Ophthalmology Billing Services waqas khan October 26, 2024

Specialized Billing Support for Eye Care Practices

Ophthalmology Billing Services That Maximize Reimbursements

We help ophthalmologists reduce denials, bill complex procedures accurately, and get paid faster without disrupting your EMR or front desk workflow.

Specialized Billing Support for Eye Care Practices

15+

Years in Ophthalmology Billing

150+

Healthcare Providers

30+

Billing Platforms

50+

Specialties Supported

Why Ophthalmology Practices Choose Us

We deliver specialty-driven billing solutions tailored to the unique needs of ophthalmology practices. Our team understands the coding complexities of cataract surgeries, retina treatments, glaucoma care, and diagnostic imaging.

We work directly within your EMR, apply payer-specific rules, and ensure clean claim submissions from the start. With experienced ophthalmology billing specialists, real-time reporting, and continuous process refinement, we help reduce denials, accelerate reimbursements, and maintain accuracy across both surgical and routine eye care.

99% First-Pass Rate

Claims are submitted clean and accurate, resulting in faster approvals and fewer delays. That way, your team stays focused on operations instead of chasing down rejections.

Up to 30% Revenue Growth

Our clients typically see improved collections within the first 90 days of service, resulting in stronger cash flow and fewer revenue gaps from the very start.

120+ Days AR Recovery

We prioritize high-value claims, apply payer-specific follow-up strategies, and track recovery metrics to ensure nothing slips through the cracks.

100% System Integration
We work within your existing EHR and PM systems, ensuring a smooth and efficient setup. Integration is quick and your workflow stays uninterrupted.

RCM Solutions Tailored for Ophthalmology Billing

Specialized RCM support for ophthalmology practices, with accurate coding for eye exams, surgeries, diagnostic tests, modifier use, and faster revenue recovery.

Onboarding

Patient Onboarding & Eligibility Verification

Prevent denials with upfront insurance checks and streamlined registration.
charge

Charge Capture & Medical Coding

Expert medical coders ensure precise billing, no missed charges, full compliance.

AR Management & Patient Communication

Claims Submission & Monitoring

Accurate, timely submissions with continuous tracking and follow‑up.

Denial Management & Appeals

Denial Management & Appeals

Swift recovery of rejected claims and prevention of future denials.

Payment Posting & Reconciliation

Payment Posting & Reconciliation

Ensure all payments are matched, discrepancies resolved, and books balanced.

Claims Submission & Monitoring

AR Management & Patient Communication

Proactive collections with empathetic patient support and transparent billing.

Proactive AR Follow-Ups

Proactive AR Follow-Ups

Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.

Transparent Patient Communication

Transparent Patient Communication

We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.

Reporting & Regulatory Compliance

Reporting & Regulatory Compliance

Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.

Onboarding

Patient Onboarding & Eligibility Verification

Prevent denials with upfront insurance checks and streamlined registration.

charge

Charge Capture & Medical Coding

Expert medical coders ensure precise billing, no missed charges, full compliance.

AR Management & Patient Communication

Claims Submission & Monitoring

Accurate, timely submissions with continuous tracking and follow‑up.

Denial Management & Appeals

Denial Management & Appeals

Swift recovery of rejected claims and prevention of future denials.

Payment Posting & Reconciliation

Payment Posting & Reconciliation

Ensure all payments are matched, discrepancies resolved, and books balanced.

Claims Submission & Monitoring

AR Management & Patient Communication

Proactive collections with empathetic patient support and transparent billing.

Proactive AR Follow-Ups

Proactive AR Follow-Ups

Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.

Transparent Patient Communication

Transparent Patient Communication

We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.

Reporting & Regulatory Compliance

Reporting & Regulatory Compliance

Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.

Ready to Improve Your Ophthalmology Billing Outcomes?

If you’re struggling with denied claims, delayed payments, or undercoding for high-value eye care procedures, it’s time to strengthen your billing strategy. We specialize in ophthalmology billing with a focus on cataract surgeries, retina procedures, imaging services, and payer-specific rules.

