Medical billing since 1994

Ophthalmology Billing Services

Ophthalmology is one of the few specialties with two separate exam code sets to choose between, and the choice changes what a visit pays. STAT Medical Consulting helps ophthalmology practices manage their billing and revenue cycle with greater accuracy and best results.

Serving practices since 1994 AAPC-certified coders HIPAA compliant Nationwide service

Talk to a billing specialist

A short call, and we will look at your ophthalmology revenue cycle with you.

  • Where your denials are coming from
  • What your aged A/R still holds
  • Coding and documentation gaps
  • What a transition would involve
Get My Free Quote

Or call (818) 907-7828

95% Clean claim rate
<20 Avg days in A/R
30+ Years in business
<5% Claim error ratio
HIPAA Compliant
AAPC Certified coders

Accurate Ophthalmology Medical Billing Services

Since 1994, we have performed medical billing services for ophthalmology practices. Our ophthalmology medical billing specialists help ensure claims are prepared accurately, submitted promptly and our comprehensive follow up team ensures your claims are paid accurately and correctly.

What we do

Ophthalmology Billing

STAT Medical Consulting provides the essential billing services ophthalmology practices need throughout the entire revenue cycle. STAT will work with your team to make sure intake information has correct insurance information and prior authorization requirements before services are billed, including confirming which plans require the eye examination codes and which require evaluation and management codes. STAT can assist your staff in these efforts in reducing avoidable delays and denials.

01

Claim submission

Claims are scrubbed for accuracy and checked for common errors before submission. For an eye practice that means confirming the appropriate codes are used and the coding is accurate, so claims are paid for both eyes. This prevents claims from being rejected and monitored so clean claims get sent to the correct payers.

02

Denial management

When a claim is denied, we review the reason timely, correct eligible claims and follow up with the payer instead of allowing recoverable revenue to remain unresolved. Our team is proactive and will appeal claims for additional revenue that is due back to the practice. Our appeal process is automated and trackable.

03

Accounts receivable follow-up

We follow up on all outstanding claims and aging balances to improve collections and protect your practice's cash flow and income.

Why practices choose us

Why Choose Us

Experience since 1994

We have worked with medical practices and healthcare organizations for more than 30 years. Our experience helps us recognize billing problems early and respond appropriately.

Knowledge of ophthalmology billing

Our team understands the documentation, coding and payer requirements ophthalmology practices meet daily, including the choice between the general ophthalmological service codes and evaluation and management codes, the exam elements a comprehensive eye code has to record, surgical global periods and the split billing used when postoperative care is comanaged, and the diagnostic testing and prior authorization rules that vary from one plan to the next.

Support that fits your practice

Our company focuses on customer service. We always have a live person that answers patient inquiries during business hours so patients can talk to a live representative. Nothing is more frustrating than reaching voicemails when trying to handle billing inquiries. Our staff handle all the calls on patient statements. Our company is equally equipped working with solo practitioners, small ophthalmology groups, or large multi-specialty group practices. Our services can be adapted to the size and needs of your organization.

Focus on accuracy and follow-up

We concentrate on getting claims accurate before submission and following-up on unresolved claims until the claims are paid in full. No response claims are investigated at 21 days.

Benefits Of Outsourcing Ophthalmology Billing

Ophthalmology carries code set choices, surgical global periods and testing rules that a general biller meets rarely. Working with an experienced ophthalmology billing company can help your practice:

  • Reduce preventable claim errors
  • Improve follow-up on unpaid claims
  • Minimize the number of denied claims
  • Reduce the workload on office staff
  • Maintain more consistent billing processes
  • Improve your cash flow
  • Achieve increased collections for your practice
  • Save overhead expenses
  • Keep attention focused on patient care

Three decades in medical billing. In an industry where most companies don't last, Stat Medical has served healthcare providers since 1994, with a 95% clean claim rate and under 20 days in A/R. That longevity is our credibility.

Questions

Frequently Asked Questions

What makes ophthalmology billing different from general medical billing?

Ophthalmology is one of the few specialties with two separate exam code sets to choose between. Choosing a partner with expertise in this specialty to know the 3rd party payer requirements, will improve your success.

What ophthalmology billing services can STAT Medical Consulting provide?

  • Medical Billing Services
  • Coding
  • Prior authorization services
  • Eligibility
  • Credentialing & Contracting
  • Practice Management Consulting

How can I trust STAT Medical Consulting?

Providers all have stories of billers who have made promises that have not been kept or expectations who have not been met. STAT Medical Consulting has been vetted by the Federal Government for a GSA contract which was awarded in 2018. That was a rigorous process to undergo and qualify. Our expertise and experience along with stellar references is the reason our company still is a leader in this industry.

If I change billing, how will it impact my cash flow?

We begin by learning about your practice, current billing process, your current PM system and service requirements. We will discuss best options, after understanding all issues relating to your concerns. Our 30 plus years allows us the ability to minimize as little disruption to your operations as possible. There will be some disruption with change at the payer side, but STAT Medical Consulting can assist to minimize these. We have had as little as 4 days from some payers.

What reports will our practice receive?

Our month end reports include practice analysis, productivity summaries by payers, locations and by providers. All our reports can be customized and available and importable into an excel format. We provide clear information about claims, payments, denials and outstanding patient and insurance balances. We can customize any reports to meet the needs of your practice requirements.

How much does ophthalmology billing services cost?

Pricing depends on the size of your practice, your claim volume and the services you need. We provide a customized quote after learning about your specific workflow and your individual billing requirements.

Let us support your ophthalmology practice

If billing problems are taking time away from your staff or slowing reimbursement, STAT Medical Consulting can help.

Speak with our team about dependable ophthalmology medical billing services tailored to your practice.

Billing Expertise Across Every Specialty

Stat Medical delivers tailored billing and coding for each specialty we serve, including:

Internal Medicine
Cardiology
Neurosurgery
Orthopaedics
OB-GYN
Oncology
Radiology
Gastroenterology
Allergy

Whatever Your Practice, Our Certified Coders Know How to Get You Paid For It.