Need a 20/20 vision to spot the mistakes in your ophthalmology revenue cycle management (RCM)? We are here to help. Our full-stack ophthalmology billing services help you see every unclaimed dollar.
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From diagnosing and treating eye diseases and vision disorders to performing complex intraocular and periocular surgeries, ophthalmologists work in tandem with other healthcare professionals to improve the welfare of patients. But do the representatives of this niche specialty get the recognition and reimbursements for their services the way they deserve? The answer is – not always. Ophthalmology has one of the highest claim denial rates (13%), and the intricacies of ophthalmology medical billing often result in delayed payments.
However, all of that can change with our comprehensive ophthalmology billing services. Each solution is carefully tailored to your practice’s RCM requirements, ensuring that you achieve the highest collection rates and a steady cash flow. At NeuraBill, we make sure your claims are eye-deal.
We can proudly say that solo, group, and multi-specialty practices across the United States comfortably outsource ophthalmology billing to us. The reason? We are the ophthalmology billing experts who plug revenue leaks, address quality gaps, and boost cash flows. Without judgment, we offer our clients a crystal clear view of their practices’ finances so they can make informed decisions for revenue cycle optimization and financial stability.
Our ophthalmology medical billing services are designed to eradicate inefficiencies in the process, streamline workflows, expedite claim creation and submission, and resolve payment disputes, all the while ensuring ironclad compliance. By entrusting your ophthalmology billing to us, you stop losing money in the blind spots of healthcare RCM.
Clean Claims Rate
First Pass Ratio
Revenue Increase
Collection Ratio
Days In AR
The nuances of high-level ophthalmology CPT and ICD-10 coding are difficult to navigate. Coding errors become the prime reason for claim denials. At NeuraBill, our certified professional coders specialize in ophthalmic coding and scrub each claim for accuracy.
The claim denial rate for ophthalmology and its sub-specialties is higher than the industry average. This compromises the financial health of eye clinics and group practices. We employ best practices to reduce denial rates and optimize ophthalmology RCM.
Be it industry regulations or payer policies, regular updates in ophthalmology billing and coding guidelines can confuse anyone. But not us. All our employees are trained to stay up-to-date with the revisions and deliver 100% compliant services to our clients.
Many patients have a separate or secondary insurance plan for vision-related services. This can create confusion during eligibility and benefits verification and can trigger COB denials. Our ophthalmology billing services include comprehensive coverage checks.
In ophthalmology, providers must obtain and later submit pre-authorization letters for specific medications, retinal injections, and cataract surgeries. This process can be lengthy and delay patient care. We fast-track pre-approvals with effective communication.
Meticulous documentation is necessary in ophthalmology billing to justify the medical necessity of the service. At NeuraBill, we make detailed documentation a mandatory part of our ophthalmology billing solutions and securely store this data in the Cloud.
Coding precision and specificity are essential in medical billing for ophthalmology. Incorrect selection of diagnostic, procedural, and supply codes or missing modifiers are likely to trigger claim denials. Luckily, our team of AAPC-certified medical coders is proficient in ophthalmology CPT codes and modifiers (E1-E4), which ensures that the exact information is conveyed to insurance payers for rightful reimbursement.
66130 - 66175
Excision Procedures on the Anterior Sclera of the Eye
66982 - 66991
Intraocular Lens (IOL) Procedures
67101 - 67121
Repair Procedures on the Retina or Choroid
92002 - 92004
New Patient General Ophthalmological Services and Procedures
92012 - 92014
Established Patient General Ophthalmological Services and Procedures
92015 - 92145
Ophthalmological Examination and Evaluation Procedures
92201 - 92260
Ophthalmoscopy Procedures
92265 - 92287
Other Specialized Ophthalmological Services and Procedures
92310 - 92326
Contact Lens Services
92340 - 92499
Spectacle Services (Including Prosthesis for Aphakia)
There are nearly 18,000 ophthalmologists in the United States. Of them, 26% are solo practitioners. As flag bearers of this small yet mighty specialty, they carry the burden of quality patient care on their shoulders. At NeuraBill, we recognize this. We partner with numerous ophthalmology practices to alleviate their administrative load so they can focus on attending to their patients’ needs.
Our proven ophthalmology medical billing services are available from coast to coast, providing eye specialists the clarity they need to improve their bottom line. So, whether you run a small eye clinic in Marfa or are part of a multi-specialty group practice in Atlanta, you can count on us for error-free ophthalmology billing.
We offer end-to-end revenue cycle management and practice management services to our clients. Our full suite of ophthalmology billing solutions includes patient scheduling, medical billing and coding, credentialing and enrollment, AR recovery, denial management, and monthly reporting. You can opt for the entire service stack or handpick the solutions based on your ophthalmology practice’s unique needs.
We understand that the U.S. healthcare landscape is heavily regulated, and the medical billing industry is not exempt from this. As a compliance-first ophthalmology billing company, we strictly adhere to the latest industry rules, government regulations, and payer policies. Be it HIPAA and HITECH laws or ISO quality standards, we stay 100% compliant.
Ask yourself these questions. Are you drowning in insurance paperwork? Are you spending more time on claims filing than on patient care? Are you repeatedly receiving denials for your submitted claims? Is your ophthalmology practice struggling financially?
If you answered yes to all or even one of these questions, it is time to invest in reliable ophthalmology medical billing services. Specialized medical billing companies like NeuraBill can reduce your AR days to less than 30 and boost your revenue by up to 15% while you attend to your patients’ needs.
The improvement rate varies based on each practice’s current financial standing. Typically, our clients start to notice an upward trajectory in their ophthalmology RCM within 3 to 6 months of acquiring our ophthalmology billing services. These changes become visible in the form of increased collections, reduced AR days, and enhanced first-pass claim rates.