Expert medical billing for eye care practices. Specialized coding for cataract surgery, retina procedures, glaucoma management, and comprehensive ophthalmology services.
Ophthalmology billing is uniquely complex — from IOL calculations and modifier requirements to global period rules and ASC facility coding. Our team includes certified ophthalmic coders who understand the nuances of eye care billing.
We've helped ophthalmology practices increase collections by 15-25% through proper coding, reduced denials, and aggressive follow-up on high-value surgical claims.
Ophthalmology Billing
Cataract • Retina • Glaucoma
Cataract surgeries and injections require prior auth from most payers. Manual processes delay patient care and revenue.
Our Solution: Auth-Pilot automates prior auth with 85% auto-approval rate.
Bilateral procedures, multiple surgeries same session, and global period exceptions require precise modifier application.
Our Solution: Certified coders with ophthalmic specialty training.
Patient responsibility for premium lenses requires separate workflows and collection processes.
Our Solution: Integrated patient billing with payment plan options.
Post-op visits within global periods get denied when not properly documented or coded.
Our Solution: Global period tracking and proper modifier application.
End-to-end encryption for all patient data. AES-256 at rest, TLS 1.3 in transit.
Business Associate Agreement standard with every engagement. Full HIPAA compliance.
Role-based access controls ensure minimum necessary access to your practice data.
Let's discuss how our specialized team can improve your practice's financial performance.