could really use the guidance of any members out there with any tips on insurance mechanics within a doctors office. looking at the reimburse amounts for Eye Med and VSP for our office, it is quite dismal. For a $400 retail frame at cost $200, the reimbursal to our office is $170. If the frame is over the allowance, we are required to give the patient a 20% off discount on the amount that is over! the lens portion we are only able to gain margin from the premium luxury coatings the labs offer. It seems the only profit a doctors office is allowed to make is the eye exam, the co-pay and the premium coats! if we offer a discount from retail on the frame to promote sales our office may lose quite a bit on servicing the patient. I see some of the local doctors offices doing services like botox, elective surgery or other supplements in order to make money. Ive even seen some offices operate completely out of network. Is there any way an office can increase the amount of margin with these insurances?
thank you for taking the time to read this thread.
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