Specialty
Ophthalmology Medical Billing & RCM
Cataract surgery, retina procedures and optical services — with surgical bundling expertise.
What we bill
Procedures & services we specialize in
Cataract surgery & IOL billing
Retina injections (anti-VEGF)
YAG & laser procedures
Glaucoma management
Optical/material billing
Common revenue challenges
- Complex modifier rules and frequent payer policy changes
- High-touch pre-authorization burden
- Underpayments hidden in fee schedules
- Documentation gaps driving denials
Billing complexity
- Specialty-specific CPT and HCPCS coding
- Bundled procedures and global periods
- Multiple-procedure reductions and modifier sequencing
- Payer-specific billing rules
Coding expertise
- Certified specialty coders
- ICD-10-CM specificity tuned to your workflow
- Audit-ready documentation review
- Quarterly coding updates
Insurance handling
- Eligibility and benefits verification
- Prior-auth tracking and follow-up
- Denial workflow with root-cause analytics
- Patient responsibility communication
Revenue optimization
- Underpayment recovery program
- Fee-schedule benchmarking
- Payer contract review
- KPI dashboard with monthly cadence
Case Study
Ophthalmology billing transformation eliminates 95% of denials
95% denial reduction
FAQ
Ready to optimize your ophthalmology revenue cycle?
30-minute consultation. No obligation.
Schedule Consultation