Analysis

• Reporting

  Ophthalmology billing reporting by Eye Care Billing Consultants (ECBC) provides tailored solutions for eye care practices. With expertise in ophthalmic billing, ECBC ensures accurate coding, timely claims submission, and detailed reporting. Their team helps optimize revenue cycles and minimize denials, allowing providers to focus on patient care. By leveraging advanced technology and industry knowledge, ECBC empowers eye care professionals with essential financial insights to improve practice efficiency and profitability. → Communication Your personal biller provides you with financial reports daily so you can see the activity and work completed. One of the common concerns of new clients is not knowing the progress of their returns. Communication is important in any business, but specifically when you manage the livelihood of one’s financial success, it is very important that all lines are open. → Monthly Billing Reporting Reviews Monthly review and reporting of customized reports are provided for a detailed picture of your practice’s financial health. Ophthalmology billing reporting monthly, is another level of diving deep into what’s accomplished by your billing team. For example, you will receive an accounts receivable aging report with totals and percentages. We also have personalized billing reports and custom spreadsheets that track billing data over time allowing you to see progress at a glance. In addition, we also incorporate optometry billing reporting for your vision care plan needs. → Quarterly Personal Meetings Quarterly personal meetings are scheduled with your billing manager to address any questions or areas of concern. Communication is important and personal meetings are another way for us to communicate at a high level with our clients. Multiple times a year, the billing manager will travel distances (flights included) to summarize progress. This is our personal touch of transparency and connecting with the clients’ needs. → Contact ECBC Today for Ophthalmology Billing Reporting If you are interested in learning more about how Eye Care Billing consultants can help your billing reporting, or if you have questions about our other excellent billing services, then please contact us today. Let us handle your billing, so you can focus on who matters most, your patients.

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• Patient Statements, Calls & Collections

  Ophthalmology practice care requires more than just a knowledgeable medical provider at the forefront. Customer service is an integral part of the patient experience, particularly when those patients are undergoing medical procedures at your practice. They may understandably be nervous, worried, concerned – perhaps even a little afraid. They may also be coming to you desperate to have their health concerns addressed but unaware of what may or may not be covered by their insurance plans or how much certain services may cost. For both of these reasons, you’ll want to dedicate time and patience to managing patients! That includes patient calls, patient statements, patient collections and let’s not forget, patient maintenance while in your offices and under your direct care! A Ophthalmologist at work ECBC - Patient Management Services Eye Care Billing Consultants, (ECBC) can help you manage your patients with patience because we have over 35 years experience helping ophthalmology practitioners just like you. Relieving your front office staff of having to handle elements of the patient relationship experience just makes good sense. You want your team of professional nurses, administration and office employees focussed on patient wellness. Give your employees the tools they need to be successful in managing the patient experience while ECBC takes care of managing patient statements, collections calls and even general query calls from patients. Examples might include: Before Procedures While your front office staff attend to “hands-on” patient care, we take care of direct billing. We know codes. We also know insurance companies! We’ll make sure that invoicing for services is done in a timely manner, submitted correctly the first time and reduce overall claims errors while also increasing collections on receivables. During Procedures While your front office staff attend to “hands-on” patient care, we take care of direct billing. We know codes. We also know insurance companies! We’ll make sure that invoicing for services is done in a timely manner, submitted correctly the first time and reduce overall claims errors while also increasing collections on receivables. After Procedures We don’t make mistakes but if somewhere along the way a detail was missed, a patient’s name misspelled or some type of incident prevents your access to patient files, we’ve got the back ups and systems in place to ensure collections can still happen and that you’ll still get paid. Patient Statements, Calls and Collection Management from Eye Care Billing Consultants Acting as your billing point of contact for patients takes the pressure away from your office administration and allows them to focus their attention on patient care. Overall, your customer service satisfaction levels will improve and any customer frustration around outstanding accounts is directed at the Eye Care team not your own! Patient calls will always get answered this way – whether to our team regarding an invoice or to a member of your team regarding important health concerns. Contact ECBC Today! Let ECBC handle your patient statements, and take the load off your staff. When the workload is balanced, that’s how you manage patients with patience! Contact us today to get started!

