Complete RCM Services for Eye Care Practices
Every service we provide is built around the unique billing, coding, and compliance requirements of ophthalmology and optometry — not adapted from a generic template.
Our Services
Everything Your Revenue Cycle Needs
From the moment a patient checks in to the day the final payment posts — we manage every step of the revenue cycle so you don't have to.
Medical Billing & Coding
Our certified coders specialize exclusively in ophthalmology and optometry — from routine exams and contact lens fittings to complex surgical procedures like cataract extraction, vitreoretinal surgery, and glaucoma management. We apply the right CPT codes, modifiers, and ICD-10 diagnoses the first time, every time.
- Certified ophthalmic coders (COC, CPC)
- Accurate modifier application (25, 59, RT/LT, etc.)
- Surgical and E&M coding for all subspecialties
- Claim scrubbing before submission to reduce rejections
- Electronic and paper claim submission
Medical Billing & Coding
AR Recovery & Denial Management
Unpaid claims and denied remittances are revenue sitting on the table. Our AR team works aging reports daily, pursues every denial with documented appeals, and identifies root-cause patterns to prevent future losses. We don't stop until your accounts receivable is clean.
- Daily AR follow-up on all outstanding claims
- Denial root-cause analysis and trend reporting
- Written appeals with clinical documentation support
- Payer-specific escalation strategies
- AR aging reports with actionable insights
AR Recovery & Denial Management
Provider Credentialing
Credentialing delays cost practices thousands in lost revenue. We manage the entire credentialing and re-credentialing lifecycle — from initial applications to CAQH maintenance — so your providers are always active and in-network with every relevant payer.
- Initial credentialing with all major commercial payers
- Medicare and Medicaid enrollment
- CAQH profile setup and ongoing maintenance
- Re-credentialing tracking and renewal management
- Hospital and ASC privileging support
Provider Credentialing
Practice Analytics & Reporting
You can't improve what you can't measure. Our analytics platform gives you real-time visibility into collections, denial rates, payer mix, and provider productivity — with monthly executive summaries that translate data into decisions.
- Real-time collections and revenue dashboards
- Payer performance and reimbursement benchmarking
- Provider-level productivity reporting
- Monthly executive financial summaries
- Custom KPI tracking tailored to your practice goals
Practice Analytics & Reporting
EHR Integration
We integrate directly with leading ophthalmic EHR and practice management systems — including Modernizing Medicine, Nextech, RevolutionEHR, and others — so billing flows seamlessly from your clinical documentation without double-entry or workflow changes.
- Integration with Modernizing Medicine (EMA)
- Nextech, RevolutionEHR, and Crystal PM support
- Automated charge capture from clinical encounters
- Eligibility verification at point of scheduling
- Secure, HIPAA-compliant data exchange
EHR Integration
Compliance & Auditing
The regulatory landscape for ophthalmology billing is complex and constantly evolving. Our compliance team conducts proactive internal audits, monitors payer policy changes, and ensures your billing practices stay aligned with CMS guidelines and OIG risk areas.
- Proactive internal billing audits (quarterly)
- OIG and CMS compliance monitoring
- HIPAA privacy and security review
- Payer policy change alerts and updates
- Staff education and compliance training support
Compliance & Auditing
How It Works
From Audit to Active Partnership
Getting started is simple. Most practices are fully onboarded and seeing results within 30 days.
Free RCM Audit
We review your current billing performance, identify revenue gaps, and present a clear picture of what's being left on the table.
Onboarding & Integration
Our team integrates with your EHR and practice management system — typically live within 30 days with zero workflow disruption.
Active Management
We handle billing, coding, AR follow-up, and denial management daily — with full transparency through your reporting dashboard.
Ongoing Partnership
Monthly reviews, compliance updates, and a dedicated account manager ensure your revenue cycle keeps improving over time.
Ready to see what VisionPay Revenue Management can do for your practice?
Schedule a free, no-obligation RCM audit — we'll show you exactly where revenue is being lost.