Efficient Reimbursement for Optometric Services

 

Optometry Billing Services in Virginia

Specialist medical billing services to help improve your optometry practice. Our optometry medical billing services can improve your coding, reduce claim rejection and ensure consistent payments.

How Our Optometry Billing Services Improve Your Revenue Cycle

At Virginia Medical Billing Company we understand how to bill your optometry practice. We can help with patient eligibility claims, vision and medical insurance claims, coding, posting and reimbursement.

Faster Claim Processing

With expert optometry coding we can help you identify the right CPT and ICD-10-CM codes to make clean claims. Our team will ensure that all examination and diagnostic details have been noted.

Unmatched Billing Accuracy

With our optometry medical billing services, we can help you with medical and vision insurance claims. We’ll ensure you have the right coverages, code to the requirements and your claims are accurate.

Improved Patient Satisfaction

Optometry practices can ensure that patients are aware of their insurance coverage and co-payments by having a systematic approach to billing. We can help ensure your accounts are accurate.

Our Revenue Cycle Solutions Built for Optometry Practices

We provide optometry medical billing services to help with the requirements of your eye practice. Our services help with insurance verification, coding, claims, denial management and reports.

Insurance Verification & Pre-Authorization

Our team can help verify medical and vision insurance coverage including what is covered, what the deductible and co-payment will be and if authorization is required.

Optometry Medical Coding & Documentation

Our optometry coding experts will review patient notes ensuring that the correct CPT and ICD-10-CM codes are recorded. We can assist with coding for eye exams, refraction, visual field and ocular imaging.

Claim Submission & Tracking

We will check your optometry claims for any missing information, coding errors and ensure they meet the requirements of the payers. We can also help track your claims.

Denial Management & Appeals

We can help identify common reasons for optometry claims being rejected. This includes eligibility, incorrect modifiers and missing documentation. We can help fix the error.

Credentialing & Enrollment Services

We can help with optometrist Provider Credentialing. We can help with the requirements of insurance credentialing and re-credentialing. Keeping your providers up to date can help your practice be part of insurance networks.

Reporting & Analytics

Our medical billing reports can help you track optometry claims, payments, denials and accounts receivable. This can help you identify issues with your revenue cycle.

Common Optometry CPT Codes

There are various CPT codes used in optometry dependent on the type of examination, diagnostic tests, documentation and payers. Our optometry coding can help you identify the correct codes.

Optometry Service Common CPT Codes
Intermediate eye examination, new patient 92002
Comprehensive eye examination, new patient 92004
Intermediate eye examination, established patient 92012
Comprehensive eye examination, established patient 92014
Refraction 92015
Extended visual field examination 92083
OCT imaging of optic nerve 92133
OCT imaging of retina 92134
Fundus photography 92250

The correct CPT code will depend on what examination/diagnostic tests were performed. We will ensure the correct codes are used based on clinical notes and current coding guidelines. We recommend checking what is covered by the payers.

Common ICD-10-CM Diagnosis Categories in Optometry

To ensure accurate coding we can help identify the correct diagnosis codes based on what was documented for the patient. Our team will ensure the correct ICD-10-CM codes are used.

Optometry Diagnosis Category ICD-10-CM Category
Myopia, hyperopia, and other refractive errors H52.-
Glaucoma and related conditions H40.-
Cataracts H25.-
Retinal disorders H35.-
Conjunctivitis H10.-
Dry eye syndrome H04.12-
Corneal disorders H16.-
Visual disturbances H53.-
Diabetic eye conditions E11.3-
Eye examination encounters Z01.0-

Ensure your diagnosis reflects what was documented by your provider. We recommend checking current ICD-10-CM guidelines and what is required by the payers.

Optometry Billing Services for Virginia Eye Care Providers

Our specialist optometry medical billing services can help you with your billing requirements. Ensuring accurate claims, organized accounts and consistent follow up.

Optometry-Specific Billing Expertise

Optometry can include eye exams, refraction, contact lenses and diagnostic tests. Our billing processes can help meet these requirements along with medical and vision insurance.

Medical and Vision Insurance Billing Support

Medical and vision insurances have different requirements. Our team can help you identify what is covered and what the limitations are.

Precision in Billing

Our billing experts will verify that all of your patient information, CPT & ICD-10-CM codes, modifiers and documentation are free of errors.

Better Patient Experience

Having clear statements and organized patient billing can help optometry practices keep patients informed. We can help ensure your patient accounts are accurate.

Optometry Providers We Serve in Virginia

Our optometry medical billing can help various eye practitioners throughout Virginia. This includes:

Benefits of Partnering With Us

We offer optometry billing services in Virginia designed to support accurate claims, organized accounts receivable, and efficient revenue cycle management:

Ready to Match Your Optometry Practice with Better Billing?

Book a free billing audit so we can identify where there may be errors with your coding, claim rejections, late payments and revenue leakage.

Frequently Asked Questions

Can you help with optometry medical billing for solo and group practices? + −
Yes! Our medical billing and coding team can help sole optometrists, solo practices and larger optometry groups with their claims, coding, denials and accounts.
Do you work with medical and vision insurance? + −
Yes! Our optometry medical billing team can help with medical and vision insurance claims. We can help identify what is required by the payers.
What CPT codes are commonly used in optometry medical billing? + −
Common CPT codes used in optometry include: 92002, 92004, 92012, 92014 for eye exams, 92015 for refraction and 92133, 92134 for OCT imaging.
Do you help with optometry claim rejections? + −
Yes! Our denial management team can help identify why claims have been rejected. We can identify any coding and documentation errors.
Can you help with optometrist insurance credentialing? + −
Yes! We can help optometrists with provider enrolment, insurance credentialing and re-credentialing. This can help keep them in networks and avoid any unnecessary delays.