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• Provider Credentialing

  Eye Care Billing Consultants (ECBC) offers comprehensive provider credentialing services to Ophthalmology practices of all sizes. Our in-house team of experienced certified medical coders, account managers, and front of house experts specialize in streamlining the credentialing process, ensuring that your practice is credentialed with insurance networks efficiently and accurately. By partnering with ECBC for your provider credentialing needs, you can save time, reduce administrative burden, and focus on providing quality care to your patients. → Why Choose ECBC for Provider Credentialing? Choosing ECBC for your provider credentialing needs offers numerous benefits for your eye care practice: 1. Expertise in Eye Care Credentialing At ECBC, we have a deep understanding of the unique credentialing requirements specific to eye care providers. Our team stays up-to-date with the latest industry regulations and standards to ensure that your practice meets all necessary criteria for credentialing with insurance networks. 2. Customized Credentialing Solutions We understand that every eye care practice is unique, which is why we offer customized credentialing solutions tailored to your specific needs. Whether you are a solo practitioner or a large group practice, ECBC can develop a credentialing strategy that aligns with your practice goals and objectives. 3. Streamlined Credentialing Process Our streamlined credentialing process is designed to save you time and eliminate administrative hassles. We handle all aspects of the credentialing process, from initial applications to follow-up with insurance companies, allowing you to focus on patient care without the burden of paperwork and bureaucratic delays. 4. Enhanced Revenue Cycle Management Credentialing plays a crucial role in the revenue cycle of your practice. By ensuring that you are credentialed with the right insurance networks, ECBC helps maximize your reimbursement rates and streamline the billing process, leading to improved financial performance for your practice. 5. Compliance and Accuracy Credentialing errors can result in delays in reimbursement or even claim denials. With ECBC, you can rest assured that your credentialing applications are submitted accurately and promptly, reducing the risk of compliance issues and ensuring smooth interactions with insurance companies. → Our Credentialing Process At ECBC, we follow a systematic approach to provider credentialing to ensure a seamless and efficient process for our clients: 1. Initial Consultation We start by conducting an initial consultation to understand your practice needs, goals, and current credentialing status. This allows us to develop a personalized credentialing strategy that aligns with your objectives. 2. Application Preparation Our team will gather all necessary information and documentation required for credentialing applications. We meticulously prepare and submit your applications to insurance networks, ensuring compliance with all regulations and guidelines. 3. Follow-Up and Maintenance Once your applications are submitted, we proactively follow up with insurance companies to expedite the credentialing process. We also handle any revalidation’s or updates required to maintain your credentials with insurance networks. 4. Ongoing Support ECBC provides ongoing support and guidance to address any credentialing-related issues that may arise. Our team is always available to answer your questions, provide updates on the status of your applications, and offer assistance with any credentialing challenges.” Get Started with ECBC Today Don’t let the complexities of provider credentialing hinder the growth and success of your eye care practice. Partner with Eye Care Billing Consultants (ECBC) and experience the benefits of efficient, accurate, and streamlined credentialing services. Contact us today to learn more about how we can help your practice thrive. → Get Started with ECBC Today Don’t let the complexities of provider credentialing hinder the growth and success of your eye care practice. Partner with Eye Care Billing Consultants (ECBC) and experience the benefits of efficient, accurate, and streamlined credentialing services. Get paid appropriately for your services by using the certified provider credentialing specialists Eye Care Billing Consultants. With your education, experiences and skill sets verified by a thorough certified provider credentialing process, your practice will thrive! Contact us today to learn more about how we can help your practice thrive.

