Killer 01
Exam coding mismatch
General ophthalmic exam and E and M selection errors can suppress reimbursement or trigger denials.
Ophthalmology billing that protects margin
on every eye procedure.
From office exams to surgery workflows, we manage coding accuracy, modifier rules, and payer edits that frequently trigger delays.
Aetnapaneled
BCBSpaneled
UnitedHealthcarepaneled
Cignapaneled
Humanapaneled
Kaiser Permanentepaneled
Tricarepaneled
Anthempaneled
Centenepaneled
Molinapaneled
Medicarepaneled
ElevancepaneledAetnapaneledBCBSpaneledUnitedHealthcarepaneledCignapaneledHumanapaneledKaiser PermanentepaneledTricarepaneledAnthempaneledCentenepaneledMolinapaneledMedicarepaneledElevancepaneledQuiet killers
Where ophthalmology revenue leaks. Three patterns we audit on every onboarding and fix first.
Killer 02
Surgery modifier drift
Incorrect surgical modifiers and global-period handling often delay or reduce payment.
Killer 03
Diagnostic and procedure bundling
Retina, glaucoma, and cataract workflows are prone to payer edit conflicts when coding lacks discipline.
How we work
Ophthalmology operations, built right.
A specialty pod that lives inside your workflow, not a call-center model. These are the controls we run on every claim from day one.
Ophthalmology pod · operating playbookActive
01
Ophthalmology-specific coding QA
✓02
Surgery and global period claim governance
✓03
Payer edit and modifier controls
✓04
Diagnostic to procedure billing coordination
✓Reviewed quarterly · last update May 2026v2.6
Codes & modifiers
The ophthalmology code family.
What we actively scrub on every claim. Coders in this pod work these codes daily with payer edits and documentation patterns mapped into weekly QA.
CPT/HCPCS reviewed quarterly · payer LCD/NCD subscriptions · CCI updates · claim-level audit logs.
92002
92004
92012
92014
92134
92136
92250
76512
66984
25
24
79
Credentialing
Panels we already work for ophthalmology. Enrollment, revalidation, and CAQH upkeep included.
✓Medicare PECOS
✓Commercial ophthalmology paneling
✓ASC and hospital enrollment coordination
FAQ
Frequently asked.
Practical questions we get during diligence. Ask anything we missed.
Do you support cataract and retina workflows?+
Yes. We support office, surgery center, and hospital claim coordination.
Can you handle glaucoma and diagnostic imaging coding?+
Yes, including modifier and payer-edit workflows.
Do you work with established ophthalmology billing teams?+
Yes. We can run full-cycle or serve as coding and denial recovery support.
30-day review
A quick conversation, not a long form.
Six short questions. We use them to route your request to the right specialist and return a focused recommendation summary.
HIPAA-safe by default
We don't ask for PHI. Practice-level data only.
~ 90 seconds
Press Enter to continue. No long intake form.
Based on what you've told us...
We route your request to the billing pod that can move fastest.