VSP EOB reconciliation

[lbow94]

Hi everyone-
We have gotten behind in VSP reconciliation. Do you all know of any new developments in the possibility of importing the VSP EOB and having things more stream lined with posting these items?  Even the mass reconciliation takes a long time. Just wondering if I missed something. Thanks in advance!

Lisa Bowen, OD 
Bowen Eye Care

[modivo]

Hello Dr. Bowen,

We have fallen behind as well and have learned of no updates at this time. We too, are finding the mass reconciliation extremely time consuming. We also found that nearly every patient was receiving either a credit or billing that wasn't correct, so I further had to go into each and every patient's account on the VSP EOB and write them off. Please beware of that problem, because Crystal PM was showing more than $300 credits on some patients!

I requested further training with Crystal, but the results are still the same, unfortunately.


All the individual windows in Crystal PM take a lot of time, especially in comparison with our old program. I feel like I'm working longer and longer hours, yet continuously falling further behind! It's nice to know that it isn't just me that is experiencing this.


Best wishes,
Maureen Volponi

Tri Valley Optometry

 

[drmarkod]

From my understanding, there are two basic ways that different offices deal with VSP charges and EOB reconciliation.

1 - Post usual and customary charges, then when the EOB comes, write off what VSP doesn't pay.  This will require you to make adjustments to each line item since VSP rarely pays U&C.

2 - Set up Crystal with the expected reimbursement from VSP so that write-offs happen when charges are posted.  This is more difficult to set up and you have to adjust when VSP changes fees, but if done right, will make reconciling EOB's very fast.  The only adjustments that need to be done are if an error was made in posting or if VSP changes fees and you didn't update in your system.  There are almost always some errors on any given EOB - sometimes it's us and sometimes it's VSP - but most of the transactions are reconciled easily without adjustment.

I'd contact Crystal directly to get help with setting this up.  Our office manager has worked with some offices directly to help them get through this, so if you don't get the results you're looking for with Crystal you could contact me directly and I can ask her to contact you when she gets back from vacation in a couple of weeks.

Another benefit to using option #2 is that you get a much more realistic picture of your account receivables.

Hope that helps.

Mark