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• Front Desk Training

  Going through an onboarding process for front office administrative staff shouldn’t be an arduous process, nor should you assume a candidate arrives fully trained. These two words (arduous and assumed) sometimes stop front desk training before it ever gets started, either because you might think it will be too much hard work, or that the qualified candidate you’ve hired really doesn’t need much training. In fact, nothing could be further from the truth. An effective onboarding process for front office medical staff training is critical, both to your customer service reputation and to your bottom line. That’s why an effective front desk training program such as the programs we offer at Eye Care Billing Consultants, are so important and why we’ll also include conversations about medical billing and insurance office manager training too. → A Primer on ECBC’s Approach To Highy Effective Front Desk Training Programs: Why you must include the following: The ECBC Team knows that training begins with an optimal job description and exceptional candidate matching opportunity. In other words, before you train, you need to HIRE WELL. ECBC has you start with a clear identification of job duties and responsibilities before you even begin the recruitment process! This will ensure you’ll be very targeted with your hiring, increasing your success rate and making the training process smoother. Next, Eye Care knows that no matter how qualified the candidate, you’ll need to help them get familiar with YOUR office, YOUR systems and YOUR clients and expectations. The Eye Care Billing Consultants team knows your business because we have dedicated account specialists who understand your business every step of the way. From providing financial analysis, skilled coding and medical billing, to helping train your front desk staff, WE can help YOUR team succeed. ECBC also knows that while hard skills can be taught, soft skills such as compassion, empathy, good customer service and more, all come from the top. They are the expectations you both establish for your employee team but also model from the top down by your own actions and behaviors. That said, we make it easier for you to focus on the soft skills because we take care of the hard ones. Our technical expertise is second to none and we know how to help your staff achieve the level of competency required to become efficient experts at medical coding. Medical billing and understanding insurance coding are challenging. Eye Care understands that medical office staff training with a focus on detailed records-keeping from the moment a client first comes through the door is crucial. Here’s why: – From recording a patient’s name, address and phone number accurately, to confirming their insurance or medicare coverages, policy numbers and alternative payment methods such as credit cards, each are critical steps in the medical billing process. – That’s because it isn’t just misidentified codes that can result in claims rejections but also, any other errors in the accounts process from beginning to end could all result in a rejection. Having back-up alternative payment methods and/or a means of tracing back where and how errors occurred is important. Continuous tracking of changes to ophthalmology medical coding and insurance office expectations are also crucial to rates of repayment. Eye Care Billing Consultants offer ongoing training in this area because it isn’t a “nice” to have, it’s a “need” to have. Coding can be a full time job and accuracy is paramount. If you don’t think your team is ready or you’d like to utilize their skills elsewhere. ECBC also provides coding services for you. Front desk training is as important to your ophthalmology practice as the skills of the medical professionals treating your patients. We offer customized front office medical staff training programs that are designed for YOUR success. Medical billing and insurance claims management can be difficult. Training your front office staff as part of the onboarding process, or going through a retraining/refreshing of skills opportunity for your employees, we will share skill set knowledge on insurance eligibility, prior authorization, plan participation, coding and more, all based on our thorough assessment of your exact billing needs. Even better, if you need your front office medical staff to focus on patient care and customer service, you can rely on our fully qualified medical billing team who use the latest in medical billing technology to ensure you get the highest rates of return. We will decrease errors, increase collection rates, reduce claims rejections and thereby also increase your revenue. Use the best, Eye Care Billing Specialists. If you are a ophthalmology practice, and would like to ensure your front desk staff are performing at their best, then reach out to Eye Care Billing Consultants today, and take your office to another level! Reach out today!

  Link: Front Desk Training

• Fee Scheduling Evaluation and Insurance Participation Analysis

  Is your Ophthalmic practice struggling with staying up to date with fee scheduling? We analyze your insurance fee schedule and provide payer mix analysis to help you make decisions so you can maximize your insurance payments. → Overview of the Fee Scheduling Process Fee schedules for medical services is an area that is overlooked by most billing companies. Having the right fee schedule analysis can change your returns, your A/R and improves your consistency in efficient collections. → Analyze Historical Data At ECBC, when we acquire a new client, we immediately extract all data from existing billing software and analyze historical collection information. Traditionally, most fee schedules are inadequate. The more realistic you set your fees, the quicker your returns and a better way to see your targeted income. We will also analyze your optometry fee schedule. → Income Forecasting Knowing your payer mix is important because it can be helpful in forecasting and financial planning. Once you know the average number of A/R days for each payer, it becomes easier to spot trends that will ultimately help you meet your financial goals. At ECBC, we are experienced with many different payers across many states and can easily provide helpful data allowing you to realize your true income potential. → Insurance Participation Fee Analysis In addition, ECBC communicates with its clients about participation in certain insurance products. For example, we will encourage a client to disenroll from an insurance plan that is reimbursing too low to cover their cost of providing the service. Careful thought is put into providing this recommendation as there are many factors to consider. We take a look at the number of patients affected, the percentage of income received and examine payer mix prior to recommending plan disenrollment. Ophthalmology Practice Why Choose ECBC For Fee Scheduling? The experts at Eye Care Billing Consultants have a lot of experience handling the analysis and evaluation of Fee Scheduling, and will work hard to ensure your Ophthalmic practice strikes a balance between covering the practice’s expenses, maintaining competitiveness, and ensuring that patients can access quality eye care without excessive financial burden. Let us handle the regular updates and reviews of the fee schedule to keep it in line with changing healthcare regulations and market dynamics, ensuring that your Ophthalmology practice can effectively bill for your services while providing high-quality care to your patients.

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• Payment Processing

  Payment processing in medical billing is an important step in the final success of a claim. → Payment Processing Overview Many Ophthalmology practices make the mistake in trusting their software to handle this process unassisted. Although many steps to the payment posting process today are automated, we still need to thoroughly examine each remittance and verify that the payments have been correctly posted to the patient ledgers. → Our Management & Billing Software At ECBC, we work with a variety of practice management/billing software programs, each one unique. With this experience, we are quickly able to recognize and resolve any payment processing errors in automated posting. For example, if an insurance explanation of benefits (EOB) has incomplete identifying patient information (such as missing account number or other patient ID), it may reject posting of the payment requiring manual entry. This is something that is often overlooked and can contribute to an inflated accounts receivable. → Fixing Common Errors There are other areas of automated payment posting that can cause errors such as “automatic” write-offs on services or procedures that may have been denied in error or services the provider may wish to dispute. Payment processing errors such as these make the biller’s job even more important and necessary as it takes a human to review and interpret the EOB and take the necessary steps to accurately reflect the information in each account. → Disputing Errors On Your Behalf Completely trusting in your billing software with automated payment posting will not bring to your attention any “underpayments” which may potentially cause losses in revenue. Underpayments are caused by underbilling for your procedures; charging insurances less than their allowable rates. At ECBC, we dispute errors daily and communicate with insurances to ensure that our clients are receiving the maximum reimbursement for the provided services. → Contact ECBC To Improve Your Payment Processing Eye Care Billing Consultants are here, ready to assist your ophthalmology practice with payment processing and posting. Let us handle your payments, so you can focus on your patients.

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• Accounts Receivable

  Medical accounts receivable management in Ophthalmology is the final step in revenue cycle management (RCM) and one of the most important. However, we have new clients that have either overlooked and/or neglected this opportunistic area to maximize their profits. At ECBC, we take pride in having a dedicated team solely focused on providing this service. What is Accounts Receivable? For an ophthalmology practice, accounts receivable pertain to the outstanding payments owed to the practice by patients, insurance companies, or other third-party payers for ophthalmic services provided. These services may include eye exams, vision tests, surgical procedures, prescription eyewear, contact lenses, and other eye care treatments. How Can Managing Accounts Receivable Help Your Ophthalmology Practice? We have consulted clients that are happy to collect 80% of their collections and give up that 20% of accounts receivable medical billing. This is diminishing their RCM and damaging the overall financial health of their eye care practice. ECBC believes in maximizing the most of one’s return including your aged receivables. We work diligently to ensure that you collect as much of your outstanding money owed as possible, to optimize your revenue cycle management. What Sets Eye Care Billing Consultants Apart? Ophthalmology accounts receivable specialists with ECBC are certified professional billers and some specialize in coding. Our billing specialists come with many years of combined experience and are trained to immediately identify billing trends which will, long term, allow you to realize more of your income while simultaneously reducing the number of days in AR. We maintain close working relationships with our clients and consistently provide helpful feedback; these communications prevent further disruption and delays in billing. At ECBC, we believe our success is fueled by your success. Assigned Accounts Receivable Billing Specialists The medical account receivable solutions we provide differ from many of our competitors in that we go the extra mile to resolve any and all issues preventing timely payment. Whether it be an insurance credentialing or participation issue, EDI enrollment issue, claim error or any other problem in between, we take all the required steps to finalize your receivable medical billing so that your claims are processed and paid as soon as possible. In addition, we are available to “scrub” old accounts receivable that have accumulated over time. We even have clients in which we specifically only work on their receivables. Keeping the lowest receivable possible is our goal for every one of our ophthalmology clients. We ensure that all our clients get paid for all their work completed, specifically accounts receivable which separates us from other ophthalmology billing companies. Contact ECBC Today! Reach out today to Eye Care Billing Consultants (ECBC) to learn more about our complete revenue cycle management solutions, and let us handle the business side of things, so you can focus on your patients!

  Link: Accounts Receivable