Ophthalmology Billing Services
Medical vs. routine vision billing, cataract surgery and diagnostic imaging handled correctly. Agile Nexus Solutions provides ophthalmology medical billing, coding and revenue cycle management for practices across all 50 states, so your team can focus on patients instead of paperwork.
Common Ophthalmology billing challenges
- Medical vs. routine vision billing to the right plan
- Cataract surgery global periods and co-management
- Diagnostic imaging such as OCT and visual fields
How we help ophthalmology practices
- Bill medical eye care to medical insurance and routine exams to vision plans
- Track global periods and co-management modifiers
- Check frequency limits for diagnostic tests
Every claim is checked before submission, sent within 24–48 hours, and followed until it is paid. You get monthly reports on collections, A/R and denials, and a dedicated account manager who knows your specialty.
What is included
- Eligibility and benefits verification
- Certified medical coding (ICD-10, CPT and HCPCS)
- Claim submission and rejection fixes
- Payment posting and reconciliation
- Denial management, appeals and A/R follow-up
- Credentialing and payer enrollment
Frequently asked questions
Do you bill both medical and vision plans?
Yes. We decide whether each visit is medical or routine based on the reason for the visit and bill the correct plan.
Can you handle cataract co-management?
Yes. We apply the surgical and post-operative care modifiers so each provider is paid for their part of the global period.
Request a practice audit or book a call to see how much more your ophthalmology practice could collect.