Optometric Billing & Coding Support for PECAA Members

Revenue cycle management is one of the key components to a financially successful practice. Knowledge and understanding of the overall revenue cycle processes benefit the practice in establishing efficient and effective systems. Revenue cycle management consists of all administrative and clinical functions that contribute to the capture, management and collection of patient revenue. Therefore, the revenue cycle begins when the patient schedules an appointment and ends with capturing all earned revenue, either from the patient or a third-party insurance.

At PECAA, we offer Billing & Coding services in the areas of patient revenue, coding support, claims management and accounts receivable analysis.

Let us support your practice with your revenue cycle needs!

SERVICES

Patient Revenue

In today’s healthcare environment the patient has become your most substantial payer. Statistically, patient revenue makes up 60% of the practice’s revenue.

Mastering the insurance verification and patient collection process is crucial to the financial health of your practice.

  • Capturing patient data
  • Insurance verification
  • Patient statements and collection

Coding

Coding elements, such as CPT, ICD-10-CM and modifiers drive claim reimbursement. Knowledge of what these coding elements mean and the story they tell the payer is important not only for reimbursement but also compliance. Understanding the policies of your individual insurance payers aid in compliance, prompt reimbursement and a reduction in denials.

  • CPT references
  • ICD-10-CM references
  • Modifiers
  • Payer policies

Claims Management

Claims management focuses on denial prevention and denial management.

Denials are very costly to the practice. Resolving denials timely as well as understanding how to prevent future denials is key to a healthy bottom line.

  • Denial prevention
  • Denial resolution

Accounts Receivable Analysis

The revenue cycle is central to a health care practice’s financial system, and one of the pillars in keeping the practice successful. Understanding revenue cycle management is only part of the equation. The next step is interpreting if your revenue cycle processes are working within the practice. Focusing on key billing metrics will allow you to build cash flow transparency. Identify potential issues and implement process improvements to increase and support cash flow.

  • Accounts receivable assessment
  • Focusing on key billing metrics
  • Review of revenue cycle processes based on assessment
  • Recommendation for process improvements

Meet Your Advisor:

Kayla is a highly accomplished eye care professional with over 14 years of experience in the Optical industry. She has successfully run several Optometry practices, including her own private practice, and she has had the opportunity to work one-on-one with hundreds of Optometry practices. Kayla specializes in optometry billing and coding and can help you with all your billing and coding needs.

Download Our Ultimate Checklist for Running a Successful Optometry Practice

This checklist will help audit key areas of your practice and guide you toward sustainable, long-term success and growth.

Please complete the following form to download the ultimate checklist for running a successful optometry practice

CooperVision

CooperVision is one of the world’s leading manufacturers of soft contact lenses and related products and services. Their products are sold in over 100 countries around the world.

Carl Zeiss Vision is an industry leader in lenses and coatings, delivered through a nationwide network of Rx Laboratories.

HOYA Vision Care of the Americas makes and supplies ophthalmic lenses to Eye Care Professionals located within the United States, Canada, and South American countries. HOYA supplies a complete range of high-quality lens designs, coatings, and materials.

Johnson & Johnson Vision

Johnson and Johnson Vision is an industry leader in soft contact lenses, including their globally recognized brand ACUVUE®.

Luxottica is an industry leader in the supply of frames & accessories, offering a robust portfolio of over 20 internationally recognized brands.

Safilo Group is the fully integrated Italian eyewear creator and worldwide distributor of quality and trust, a leader in the premium sector for sunglasses, optical frames, and sports eyewear.

VSP is a global leader in optical, offering the following lines of business: VSP® Vision Care (vision benefits and services), Marchon®and Altair® (sunwear and eyewear), Eye Designs (interiors and merchandising systems), and VSP Optics Group (ophthalmic products and lab services).