Dr. Josephine-Liezl Cueto’s Blogs

"FORGIVE" YOUR CO-PAYMENT? by Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By lsvadmin
January 7, 2013

At the beginning of every year we get calls requesting that we "forgive" insurance co-payments.  Some ask nicely, others are pretty insistent.  Just to save our billing staff from another call on this subject, let me explain what co-payments are and how they function as part of your health insurance plan.

Co-payments are designed to share the cost of the visit with the patient.  Every time co-payments go up, the amount paid to the doctor directly by the insurance company goes down.

If we 'forgive" a co-payment, it is actually insurance fraud.  We have contracts with most major insurance companies stating what our compensation will be for specific examinations, testing and surgical procedures.  If the patient is required to pay 20% of that or a certain dollar amount and we "forgive' it, there are several consequences.

First, we are not receiving that portion of our fees that the co-payment represents.  Second, the fraud part is because the insurance company assumes the co-payment was made so reduces the patient's remaining deductible for the rest of the year.  Third, if this activity is reported to the insurance company we are essentially stating that our fees are less than the contracted amount.  This allows the insurance company to reduce our payments in the future for other patient's visits.

So as much as we would like to "forgive and forget", it is not so simple!

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

Dr. Cueto is a Physician and Surgeon (Ophthalmologist) specializing in medical and surgical eye care. She practices at Lakeshore Eye Care Professionals in Mequon and Saukville, Wisconsin.

For more eye care information or to schedule an appointment call 262-241-1919.

Visit www.Lakeshorevision.com  for more eye care information and to learn more about Lakeshore Eye Care and Dr. Cueto.


DO YOUR EYES A FAVOR: QUIT SMOKING IN 2013 By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By lsvadmin
December 17, 2012

Were you naughty or nice this year?  St. Nick already passed judgment but your eyes may have another opinion.  It's New Years Resolution time so if  you haven’t already heard enough reasons to quit smoking, consider macular degeneration and cataracts.

There are two types of macular degeneration: dry and wet.  The dry type is usually quite mild.  The wet type is another story - you may loose your central vision and along with that your ability to read or drive.  This is already the leading cause of legal blindness for those over 65 year-old. Your chance of converting to the aggressive wet form is more likely if you are a smoker.

Cataract progression is also related to smoking. A recent review paper in the medical journal Investigative Ophthalmology looked at over 20 studies comparing the risk of developing cataracts in smokers and non-smokers.  All showed that smoking significantly increased the risk of developing cataracts. The numbers ranged from a 60% to 86% - meaning that by smoking you increase your chances of getting cataracts by 60 to 86%.  And quitting made a difference, a 90% increased risk of cataracts was found for current smokers compared to former smokers.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

The bottom line is really quit smoking this time if you value your vision!  While we can fix cataracts, macular degeneration is another matter. Consult your primary care physician for strategies to make this New Years resolution successful for you and your eyes.

Dr. Cueto in an Ophthalmologist practicing with Drs. Martha Jay and Mark German at Lakeshore Eye Care Professionals. They provide medical and surgical eye care for patients of all ages and accept most insurance plans.

Call 262-241-1919 or visit www.LakeShoreVision.com for more eye care information.


HALLOWEEN HOLIDAY HAZARDS by Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By admin
October 15, 2012

Halloween is such a great time of the year…the beautiful fall colors, the crispness in the air, the endless candy supply and of course the cute children in the Halloween costumes.  However, with all the fun, there could be some potential eye hazards that are important to be aware of.

A popular costume trend of late is the decorative contact lens. Because people can buy them over the counter or on the internet, it is believed that a contact lens fitting or proper care are not necessary. This is WRONG.  Unfortunately, these “one size fits all” novelty contacts are not professionally fitted and could cause pain, infections, scratches or even permanent corneal scarring and vision loss.  It is important to realize that these costume products are being sold illegally and are not FDA-approved. By federal law ALL contact lenses are considered to be a medical device, only to be distributed by licensed eye-care professionals after determining the proper fit and prescription.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

Other Halloween activities can also lead to eye injuries.  Unfortunately, what may seem like a harmless traditional game, like apple bobbing, could lead to scratches on the surface of the eye and infections from dirty water.  Lanterns and glow sticks can also cause dangerous but avoidable accidents. Hitting the edge of a lantern may lead to a corneal abrasion or the chemicals within a broken glow stick could damage the eye.

This holiday just take a little bit of extra care while having fun!  Happy Halloween from all of us at Lakeshore Eye Care!

Call 262-241-1919 or visit www.LakeShoreVision.com for more eye care information and to schedule appointments with Dr. Cueto.


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