Ophthalmology Medical Billing Services
What is Ophthalmology?
Ophthalmology deals with all aspects of visual functions, health and diseases. Ophthalmologists perform diversified procedures from diagnosis to eye surgery, they are also involved into correcting vision problems by prescribing eyeglasses or contact lenses. Medical Billing for Ophthalmology can be one of the most crucial process considering the significance in the specialty and its vastness
Medical Billing for Ophthalmology :
Physicians need support with Medical Billing in Ophthalmology to allow them to focus on vision care and to be engaged with patient relentlessly.
Smooth and effective Medical billing services with guaranteed results can turn out to be a boon to an Ophthalmologist. e-care has vast experience in Ophthalmology billing and delivers best services with its dedicated team of billers and coders with cumulative experience on the required specialty, software and knowledge handling payer relevant process requirements.
Outsourcing Ophthalmology Medical Billing Services:
Outsourcing Ophthalmology Medical Billing to an established and proficient Medical Billing Company like e-care add huge value to ensure their end clients needs are met. Medical Billing companies need to clearly understand their clients’ requirement and the medical billing nuances to meet their bottom line. Medical Billing experts study their clients set up and process, tracking them to improvise for betterment and provide them with the best experience.
Medical Coding in Ophthalmology:
- Submitting claims with LT (Left Eye) or RT (Right Eye) to avoid denial
- Modifier 78/79 to be appended to specify whether the surgery is Related or Unrelated to the previous Surgery during post-operative period.
- Need to use 50-Bilateral if the procedure performed on both eyes. Few insurance will not process modifier “50: and need to use two lines with LT and other one with RT.
- Eye Lid Modifiers: If provider performs Punctal plugs we need to use appropriate modifier of the lid.
- E1 – Left Upper Eyelid. E2 – Left Lower Eyelid. E3 – Right Upper Eyelid. E4 – Right Lower Eyelid.
- Procedures with Technical and Professional component: Based on the carrier & state, need to file as two line items with 26 & TC.
- Aesthetic Procedures, Frames & Lens: Very few insurances cover these procedures so providers collects payments from the patients upfront for Contact Lens, Frames and Aesthetics Procedures (Astigmatism/Presbyopia correcting function of intraocular lens).
Outsourcing Ophthalmology Medical Billing Services:
e-care’s experience and expertise into Ophthalmology Medical Billing Services makes us stand apart from other offshore based Medical billing companies. Our team of billers and coders ensure we understand payment guidelines and handle the claims accordingly. For ex:
Refraction Procedure is the basic to diagnose and treat the patients. Most of the insurances will not cover that service or pay very minimal amount. If patient signed the ABN, we can bill the patient. Below listed are few benefits of partnering with e-care:
- On time billing services improve claim submission TAT
- Excellent and Quality Coding
- Work on aged AR if the client
- Ensure reduced Accounts receivables
- Faster claims processing and increased collections
- End to End Revenue Cycle Management services
- Expertise in more than 35+ Medical Billing Specialties
- Reduce Operational cost and Increased Profit