• 6 Edwin St centereach, NY 11720 US
  • +1(934)255 2355
  • info@medfusionmedicalbilling.com
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Reliable & Transparent Ophthalmology Billing Solutions

Ophthalmology Medical Billing

Ophthalmology practices face unique challenges in medical billing due to complex eye care procedures and frequent coding updates. Our specialized billing services ensure accurate claim submission, faster reimbursements, and compliance with all payer guidelines. Focus on delivering quality eye care—while we optimize your revenue cycle.

  • Increase revenue by $11-14 per patient visit
  • Achieve a DSO in less than 30 days
  • Expedite outstanding charge processing

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  • Complete Practice Audit
  • Specialty Specific Billing Staff
  • Complete on Provider's EMR/EHR

Get Expert Ophthalmology Billing Support Today

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+1(934)255 2355

Understanding the Complexity of Eye Care Billing

Precision Billing Solutions for Ophthalmologists

Ophthalmology billing involves a combination of medical and vision coding, surgical procedures, diagnostic imaging, and routine eye exams—all of which require detailed documentation and specific CPT, ICD-10, and HCPCS coding. Our expert team ensures each bill is accurately coded and submitted, minimizing rejections and optimizing reimbursements. Whether you’re a solo ophthalmologist or a multispecialty eye care group, our services adapt to your needs, reduce overhead, and improve cash flow across the board.

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Custom Solutions for Modern Eye Care Practices

Comprehensive Ophthalmology Billing Services

We cover all aspects of ophthalmology billing—from surgical procedures to diagnostic testing—helping you reduce denials, improve patient payment collection, and stay compliant with changing regulations.

Physical Therapy Billing Services

Surgical Procedure Billing

We handle coding and claim submissions for procedures such as cataract surgery, LASIK, glaucoma treatments, and vitrectomies, ensuring accurate documentation and compliance with CMS guidelines.

Rehab Medical Billing Services

Modifier Usage & NCCI Edits

Proper use of modifiers (e.g., -25, -59, -51) and adherence to National Correct Coding Initiative (NCCI) edits reduces payer rejections and audits.

Insurance Verification and Eligibility

Authorization & Eligibility Verification

We verify eligibility, pre-authorizations, and coverage limitations before services are rendered to prevent billing issues down the line.

Diagnostic Testing Billing

Accurate billing for OCTs, visual field testing, fluorescein angiography, and more. We ensure timely billing and reimbursement for your diagnostic procedures.

A/R Recovery & Claims Follow-up

We proactively follow up on unpaid claims, appeal denials, and recover lost revenue with a consistent and strategic approach.

Neurosurgery Billing Services

Vision vs. Medical Differentiation

We help your front desk and billing team distinguish between vision and medical services to bill the correct payer and avoid costly denials.

Glaucoma and Retina Coding Expertise

Our team is trained in retina injection coding, glaucoma surgeries, and monitoring services to ensure correct claims submission for complex cases.

Patient Statements & Collections

Clear patient billing and statement generation with options for payment plans, improving patient engagement and satisfaction.

Looking to streamline your payment process?

Let Medfusion handle the details while you focus on growing your practice

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Exceeding Industry Standards in Eye Care Billing

Your Ophthalmology Practice Deserves Tailored Billing Support

We combine deep industry expertise with cutting-edge technology to deliver billing solutions that work specifically for ophthalmology practices. Our U.S.-based certified billing experts keep you compliant with the latest rules and maximize collections from both government and private payers. We take care of claim preparation, coding accuracy, and follow-up, so you can dedicate more time to providing exceptional patient care. With transparent reporting, HIPAA-compliant processes, and a proactive billing strategy, we help you scale your practice revenue and reduce administrative burden.

Explore Full-Service RCM Solutions
Medicare and Medicaid Credentialing
Commercial/ Private Insurances
NPI Registration Type I and II
CAQH Registration & Maintenance
Hospital Privileges
Provider State License
DEA Certificate & Renewal
CLIA Registration

Seamless Onboarding to Efficient Billing

A Proven Path to Revenue Growth for Ophthalmologists

Our process is built around precision, compliance, and revenue optimization. Here’s how we deliver consistent results for your practice.

Step 1

Step 2

Step 3

Step 4

Consultation & Setup

We analyze your existing billing structure and create a personalized action plan tailored to your ophthalmology specialty.

System Integration & Training

We integrate with your EHR/PM system and train your team on optimal workflows to ensure smooth billing operations.

Claims Submission & Compliance

Our certified coders and billers handle end-to-end claim preparation, coding, and submission, reducing rejections and delays.

Reporting & Optimization

We provide transparent performance reports, monitor KPIs, and continuously optimize your revenue cycle for better returns.

Experience the Confidence of Working with Ophthalmology Billing Experts

We understand the nuances of eye care billing and support your practice with intelligent workflows, reduced denials, and higher reimbursements—all while staying compliant and patient-focused.

UNDERSTAND YOUR PRACTICE OVERALL HEALTH

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Who We Are

Passionate About Precision in Healthcare Billing

We are a dedicated RCM medical billing company based in New York, committed to helping healthcare providers streamline their revenue cycle with accuracy, compliance, and speed. With expert teams in billing, coding, credentialing, and administrative support, we serve as your behind-the-scenes partner in achieving financial success.

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Built for Eye Care Professionals

Ophthalmology Billing That Works as Hard as You Do

Ophthalmology-Specific Coders

Our team is trained in ophthalmic procedures and coding guidelines—ensuring error-free claims every time.

EHR/EMR Integration

We work with all leading ophthalmology EHRs and billing software, ensuring smooth data transfer and accurate claim generation.

HIPAA-Compliant Operations

We prioritize data security and patient privacy with fully HIPAA-compliant workflows and encrypted communication.

Insurance Verification and Eligibility

All Payer & Multi-State Support

Whether you deal with Medicare, Medicaid, or commercial insurers, our billing strategies ensure payer-specific compliance across all states.

Real-Time Reporting Dashboard

Monitor your billing KPIs, denial rates, revenue per visit, and A/R aging through a transparent and real-time dashboard.

Dedicated Account Managers

Every practice gets a dedicated billing specialist who knows your workflow and ensures timely communication and resolution.

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Medfusion  is the leading company for managing the cycle of revenue. Our partners value our excellent claims handling, timely responses, thorough follow-ups, and outstanding management of denied claims.

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