Ophthalmology
Ophthalmology practices require highly specialized billing due to the mix of medical and surgical procedures, frequent use of modifiers, and strict payer-specific documentation rules. Our tailored Ophthalmology billing services ensure accurate coding for diagnostics, treatments, and surgeries while maximizing reimbursements and reducing claim denials.
Whether you’re performing cataract surgeries, managing chronic eye diseases, or conducting routine eye exams, we help your practice navigate the complexities of ophthalmic billing and stay compliant with evolving insurance guidelines.
Accurate Coding for Medical & Surgical Eye Care
From retinal exams to laser procedures, we ensure precise billing for every service.
Modifier & Bundling Expertise
Proper use of modifiers (like -25, -59, -RT/-LT) to avoid bundling errors and rejections.
Faster Reimbursements
Minimize delays with clean claims and timely submissions across Medicare and private payers.
Full-Scope Revenue Cycle Support
We handle eligibility, prior authorizations, claims, and patient billing end-to-end.
Our Ophthalmology Services include:
- Medical Eye Care Billing: For glaucoma, macular degeneration, diabetic retinopathy, and other chronic conditions.
- Surgical Billing: Including cataracts, LASIK, blepharoplasty, and retinal procedures.
- Diagnostic Testing: Billing for OCT, visual field testing, fluorescein angiography, and more.
- Modifiers & Compliance: Expert handling of modifier usage and payer rules to reduce denials.
- Patient Collections & Statements: Transparent, professional communication on balances and payments.
Streamlined Billing for Ophthalmology Practices
Ophthalmology blends medical care, procedures, and optical services—each with its own billing protocols. We help you capture every dollar owed by accurately coding visits, surgeries, and diagnostics, while ensuring full compliance with CMS and commercial payer rules.
Whether you run a standalone eye clinic or a multi-provider surgical practice, our ophthalmology billing team gives you the administrative relief and revenue performance you need to thrive.