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Posts Tagged vision claims

Optometry Claims: Why You Should Use Vision Billing Software

File Folder Labeled as Claims.At Apex EDI, our goal is to help you create a better workflow within your clinic and simplify the billing process, so you can focus on patient care. The  has always been a source of frustration for office staff. Billing and coding errors can also be devastating to your practice.

An integrated software system means that vision claims can be transmitted directly from your system. This eliminates a tedious responsibility of entering patient data into more than one system or faxing information to other companies. Ultimately it saves staff a significant amount of time and energy. It also saves paper and money.

Any time information is re-entered, copied, scanned, or faxed it increases the potential for human error. Misspelled patient names, unreadable information, or incorrect billing codes can result in denied claims. A software, like Apex EDI, eliminates this risk. When insurance companies receive error free claims, this means you are reimbursed faster every time for every patient. It allows the front office staff to focus their attention on greeting patients with care.

  

Our integrated system also allows you to easily attach patient documentation such as progress notes. There’s no need to search for and organize this information when submitting vision claims. It’s literally at your fingertips. It also gives you the ability to easily view reports to help manage your practice.

You’ll be able to access financial data such as revenue per visit, patient cancellations, and accounts receivable. This powerful information allows your team to reach higher levels of productivity.

Contact Apex EDI to learn more and request a free demonstration of our software today.

Posted in: Optometry Claims

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Claims Processing: Medical Claims vs. Vision Care Claims

When handling claims regarding eye health, there are a few things to be aware of. For example, there are specific differences between what can be billed to a vision plan and what should be billed through medical insurance. Let’s discuss the difference between the two claims, and why eye care professionals need to know the difference.

girl with glasses

The Difference

Vision plans cover routine wellness exams for eye health. This means examinations for near- or farsightedness, astigmatism, and corrective lenses. Medical eye care on the other hand is for the treatment of specific medical conditions related to the eye, such as pink eye, cataracts, double vision, etc.

Why It Matters

As we discussed above, vision plans cover annual exams for eye health. When an exam reveals a condition such as pink eye, cataracts, glaucoma, dry eye, or another condition, the diagnosis and treatment is billed through the medical eye care insurance. A medical eye condition typically requires a more intensive treatment plan than what is covered through a run of the mill vision plan, which is why medical insurance typically steps in.

As the provider, you will want to ensure that you are billing the correct insurance in order to receive the fees you are due. Many eye care professionals bill the vision plan first, and then reach out to the medical plan if any fees have yet to be covered. It is also important to discuss the plan of action with the patient so that they are aware of how the services will be billed to their insurance and that they are aware of any fees that may accrue due to their specific plans.

The Solution

In order to ensure the best possible care for your patients and management of your optometry practice, implementation of a clearinghouse for claims billing is recommended. A clearinghouse verifies vision and medical claims before they can be sent to the payer for final submission.

Apex EDI is a user friendly and fully integratable clearinghouse that works to get you paid faster. For more information about how Apex EDI can be used to benefit your optometry practice, click here.

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The following is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about. 

Posted in: Claims Processing

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News & Events: Apex EDI (Electronic Claims Processing) Integrates with My Vision Express Software

My Vision Express logo

(Salt Lake City, UT) March 28, 2014 — Apex EDI, is proud to announce their integration with My Vision Express (MVE) Electronic Health Records and Practice Management Software for Eye Care Professionals (ECPs), for electronic claims processing. More details will be released in the official press release March 28th at the Vision Expo East International Ophthalmic event.

This powerful integration allows MVE users to “click” and send claims electronically to Apex EDI, directly from their software. The interface also features an insurance portal to verify patients’ eligibility at the time of service verify claims status, and view and fix claim errors. Additionally, Apex and MVE are focused on facilitating ECPs efforts to meet the requirements of the ICD10 and EMR/meaningful use requirements. These new features will assist ECPs to reduce their accounts receivable and streamline claims management, enabling them to focus on providing patient care.

“We are excited to provide Apex EDI insurance clearinghouse services with our software,” said Vipul Katyal, President, My Vision Express. “Together we are providing better solutions that provide exceptional value to the eye care industry!”

“My Vision Express software continues to demonstrate the power of innovative software. We are excited to offer our services as part of their integrated solution to optometry providers,” said Sheldon Miner, Chief Executive Officer of Apex EDI.

