Ophthalmology Billing Services

Medical billing for ophthalmology, like that for any field of medicine, is complex. Not only are the codes complicated, requiring detailed knowledge of the practice in addition to understanding coding and billing, but they are changed every year. Additionally, insurers and government payers change their policies and plan frequently, and coverage rules may even vary according to the state you are in.

All this change makes it impossible for busy medical staff to keep up with the latest billing guidelines. Outsourcing to a professional medical billing company like The sure ways solutions has proven to be very successful for practices of all sizes. Because our ophthalmology medical billing services are not medical, but only focused on the revenue cycle management (RCM) aspect, we are able to stay up to date on billing and coding changes.

Ophthalmology billing modifiers must be used with basic medical billing codes to notate whether both eyes were affected, or if it was left or right. If a minor procedure is done on the same day as an office visit, there is a modifier needed. Billers and coders must also know how to code for multiple procedures in the same setting, etc.

Charges for services are often bundled together, which simplifies coding, but it also requires medical billers and coders to be aware of what is in each bundle because sometimes the physician may determine that something additional is needed or substitution is required. Billers must know how to document additions and exceptions properly, or those services will be considered unnecessary and rejected by payers.

The sure ways solutions is an industry leader and trusted name in medical accounts receivable collections because we know how to get results. Our mastery of complex medical coding and AR management services sets us apart. But it’s our breadth of knowledge that allows us to shine. Our medical billing company successfully serves healthcare facilities of all types and sizes, and we specialize in medical billing for physicians, laboratories, radiology & imaging centers, and hospitals. We know it’s difficult to remain entirely focused on patient care when you’re worried about your bottom line. If you’re spending valuable time and energy trying to diagnose finances, then perhaps it’s time to enlist the aid of a professional medical billing company like The sure ways solutions.