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.
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.