In my final installment from Bonnie regarding screening payment challenges, here is a sample Vision Screening Waiver used in a Real Live Pediatric Practiceâ„¢ with success. We have already reviewed an Audiogram Appeal Letter and a Typanometry Appeal Letter. Here is the document you can use to pre-empt all the trouble.
Your Practice Name
City, State ZIP
Patient Name: ________________________________________________
Every child needs a periodic vision examination, which something we provide here in our office. Your insurance company might pay part of the fee for an ophthalmologist or optometrist to check your child's eyesight, but you will likely have a co-payment. Insurance Companies often will not pay us for the vision screen but you have already paid your co-payment.
We care for you and your children, but just like the ophthalmologist and optometrist, we have expenses and cannot provide this service for free. We will provide this service for our standard fee or you may take your child to an optometrist or ophthalmologist instead. Our fee of $X0.00 compares to an average Optometrist fee of $X+0.00 or even an Ophthalmologist fee of $X+++ to $X++++ per visit. Even if you are covered, you will probably have a co-payment.
We are more convenient as you are already here and we do a good job but, we respect and support your choice. Please understand that if we provide this service and your insurance carrier elects not to pay us then you will be held responsible for the standard fee listed above.
Please select from the following choices:
_____ Please check my child's vision at today's visit. I understand I am responsible for the $30.00 fee if by chance my insurance carrier does not cover this service.
_____ I do not wish for my child's vision to be checked at today's visit. I will take my child to an Ophthalmologist or Optometrist soon.
Parent Signature: ___________________________ Date: __________
Enjoy - and thanks again to our friends in San Antonio! Obviously, if anyone else has appeal letters or waivers they'd like to share (with or without attribution/credit), send them along.
I've got a final RVU trick or two coming, a response to the new Physician's Practice fee schedule article, and more. I need to get this one out of my queue, though.
Back in July, I wrote about using Opensource (or otherwise free) software in a small business office. Given the low margin in pediatric offices, I have no idea why people continue to purchase products like Microsoft Office when less expensive, more compatible, better suited alternatives are available. I think it's just a matter of spreading the word.
One thing I just saw - OK, it was a few weeks ago - an article in slashdot about OpenOffice being available "online" - that is, you don't have to download or install it, you just run it from your browser.
To spell it out: a small practice could simply connect to this site here and have all the office software that most practices would ever, ever use...for free!
Try it. It's not like it costs anything.