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Ophthalmology Billing Services

Efficient Ophthalmology Billing Services to Maximize Revenue and Streamline Your Practice

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Comprehensive Ophthalmology Medical Billing Services

At HBH Solutions, we specialize in providing comprehensive ophthalmology billing services designed to optimize your revenue cycle management (RCM) system with greater efficiency and accuracy. Our certified and experienced coders and billers are experts in the complexities of ophthalmology billing, ensuring your practice remains compliant with evolving medical coding standards, payer policies, and changing regulations. We offer specialized billing services for a wide range of ophthalmology procedures, including:

  • Cataract Surgery
  • Glaucoma Management
  • LASIK and PRK
  • Diabetic Retinopathy
  • Retinal Detachment
  • Eye Exams and Glasses
  • Contact Lenses
  • Macular Degeneration
  • And more…

Let us handle the complexities of your RCM so you can focus on patient care.

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Book Your Appointment To Get Quality Services From Us!

(469) 294-9654

Key Challenges in Ophthalmology Billing

  • Detailed Modifiers:

    Billing modifiers must accurately indicate whether both eyes or a specific eye was treated. Additionally, procedures performed during office visits require proper modifier usage, demanding meticulous attention to detail.

  • Bundled Codes:

    Charges are often bundled together, but when additional services or changes are needed, our team ensures accurate documentation and coding to prevent rejections.

  • Multiple Insurers and Payers:

    We understand the intricacies of billing for Medicare, Medicaid, and private insurance, ensuring claims are processed correctly and avoiding unnecessary delays.

Wide Range Of Ophthalmology Billing Services

We manage the entire billing process, ensuring accurate coding, timely submission, and follow-up on claims. Our services include:

  • Medical Bill Collections
  • Insurance Accounts Receivable Management
  • Denial Management
  • Claim Scrubbing and Submission
  • Payment Posting
  • Comprehensive Revenue Cycle Review
  • Accounts Receivable Cleanup

Why Choose HBHS for Ophthalmology Billing?

  1. Expertise in Medical Coding:Ophthalmology billing demands specialized expertise. Our certified professionals are well-versed in the complexities of coding and stay current with annual updates and payer policies, ensuring accurate and compliant billing.
  2. Continuity and Reliability: Unlike in-house billing teams that may face disruptions due to absences, HBH Solutions ensures uninterrupted service. Our dedicated staff is always available to manage your billing needs.
  3. HIPAA Compliance: We follow strict HIPAA guidelines to protect patient information, ensuring secure and compliant billing practices.
  4. Quick Turnaround: 7-14 days for reimbursement.
  5. Increased Revenue: Expect a 20-30% revenue boost.
  6. Higher Collections: 90%+ collection ratios.
  7. First-Pass Claims: 91% of claims are accepted on the first submission.

What Sets HBHS Apart?

With over 12 years of experience, we offer unmatched expertise in ophthalmology billing, ensuring compliance with the latest regulations and coding updates. Our team is adept at:

  • Assigning accurate CPT codes for ophthalmology procedures
  • Proper use of modifiers, including LT, RT, and Modifier -50
  • Ensuring that documentation meets payer requirements

Perks of Partnering with HBHS

  • Cloud-Based Technology: Seamlessly integrates with your EMR/EHR systems
  • Specialized Expertise: Accurate and swift claim processing, reducing errors
  • Improved Cash Flow: Speed up reimbursements and support practice growth
  • Regulatory Compliance: Strict adherence to HIPAA and other industry regulations
  • Data Security: Robust patient data protection to maintain confidentiality


Focus on delivering excellent patient care while we handle the complexities of your revenue cycle management. Contact us today to learn how our services can enhance your practice’s financial performance.

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