ABOUT APEX EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and optometric professionals. Apex EDI serves thousands of physicians, optometrists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. For more information about APEX EDI, visit: www.apexedi.com/mve. (800 840-9152)

About My Vision Express

My Vision Express was designed exclusively for optometrists, ophthalmologist, and opticians who want to boost the efficiency and growth of their practices. My Vision Express features a comprehensive EHR, innovative POS, and many powerful inventory, business, marketing, and staff management tools and attest for Meaningful Use Stages 1 and 2.

Multiple licensing options are available with My Vision Express, from single computer users to multiple computer users across multiple locations, so there is a solution for every type of practice. My Vision Express is easily accessible on the devices you currently own – Windows, Macs, iPhone, iPad, Android, and Kindle – enabling you to manage your practice from anywhere and is available as both Cloud and in-office server solutions.

My Vision Express offers a free 30-day trial of the software. Contact 1-877-882-7455 or visit www.MyVisionExpress.com for more information.

My Vision Express
3050 Universal Blvd, Suite 120 – Weston, FL 33331
1.877.882.7455 – Sales@myvisionexpress.com

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News & Events: Cyclops EHR Announces Integration with Apex EDI for Electronic Claims Processing

Cyclops Logo

(Richardson, TX) June 12, 2013 — Cyclops EHR, A provider of optometric practice management software, is pleased to announce integration with Apex EDI, for electronic claims processing.

Apex EDI and Cyclops EHR have released a claims integration portal for submitting optometric claims electronically. This claims ability is integrated into the daily workflow of Cyclops software. Optometrists using the Cyclops software can easily complete a patient evaluation and submit the insurance claim immediately.

Before the patient leaves the practice, the office will know of any claim errors to re-process the claim through the Apex EDI claims delivery system. Additional features are available with the Cyclops EHR/Apex EDI interface – to allow offices to verify patient eligibility and to view all insurance responses.

“We are glad to have one of the most powerful products in the marketplace,” said Mimi Askar, Chief Executive Officer – Cyclops EHR. “The ICD10 and EHR transitions, will be very achievable for offices who use our software!

“We have partnered with Cyclops for many years. As an early optometry partner with Apex, Cyclops caught the vision of complete billing integration” said Sheldon Miner, Chief Executive Officer of Apex EDI. “It is great to have partners like Cyclops, who dedicate themselves to the improvement of patient care.”

ABOUT APEX EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. For more information about APEX EDI, visit www.apexedi.com/cyclops.

About Cyclops EHR and Practice Management

A complete software package that automates all aspects of eye care including electronic exams, digital image capture from diagnostic equipment, frame and contact lens sales, inventory control, reports, invoicing, recall, referral letters, automatic claims generation and electronic claims submission. Cyclops includes the following features at no extra cost to you. www.cyclopsemr.com

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News & Events: Eyecom3 Announces Integration with Apex EDI for Electronic Claims Processing

Eyecom3 logo

(San Diego, CA) June 12, 2013 — Eyecom3, A provider of optometric practice management software, is pleased to announce integration with Apex EDI, for electronic claims processing.

Apex EDI and Eyecom3 have recently released integration for sending claims directly from Eyecom3 industry leader optometric software. This powerful integration offers Eyecom3 users the ability to “click” and send claims from their software. Additionally, Apex and Eyecom3 are focused on meeting the requirements of the ICD10 and EMR changes. Eyecom3 users will have access to an Eyecom3 insurance portal to verify claims submitted, view and fix claim errors, and to verify patients’ eligibility at the time of service. These new changes will assist Eyecom3 users to reduce their accounts receivable and to focus on providing patient care.

“We are excited to offer this service with our optometry software,” said Floyd Webb, Vice President, Eyecom3 Software. “Our greatest focus is to help optometric providers and staff to experience meaningful change with the upcoming ICD10 and EHR requirements!”

“Eyecom3 software continues to demonstrate the power of meaningful software. We are excited to offer our services as part of their integrated solution to optometry providers,” said Sheldon Miner, Chief Executive Officer of Apex EDI.

ABOUT APEX EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. For more information about APEX EDI, visit www.apexedi.com/eyecom.

About Eyecom3 web based optometric Software

Eyecom3 is a browser-based, HIPAA compliance ready practice management software solution. Acknowledged as the industry leader in computerized recall and patient target marketing, Eyecom3 controls practice costs and maximizes your return-on-investment.

Eyecom3 is scalable and can grow with your practice, providing the lowest cost for value. As a hosted solution, it decreases your capital investment for hardware and support for backups, periodic maintenance and software upgrades. www.eyecomsoftware.com

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