Why Ophthalmology Billing Requires Specialized Expertise
Ophthalmology practices are confronted with intricate billing issues that include the global periods in the U.S. for cataract surgery (CPT 66984) and complicated rules for multiple procedures in one session, along with accurate coding for diagnostic imaging like OCT (CPT 92134) and visual field testing (CPT 92083). Knowing the differences between Medicare and private payer policies for these services is a must for financial success.
Billing Care Solutions (BCS) offers committed ophthalmology billing support that maintains accurate records of surgical package billing, ensures the correct use of modifiers (‑59, ‑51), and enables optimal reimbursement for both technical and professional fees. By BCS handling your billing, your practice will be free to focus on saving patients' sight while your revenue cycle remains healthy.
Our Expertise in Ophthalmology Billing
- ✔In-Depth Knowledge of Ophthalmic Codes: Our team is familiar with the latest coding practices specific to ophthalmology, ensuring accurate claims submission.
- ✔Tailored Billing Solutions: We develop customized billing strategies that align with the unique needs of your ophthalmology practice.
- ✔Regulatory Compliance Assurance: We help you navigate complex regulations to maintain compliance and minimize audit risks.
- ✔Streamlined Claim Management: Our processes are designed to reduce claim denials and accelerate reimbursement timelines.
- ✔
Patient-Centric Billing Practices: We prioritize clear communication with patients regarding their billing, enhancing overall satisfaction.
Efficient Revenue Management for Eye Care Providers.
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Ophthalmology Billing Services
We provide billing solutions customized to the needs of eye care professionals, which are instrumented to propel every facet of your ophthalmology practice. With us, the completion of the revenue cycle is efficient, and the reimbursement is accurate. It is our forte to do everything - from a simple routine vision exam and medical E/M visits to complicated cataract surgeries, injections, and laser procedures – coding, documentation, and claim submission in correct manners.
Our practice of engaging with claims in a very proactive way, denial prevention, and the timely execution of appeals places your business in the best position to make money, cut back administrative costs, and retain financial stability while you devote time to offering quality eye care.
Cataract and Surgery Global Package Billing
Comprehensive management of global surgical packages from pre-op to post-op care.
Diagnostic Test Billing (OCT, VF)
Accurate coding and billing for optical coherence tomography and visual fields.
Multiple Procedure Billing and Modifiers
Expert application of modifiers for multiple surgeries or procedures on the same day.
Injection and Laser Procedure Coding
Ensure proper reimbursement for intravitreal injections and various laser treatments.
Routine and Medical Eye Exam Billing
Correctly distinguish and bill for routine vision exams versus medical E/M visits.
Denial Management and Appeals
We proactively manage denials and execute robust appeals to recover revenue.
Why Choose Our
Ophthalmology
Billing Solutions
Engage with specialists that are knowledgeable about the intricacies of mental health billing, who can facilitate the revenue cycles journey from billing to collection, and who can lessen the administrative burden, thus enabling your team to concentrate on quality patient care.
Nationwide Support for Ophthalmology Billing
While we take care of the intricacies of your billing, we concentrate on giving outstanding Ophthalmology care. Our team reduces administrative stress and frees up your staff to focus on patients by ensuring accurate coding, quicker reimbursements, and streamlined revenue cycles. Your practice can experience steady and long-term financial growth with trustworthy billing expertise.
Make your ophthalmology billing effortless today.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Ophthalmology Billing FAQ's
Initial and follow-up eye exams are covered by CPT 92004-92014. To get the proper reimbursement and payer compliance, the documentation should provide details of the vision testing, ocular assessment, and clinical notes.
Depending on the method and laterality, codes 66982-66984 are used. To guarantee that the claim is approved and the payment is accurate, the documentation should mention the surgical details and intraocular lens type.
The CPT 66170-66175 refers to trabeculectomy or shunt implantation. Documentation that assists clinical indications, surgical technique, and severity, which helps to comply with payer rules.
Indeed, CPT 67036-67121 is the code for vitrectomy and retinal repair. The accurate documentation of the procedure complexity and patient diagnosis is the key to receiving the proper reimbursement.
ICD-10 H00-H59 is the range of codes for cataracts, glaucoma, retinal disorders, strabismus, and other ophthalmic conditions. The correct coding is the way to ensure that the claim will be approved and the reimbursement will be correct.
Accurate coding, detailed documentation, and timely claim submission ensure that all services are captured, from the reduction of denials to the optimization of revenue for ophthalmology practices.
Yes, we obtain the necessary approvals for surgeries, imaging, and specialized treatments. In this way, claims are not delayed, and patients can receive their care in a timely manner without us having to bear the administrative burden.
We keep track of patient appointments, therapy, and post-operative care, thus ensuring that coding, documentation, and reimbursement are done correctly and that payer requirements are complied with.
We engage in precise CPT/ICD coding, modifier use, documentation review, and payer policy compliance to eliminate denials and take steps to prompt reimbursement for ophthalmology services.
An outsourcing partner brings in coding accuracy, lessens the administrative burden, reduces the number of denials, improves revenue, and gives ophthalmologists the freedom to concentrate on patient care instead of the billing process.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”