Maximize your eye care practice revenue with specialized billing expertise in routine vs medical exam differentiation, surgical procedure coding, and vision plan coordination. Our certified ophthalmology billing specialists understand refraction billing, bilateral modifiers, and diagnostic testing requirements unique to vision care practices.
Distinguishing between routine eye exams (vision plans) and medical eye exams (medical insurance) requires proper diagnosis coding and medical necessity documentation.
Medicare and many insurers do not cover refraction (92015) separately, requiring proper billing to patients and coordination with covered services.
Cataract surgery, LASIK, and other ophthalmologic procedures have complex coding with multiple components including pre-op, surgery, and post-op care.
Managing separate billing systems for vision plans (VSP, EyeMed) and medical insurance requires different fee schedules and authorization processes.
Many eye procedures are performed bilaterally requiring proper modifier usage (50, LT, RT, E1-E4) to ensure full reimbursement for both eyes.
OCT, visual fields, and other diagnostic tests require medical necessity documentation and proper frequency limits to avoid denials.
Our team includes certified coders with expertise in both vision plan billing and medical ophthalmology coding requirements.
Specialized systems track refraction billing separately from covered services with automated patient billing and payment collection.
Advanced knowledge of ophthalmologic surgical coding including cataract procedures, LASIK, retinal surgery, and glaucoma procedures.
Expert management of vision plans, Medicare, and commercial insurance with proper eligibility verification and authorization tracking.
Complete billing for routine vision exams through vision plans with proper refraction and materials billing.
Expert billing for medical eye exams treating conditions like glaucoma, cataracts, macular degeneration, and diabetic retinopathy.
Specialized coding for cataract surgery, LASIK, retinal procedures, and other ophthalmologic surgeries.
Complete billing support for OCT, visual fields, fundus photography, and other diagnostic eye testing.
Billing for both routine vision care and medical ophthalmology procedures requires specialized knowledge that our internal staff struggled with. Medtransic's team understands the nuances of vision plan vs medical insurance billing, refraction coding, and cataract surgery billing. They've increased our surgical revenue by 35% and dramatically improved our refraction collections. Their expertise has been transformative for our practice.
Contact Medtransic today for expert ophthalmology billing services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.