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Medical & Surgical Eye Care Billing
Comprehensive Solutions That Bring Clarity To Your Billing Operations & Revenue Cycle.
Accurate Coding for exams, procedures, and optical devices.
Fast Reduce AR with same-day claim submission.
Compliant Follow payer rules for vision & medical billing.
Transparent Monthly reports for practice performance review.
Streamlined Medical Billing Solutions
Designed To Maximize Your Practice Revenue
Our Experienced Team Delivers Accurate, Compliant, & Efficient Billing Services, Helping Healthcare Providers Reduce Denials, Improve Cash Flow, & Focus On Patient Care.
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Enhancing Ophthalmology Revenue Through
Proven Billing Expertise
Faster & Reliable Reimbursements for Ophthalmology Services
Ophthalmology billing requires accuracy for imaging, cataract surgeries, and diagnostic procedures. States such as Florida, California, and New York enforce strict payer rules. Evocare automates eligibility verification and applies clean edits to all claims. Our specialists reduce denials and ensure payments arrive on time. Ophthalmology practices achieve stronger financial stability through our streamlined approach. We also provide detailed reporting and analytics to track revenue performance. Our team stays updated on changing payer policies to keep your practice compliant and efficient.
Eliminate Errors in Ophthalmology Billing
Ophthalmology practices often face denied claims due to incorrect modifiers, mismatched diagnoses, or missing documentation. In Florida, clinics struggle with prior authorization errors for cataract surgeries, while practices in California lose revenue from improper coding of retina procedures. Evocare helps ophthalmologists nationwide with real-time claim audits, automated error detection, and compliance checks tailored to each state’s payer rules. Our team provides customized staff training and reporting to prevent recurring errors, maximize collections, and ensure faster reimbursements.
Seamless & Efficient Billing Services for Growing Eye Care Practices
We provide expert coding for cataract, LASIK, and retina procedures with precise modifier usage for bilateral services. Our team streamlines prior authorizations for intravitreal injections and reduces denials for diagnostic tests such as OCT and visual fields. With dedicated support for both optical and surgical billing, we help boost efficiency and maximize reimbursements for your ophthalmology practice.
Ophthalmology RCM Process
Address Financial & Operational Challenges With Workflows Built For Diagnostic Testing, Surgeries, & Specialized Ophthalmic Procedures.
Ophthalmology Billing & Claims Solutions That
Deliver Accurate, & Compliant Results
Accelerating Payments For Vision Exams, Surgical Care, & Optical Services With Maximum Efficiency.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On.
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Simplify Medical Billing for Your Ophthalmology Practice Efficiently
Ophthalmology billing can be challenging, involving surgical procedures, diagnostic imaging, and frequent prior authorizations. Our team of qualified AAPC-certified CPC and CPB professionals ensures accurate coding for cataract surgeries, retina procedures, intravitreal injections, and diagnostic tests. This reduces claim denials and improves overall reimbursement rates for eye care practices.
As a trusted ophthalmology medical billing company and provider of eye care revenue cycle management services, we deliver comprehensive billing support for both medical and surgical practices. By streamlining workflows, ensuring compliance, and maximizing collections, our expert AAPC-certified billing specialists help ophthalmologists strengthen their financial health while maintaining focus on patient vision care.
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Frequently Asked Questions By
Ophthalmologist
If You Can’t Find The Answer You’re Looking For, That’s No Problem. Schedule a Demo, & We’ll Work To Answer Your Question.
Why do refraction services deny automatically?
Refraction (92015) is not covered by most payers. Billing without informing patients creates unpaid balances. It should be offered as self-pay with signed consent.
How do bilateral eye procedures affect coding?
Procedures like 65855 (laser trabeculoplasty) billed bilaterally require modifier -50. Using RT/LT separately may deny depending on payer edits. Correct modifier use ensures payment.
Why do cataract surgery claims reject for medical necessity?
66984 requires documentation of visual impairment affecting daily life. Linking only to H25.9 (unspecified cataract) denies; instead, H25.013 (cortical age-related cataract) with functional notes supports necessity.
How does bundling impact retinal procedures?
CPT 67145 (retinal detachment prophylaxis) and 67105 (repair) bundle if performed together. Modifier -59 separates if distinct. Otherwise, one denies.
Why do diagnostic imaging services often deny?
OCT (92134) requires medical necessity ICDs like H35.3131 (nonexudative AMD). Using nonspecific codes (H35.30) often denies. Clear clinical notes support payment.
Why are glaucoma procedure claims often denied?
Glaucoma procedure claims are frequently denied due to missing documentation of intraocular pressure measurements or prior treatment attempts. Accurate CPT and ICD-10 coding, along with proper medical necessity notes, is essential. Ensuring compliance with payer-specific rules helps secure faster, more reliable reimbursements for ophthalmology practices.
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