Medical vs. Vision Billing
Correct routing of claims between medical and vision insurance based on diagnosis.
Ophthalmology practices face unique billing complexity: the split between vision and medical insurance, surgical retinal procedures, and optical goods all have different billing rules.
Correct routing of claims between medical and vision insurance based on diagnosis.
Phacoemulsification coding with IOL implant and premium lens add-ons.
Vitrectomy, retinal detachment repair, and laser photocoagulation billing.
Trabeculectomy, tube shunt, and minimally invasive glaucoma surgery coding.
Contact lens fitting and eyeglass dispensing billing.
Low vision evaluation and optical device dispensing billing.
Every coder on your account is trained specifically in your specialty's coding rules, documentation requirements, and payer quirks. No generalists.
Learn MoreWe audit every coder's accuracy quarterly. Any coder falling below 95% accuracy is immediately retrained and supervised. Your clean claims rate doesn't slip.
Learn MoreWe track payer policy changes, LCD updates, and code revisions in real time. When a payer changes a coverage policy for your specialty, we know before you do.
Learn MoreWe switched to RCMBillers after struggling with our previous biller for 2 years. Within 90 days our denial rate was cut in half and collections were up significantly. They know ophthalmology billing — not just billing in general.
Practice ManagerOphthalmology PracticeDenial rate cut 50%+ in 90 days
The coding audit they did in the first month found $80,000 in undercoded procedures we had no idea about. That alone justified years of service fees.
Physician OwnerOphthalmology Group Practice$80K found in coding audit
Credentialing used to take us 4 months. RCMBillers completed 3 payer enrollments in under 4 weeks. We haven't had a credentialing delay since day one.
Office DirectorOphthalmology CenterPayer enrollment: 4 months → 3 weeks