Our onboarding process is fully managed and tailored to your practice. From consultation to daily claim submission, we ensure a smooth transition without disrupting your EMR workflow or patient scheduling.

1
Call Icon
Consultation Call
  • Talk Today
  • Call Scheduled
  • Form Submitted
2
Meeting Icon
Solution Meeting
  • PROMBS Intro
  • Needs Discussed
  • Start Date
3
Contract Icon
Contract Finalization
  • Terms Agreed
  • Docs Signed
  • Inquiries Resolved
4
Rocket Icon
Operations Kickoff
  • Billing Transfer
  • Roles Assigned
  • Systems Ready
5
Transition Icon
Successful Transition
  • Strategy Set
  • Goals Aligned
  • Launch Confirmed

Why We Are Best at Ophthalmology Billing Across the U.S.

We offer complete billing and RCM services tailored for ophthalmology practices across the country. Our team understands the complexities of eye care billing, including surgical coding, modifier usage, diagnostic testing, and split-billing for refractions and medical visits. We help you avoid denials, manage prior authorizations, and stay compliant with Medicare and commercial payer rules. By working directly within your EHR, we deliver a seamless, accurate billing process that supports your clinical operations and improves financial performance. Ophthalmology practices nationwide choose us to streamline their billing and protect revenue. Shape

What Our Clients Achieve with Our Ophthalmology Billing Services

Rapid Revenue Recovery
0 Days
First-Pass Resolution
%
Denial & Rejection
0 % - 10%
Short Turnaround Time
0 Hours
Electronic Claim
0 %
Electronic Payment
0 %
Client Retention
%
Revenue Increase
0 %
Get Free OB Expert Consultation Speak with a ophthalmology billing specialist today and simplify your revenue cycle.

    Medical Billing Software We Leverage for Revenue Cycle Management

    Here are some Industry top listed EHR being operated by us.

    Our Esteemed Clients' Testimonials

    Frequently Asked Questions

    Ophthalmology billing involves vision and medical claims, strict global period tracking, and nuanced coding for diagnostic tests, surgeries, and refractions.

    Yes. We distinguish between vision insurance billing and medical billing to ensure correct payer routing and prevent denied claims.

    We apply proper modifiers such as 50, RT, and LT and follow payer rules for global periods and staged procedures.
    Yes. Our team is experienced in coding and billing for Lucentis, Eylea, Avastin, and related procedures with accurate J-code application.

    Yes. We flag services that are not covered by medical insurance and help practices manage ABNs or self-pay workflows.

    Codes include 92004, 99213, 66984, 67028, and 92133. Our coders ensure correct use based on documentation and payer rules.
    Yes. We manage pre-authorizations for cataract surgery, retinal injections, and specialty medications as needed by carriers.
    We monitor surgical global periods to ensure compliance and avoid rejections on post-operative visits.
    Yes. We apply the correct modifiers for bilateral services, staged procedures, and post-operative visits to ensure clean claims.
    Yes. We handle ophthalmology billing across in-office settings and ambulatory surgery centers, applying POS codes accurately.
    We review chart notes and EHR entries to ensure they support CPT, ICD-10, and modifier selections before claim submission.
    We work in leading ophthalmology platforms such as EyeMD EMR, Nextech, Modernizing Medicine, and others—no workflow disruption.
    Yes. We separate bundled and billable services properly to prevent underpayment and denials due to NCCI edits.
    Issues often involve diagnosis-to-procedure mismatches, modifier errors, and improper billing for screening vs therapeutic services.
    Yes. We offer a no-obligation billing audit to review current claims, identify gaps, and recommend strategies for revenue growth.
    Head Office | Houston

    857 Tristar, Suite A1,
    Webster, TX 77598, US.

    Nevada Office

    2300 W Sahara Avenue, Suite 800,
    Las Vegas, NV 89102, US.

    Colorado Office

    1600 Broadway, Suite 1600,
    Denver, CO 80202, US.

    Las Vegas Office

    732 S 6TH ST, STE R,
    LAS VEGAS NV 89101, US.

    Virginia Office

    5600 General Washington Dr Ste B207,
    Alexandria, VA, 22312, US.

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