How To Make Coordination Between Medical And Vision Plan Billing Easy PPT
                     
HOW TO MAKE COORDINATION 
BETWEEN MEDICAL AND VISION 
PLAN BILLING EASY?
 
MANY PATIENTS HAVE VISION PLANS AS WELL AS MEDICAL INSURANCE PLANS. 
IT CAN BE CHALLENGING TO SELECT WHICH ONE TO BILL, ESPECIALLY WHEN 
PATIENTS WANT TO BE INVOLVED AND ARE CONCERNED ABOUT HOW MUCH 
THEY WILL HAVE TO PAY. PATIENTS MAY EVEN REQUEST THAT YOU CHARGE 
THEIR VISION PLAN RATHER THAN THEIR MEDICAL INSURANCE. BY FOLLOWING 
SOME STRATEGIES, YOU CAN MAKE COORDINATION BETWEEN MEDICAL AND 
VISION PLAN BILLING MORE EFFICIENT AND EFFECTIVE.
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• MEDICAL VS. VISION INSURANCE PLANS
WITH THE PENDING CURRENT HEALTHCARE REFORMS, THE DISCREPANCY BETWEEN VISION 
INSURANCE PLANS AND MEDICAL INSURANCE PLANS HAS PLACED OPTOMETRISTS IN A 
BILLING PREDICAMENT THAT OTHER PROFESSIONS HAVE YET TO SEE. DENTISTRY IS THE 
CLOSEST EQUIVALENT SITUATION.
• HOW TO TAKE ADVANTAGE OF BOTH PLANS?
THE FOLLOWING STEPS SHOULD BE FOLLOWED TO GRAB THE ADVANTAGE OF BOTH PLANS:
1) THE PATIENT’S PRIMARY COMPLAINT MUST DRIVE THE RATIONALE FOR THE VISIT. THE 
PRINCIPAL COMPLAINT MUST BE MEDICAL TO BILL PRIMARY MEDICAL INSURANCE.
2) THE PRESENTING GROUNDS FOR THE PATIENT’S VISIT SHOULD INCLUDE ADEQUATE 
DOCUMENTATION OF THE PATIENT’S MEDICAL CONDITION(S), HIGH-RISK MEDICATIONS, AND 
RELATED EYE SYMPTOMS.
3) A STANDARD OF CARE IS PROPER OBJECTIVE TESTING WITH DOCUMENTATION AND 
REPORTING.
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THE TREATMENT PLAN COMPLETE THE SOAP FORMAT THAT OPTOMETRISTS ARE TRAINED TO 
USE.
 
POINTS TO BE KEPT IN MIND
• NO BENEFIT OF SUBMITTING ONLY THE REFRACTION
YOU CANNOT SEND VSP MERELY THE REFRACTION WHILE SUBMITTING THE 
EXAM CODE TO THE MEDICAL CARRIER. THE 92- OR 99-CODE FOR THE EXAM, AS 
WELL AS THE 92015 CODE FOR REFRACTION, MUST BE PROVIDED TO MEDICAL 
FIRST, FOLLOWED BY THE WHOLE EOP AND A PAPER COPY OF THE ORIGINAL 
CLAIM SUBMITTED TO THE MEDICAL CARRIER, WHICH IS THEN SENT TO VSP FOR 
SECONDARY PAYMENT.
• USE UP THE PATIENT’S VSP ELIGIBILITY
COORDINATING BENEFITS WILL DEPLETE THE PATIENT’S VSP ELIGIBILITY, 
REGARDLESS OF THE AMOUNT INVOICED. A PATIENT MAY NOT BENEFIT FROM 
PRIMARY-SECONDARY BILLING IF THEY HAVE A HIGH DEDUCTIBLE OR AN HSA OR 
FSA ARRANGEMENT, WHICH COULD RESULT IN HIGHER OUT-OF-POCKET 
EXPENDITURES FOR THE PATIENT.
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Clean Claims Means You Get Paid Quicker
24/7 MEDICAL BILLING SERVICES SPECIALISTS ARE WELL-VERSED IN 
OPHTHALMOLOGY AND OPTOMETRY BILLING AND CODING. OUR CODING 
EXPERTISE ASSISTS IN DETERMINING HOW TO BILL THE VISIT AND ENSURE THAT 
CLAIMS ARE CLEAN AND ERROR-FREE BEFORE WE SUBMIT THEM. WE 
UNDERSTAND THAT BEING QUICK AND AVOIDING REJECTIONS MEANS GETTING 
PAID FASTER. BEGIN TODAY WITH A FREE PRACTICE ANALYSIS.
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About 24/7 Medical Billing Services
24/7 Medical Billing Services is the nation’s 
leading medical billing service provider catering services to more than 43 
specialties across the entire 50 states. You can rely on us for end-to-end 
revenue cycle management. We guarantee up to 10-20% increase in the 
revenue with cost reduction of your practice for up to 50%. 
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CALL US TODAY :
Media Contact – 
24/7 Medical Billing Services,
28405 Osborn Road,
 Cleveland, OH, 44140
Tel: + 1 -888-502-0537
Email: [email protected]
Website: https://www.247medicalbillingservices.com/
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