NEW YORK—In every eyecare practice, claim reimbursements make up a big chunk of your overall revenue. And, successfully and consistently staying on top of and generating maximum revenue from insurance claims gets more challenging every day. The process of filing claims can vary from payer to payer and changes are hard to keep up with.

While every practice is different, a lot of offices face some of the same challenges when it comes to managing an efficient claim management process. Identifying and recognizing your own challenges will bring you one step closer to finding a solution to your claim filing problems, and will help lead you to bigger reimbursements and profits.

Could your practice be making more money, faster on your reimbursements? Here are a few issues which could affect the process.

High Turnover in Your Biller Position

The biller in your office directly affects the revenue you’re bringing in, and if you suffer from high turnover in your billing staff it could be leaving money out on the table. Employee turnover in many eyecare practices tends to be pretty high in general.

If you’re rotating through billers in your office, new claims and rejections can easily pile up resulting in less revenue from claims. When the new biller comes in it’s likely that they’ll start with filing the new claims that come in and some of the old claims that need attention will fall through the cracks.

On top of that, if you do lose your biller it’s not always easy to find a replacement quickly that is knowledgeable of the industry and is adaptive to your practice and insurance guidelines. If your replacement biller requires extra training to get up to speed your claims could fall even farther behind.

Limited Transparency Into
The Success of Your Claims

The claim cycle is a complicated process, and another challenge many practices face is that they don’t have any insights into how their claims are really performing and where they can make improvements. With the proper tools, you can gain insight into your claims cycle to view important reports on things like claim acceptance rates, denial rates and monthly income comparisons. A robust reporting tool that gives you deeper insight into your claim performance can be one of your strongest assets toward increasing your reimbursements.

What to Do if You’re Suffering
From These Challenges

You’re not alone. If you’re suffering from these challenges (or a different claim management challenge) there are options and solutions out there to help you better manage your claim cycle. We’ve got a complete resource to help you identify your challenges and discover the best solution to overcome them and make more money, faster on your reimbursements.

Download our latest free resource, The Definitive Guide to Making More Money on Claim Reimbursements.