Medical versus routine eye care

Definition

Eye disease billed to health insurance, against routine exams and glasses paid another way.

Why It Matters

The mix decides both reimbursement and defensibility. Medical eye care bills to health insurance, pays better, and brings patients back on a clinical schedule rather than a fashion one, which makes it stickier against online competition. Ask for the split and the trend, and find out whether the doctor is credentialed with the medical plans, because a practice that wants to shift this way cannot until that paperwork is done.