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Ophthalmology Medical Billing

Billing for vision care can be tricky. Some insurance plans are centered entirely around vision, and but some procedures are paid for by general insurance plans, which means you need a billing team that can cover your needs no matter what kind of care you provide. Our team of ophthalmology billing experts is here to help you improve your billing practice and increase your revenue. Whether it’s new patient intakes or iris reconstruction, we make sure that everything is properly billed and coded.

Increase your revenue by 7.5% and decrease your time in A/R with medical billing services tailored to ophthalmology providers like you. Our first-in-class medical billing services can help clinics of any size nationwide serve patients more profitably, so you can focus on your work and leave the rest to us.

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E/M vs. Eye Codes: We’ll Figure it Out So You Don’t Have To

Vision care is unique in that it’s the only healthcare specialty that requires the use of two separate sets of codes. Choosing between E/M and eye codes is the first big decision that any billing team has to make when billing a claim, and mistakes can be costly. Our team members are knowledgeable about all of the relevant coding and insurance regulations, including variation between payers. This translates directly into more accurate claims, which means more revenue for you.

Learn How We Save You Time

 
 
 
 
 
 
 

E/M vs. Eye Codes: We’ll Figure it Out So You Don’t Have To

Vision care is unique in that it’s the only healthcare specialty that requires the use of two separate sets of codes. Choosing between E/M and eye codes is the first big decision that any billing team has to make when billing a claim, and mistakes can be costly. Our team members are knowledgeable about all of the relevant coding and insurance regulations, including variation between payers. This translates directly into more accurate claims, which means more revenue for you.

Learn How We Save You Time

 
 
 
 
 

We’ve Got Examinations Covered, Whether Intermediate or Comprehensive

Examinations should be simple and routine, but coding and billing them can be a headache. Understanding which examinations result in intermediate or comprehensive coding requirements can be tricky, especially since coverage may vary for different examination types. Our team makes sure that your claims are sent out to accurately reflect your examinations, so you get paid while staying audit free.

Speak To A Billing Exert

Specialized Insurance Requires Specialized Knowledge

Many patients use specialized vision insurance, but some procedures are covered by ordinary insurance as well. This means that your billing team has to know the ins and outs of a wide variety of insurance types, from specialty vision plans to Medicare Advantage. Our team is made up of insurance experts who know how to deal with any insurance plan that you may need to bill, from huge national companies to local vision insurance specialists.

Learn How We Save You Time

 
 

Specialized Insurance Requires Specialized Knowledge

Many patients use specialized vision insurance, but some procedures are covered by ordinary insurance as well. This means that your billing team has to know the ins and outs of a wide variety of insurance types, from specialty vision plans to Medicare Advantage. Our team is made up of insurance experts who know how to deal with any insurance plan that you may need to bill, from huge national companies to local vision insurance specialists.

Learn How We Save You Time

 
 
 
 
 

Meeting With Patients Should Your Bottom Line, Whether New or Old

Every time you encounter a patient, there’s something you can bill and get paid for. However, understanding whether or not the patient is new, whether the procedure is new to them, and whether to use E/M or eye codes can make even the bare minimum difficult for many billing teams. Whether you’re doing initial examinations or meeting with a patient for the hundredth time, we always use the proper codes.

Speak To A Billing Exert

We understand cardiology billing better

Quest’s specialty ophalmology medical billing services are increasing revenue & decreasing clearinghouse rejections for our clients. On average our clients are reporting an:
Increase First-Pass Claim Resolutions Rates to 90% & Above: Quest’s medical billing solution is reducing data entry errors & clearinghouse rejections below the national average. By consistently analyzing and optimizing claims procedures, Quest National Services is ensuring our ophalmology practices are getting paid First Pass rates, and getting paid faster.
Increase Net Collection Rates To 95%-99%: Leveraging an efficient submission process and following up on outstanding amounts from patients and carriers means that Quest National Services is ensuring that rightly due claims do not go uncollected.
Increase Reimbursements by 10% – 20%: With an increase in FPA & decrease in overdue and outstanding revenue, ophthalmology practices are seeing a 10-20% increase in cash flow almost immediately. Reduce your stress by outsourcing to Quest.
Ophalmology Medical Billing is a unique field, with much more complex billing options than most practices deal with. From glaucoma surgery to photorefractive keratectomy, we know that your job is even more complex, and our goal is to free your team to focus on serving your patients. From diagnostic B-scans to macular degeneration surgery, we’ve got your claims covered.
Our practice is equipped with state of the art billing software which can work with nearly any hospital or clinic’s Electronic Medical Record systems. Submitting your claims to the proper payer will be a quick and efficient process tailor made to translate to consistent, robust revenue for your practice. We’ll help you stop worrying about claims pick-up, office clutter, and slow payment.
Our partnership with you involves educating ourselves on any contracts that your practice has signed. This includes claims address, denial appeal process, claims reimbursement rates, capitation rates, and any additional details specific to your practice that can lead to increased revenue. We are experts in ophthalmology claims appeal and will put in the effort to appeal any claim that is not processed according to your contracts.
We consider ourselves an extension of every practice we serve, and you can rely on us for consistent, professional and timely claims processing. We also provide you with routine reports for your review, and are available to discuss your business at your convenience so that we can move forward together.

Serve Patients More Profitably

At QuestNS, we understand that the goal of your practice is to provide top-notch care for patients that are suffering from a wide variety of difficult and complex problems. We align ourselves with this goal, and strive to clear away the mundane tasks in order to allow the medical experts to focus on the medical aspects of the practice. Our experts also work hard to ensure the highest degree of return from every service performed, so that practices can continue to function at optimal levels and offer patients the very best ophthalmology services.

Keep Your Software

We believe you should be able to continue working with software that is transparent and that you are familiar with. Our medical billing services allow you to use your existing software so that there is no downtime, no training, and no additional costs. This allows you to serve your patients more profitably.

CollaborateMDEPICMediSoftNEXTGENIntergyKareoCareCloudAllScriptsGE CentricityMediTouchAdvancedMDeClinicalWorksOur Software Solution Brands for Medical Billing Services
We work with over 15 practice management softwares, like those listed above. Don’t see yours? Give us a call to see if we work with your software.

Ask About Our Software Solutions

Step 1:

Call us or submit a form
An expert practice consultant is waiting to serve you

Step 2:

Review proposal in one phone call
Analyze your practice's needs and review services that may increase profitability

Step 3:

Finalize your contract
We can start serving you in as little as 5 days

(888) 394-7815

Call and speak to an ophthalmology billing expert.

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