Medicare Billing Tips and Insights for Eyecare Practices

Understanding all the various parts of Medicare and ensuring you’re getting paid correctly can be more complicated than expected. Too many practices learn this the hard way. Their claims are denied, their staff grows frustrated, and patient confusion often leads to lost revenue. 

On this episode of the OneSpot Insurance Billing Podcast, Cindy Braden sits down with Casey Squicquero, Customer Support Manager at OneSpot. With 16 years of optometric billing experience, Casey has seen the most common Medicare billing mistakes—and she shares  how your practice can avoid them.

Tune in to learn:

• Why credentialing with Medicare isn’t as straightforward as it seems.

• The key differences between Traditional Medicare, Advantage plans, Railroad Medicare, and DME credentialing.

• What every practice needs to know about QMB (Qualified Medicare Beneficiary) status and how it impacts patient payments.

OneSpot Billing Resources

Watch a preview of our OneSpot Billing Tool on your own time: https://www.onespotbilling.com/2025-preview-video-onespot-billing-tool 

Visit us at our website: https://www.onespotbilling.com/

If you're ready to talk about how OneSpot Billing can optimize your billing process, reach out here: https://outlook.office365.com/book/[e-mail]/ 

Resources from Casey

Medigap (Medicare Supplement) Plans: https://www.medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits 

CMS: Who are the Medicare Contractors for your state: https://www.cms.gov/medicare/coding-billing/medicare-administrative-contractors-macs/who-are-macs#M…

What’s New with Medicare: https://www.cms.gov/medicare/coding-billing/medicare-administrative-contractors-macs/whats-new

Qualified Medicare Beneficiary (QMB) Program Group: https://www.cms.gov/medicare/medicaid-coordination/about/qualified-medicare-beneficiary-program

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloa…