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    ODs’ top 4 gripes about vision care plans: Part 3—Reimbursements


    4. Reconcile explanation of benefits

    The only way to make sure you are billing correctly and that the insurance is paying you in accordance with the contract is to make sure you are reconciling the explanation of benefits (EOB) for all patients.

    This is a major area of weakness within many practices and unfortunately a very tough area to learn and teach.

    Related: 5 ways media coverage can benefit your practice

    We have found occasions in which practices were routinely underpaid based on their contracted rate for certain plans. By auditing the EOB and reconciling them to the contract, we have caught these automated payment errors and saved thousands of dollars.

    While these incorrect payments are a problem, it is up to you to develop the system to catch these mistakes and make sure you are getting paid.

    Up next: Know your options

    Carl H. Spear, OD, MBA, FAAO
    Dr. Spear owns a multi-location group practice with his wife Dr. Katie Gilbert Spear in Pensacola, FL. Dr. Spear is commander of the ...


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