Gordon A, Crooks C T
School of Optometry/Medical Center, University of Alabama at Birmingham 35294.
J Am Optom Assoc. 1988 Jan;59(1):62-70.
This article provides an overview of the private health insurance system and its relevance to optometric practice. The extent of private health coverage in the U.S. and the projected decline of fee-for-service income mandates a working knowledge of the insurance system by optometrists and their staff members. The coverage of eye examinations and related services is dependent upon the diagnosis. Using a well-designed fee slip will expedite claims processing for patients and reduce insurance paperwork for the practitioner. Fee slip design and implementation are discussed in detail and illustrated with clinical examples.
本文概述了私人医疗保险系统及其与验光业务的相关性。美国私人医疗保险的覆盖范围以及按服务收费收入预计的下降,要求验光师及其工作人员掌握保险系统的实用知识。眼部检查及相关服务的覆盖范围取决于诊断结果。使用精心设计的费用清单将加快为患者处理理赔的速度,并减少从业者的保险文书工作。本文详细讨论了费用清单的设计与实施,并辅以临床实例说明。