Centralized Medical Billing
Insurance Credentialing
Analysis of Fee Structure
Reimbursement Consulting
Staff Training
Ongoing Site visits
Telephone Support
Education
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11/08/2005
Optometric Medicine takes off in
South Texas.
Read More
06/15/2005
"Beyond Lasik" Newsweek story.
Read More
05/11/2005
Crystalens by Eyeonics Can be
Balanced Billed to Medicare Patients.
Read More |
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11/08/2005
Optometric Medicine takes off in South Texas
More and more optometrists are learning how to participate in the medical eye care arena. IECPT Members will soon have access to a cost effective way to expedite their entry into this new service arena. A Medical Billing company specializing in optometric billing services provides access to a full staff of billing, coding and appeals personnel for a fraction of the cost of hiring your own staff. Their services include credentialling services, cliams submission and claims appeals. Contact us at info@IECPT.com if you would like more information.
6/15/2005
"Beyond Lasik" Newsweek story
Click the following link to view the actual story
http://www.msnbc.msn.com/id/8129050/site/newsweek
5/11/2005
Crystalens by Eyeonics Can be Balanced Billed to Medicare Patients
For years Medicare has refused to allow patients to be balanced billed for any additional costs relating to a Medicare covered procedure. This was Medicare's way of protecting their members from excessive or unnecessary costs. However, as new technology in the IOL industry became more mainstream, this ruling became a detriment to quality of life. Medicare members diagnosed with cataracts were not allowed to purchase their own IOLs, period. Even if they asked the physician to not bill Medicare for any of the related services!
Medicare rules wouldn't allow a Participating Provider to offer covered services for cash payments. Even if the Medicare Member agreed to pay for the entire procedure with their own funds. On May 9th, Medicare reversed this ruling and is now allowing Medicare Members to be balanced billed for the new multifocal IOLs. This is especially good news for Eyeonics and their $850.00 crystalens and Alcon with their $875.00 Restor lens. Medicare only allows $150 for the IOL, but now patients can offer to pay the remaining $700 or $725 and take advantage of this new technology. More shaking out is expected, since the cost of inserting these lenses and the post-op care expenses are also higher than the standard IOL normally used.
The usual and customary charges for non Medicare patients is around $4,800 per eye and the average reimbursment from Medicare is $1,500 per eye. The $3,300 difference may be more than Medicare expects and more than Medicare Members will be willing to pay. But at least Medicare recipients now have access to the latest technology.
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