Why outsource ophthalmology billing and collections services to Plutus Health
Plutus Health provides accurate ophthalmology billing and coding services to improve overall revenue health and facilitate growth for your practice. We understand the nuisance in ophthalmology billing and use the correct medical codes to generate maximum revenue.
Precise ophthalmology coding
Ophthalmology billing demands a correct balance of E&M and CPT codes. Plutus Health’s certified ophthalmology coders balance the two types of codes and focus on payer-specific rules to get the desired output.
Thorough documentation
Document requirements vary with different payers. We understand all documentation requirements and review the payer’s guidelines to increase the FPAR for your practice.
Eligibility and benefits verification
Ophthalmology practices must ensure that all the services offered to patients get included in their insurance plans. Plutus Health does a detailed eligibility and benefits verification to facilitate your front-end staff from reworking denied claims or doing extra work.
Collect missing patient payments
A high chunk of the practice’s revenue depends on patient payments. Plutus Health’s ophthalmology billing experts thoroughly focus on patient billing. Our experienced ophthalmology billers work on lost revenue and collect all the missing patient payments.
Comprehensive ophthalmology billing and collections services to improve your bottom line
Plutus Health provides end-to-end ophthalmology revenue cycle management services to collect payments for your practice.. You can trust us to get maximum reimbursement for the services offered to the patients
Plutus Health is the the best ophthalmology billing company that can help you run a profitable business
Ophthalmology billing is complex as insurance plans vary with payers, and procedures covered by one insurer might be denied by the other. Plutus Health’s ophthalmology coders and billers have worked with payers across to ensure that claim denial stays in the past. We assign appropriate ophthalmology CPT codes and apply proper modifiers like 50, LT, and RT whenever necessary. We work with all EHR software specific to ophthalmology. Here are more reasons to outsource ophthalmology billing services to Plutus Health:
- HIPPA-compliant organization
- 24*7*365 days service
- Experienced professionals certified in ophthalmology coding
- High document and data security
- Complete transparency
Outsource ophthalmology billing and coding to Plutus Health and enjoy exceptional results. Our ophthalmology RCM experts:
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Outsource Ophthalmology Billing Services to
Plutus Health
Plutus Health’s ophthalmology billing & coding services for physicians are known for providing results
Turn around time
Ophthalmology providers have seen the average turnaround time drop to 48 hours
48Hours
Clean claim percentage
The clean claim percentage of ophthalmology practice has significantly increased by 95%
≥95%
Patient collection
Automatic payment collections rose by 35%
≥35%
Contracted value collection
The average (NCPR) collections have reached whopping 98% reimbursement
≥98%
Denial rates
Brought average denial rates for ophthalmology providers to 5%
≤5%
A/R days
A/R (Accounts Receivable) days for all ophthalmology practices working with Plutus Health reduced to 25 days
25Days
Our happy clients
FAQs


Ophthalmology medical billing and coding is the process of accurately documenting, coding, and submitting claims for eye care services, procedures, and treatments to ensure proper reimbursement.


Ophthalmology billing is more complex due to the combination of medical and surgical services, frequent use of modifiers, global surgery rules, and payer-specific coverage guidelines.


Common ophthalmology CPT codes include 92002–92014 for eye exams and surgical codes for procedures such as cataract removal, while ICD codes cover a wide range of vision- and eye-related diagnoses.


Common errors include incorrect modifier usage, improper global period billing, incomplete documentation, mismatched diagnoses, and billing services not supported by medical necessity.


Billing errors often lead to claim denials, delayed payments, underpayments, and increased audit risk, which negatively affect cash flow and revenue predictability.


Accurate documentation is essential for validating medical necessity, documenting procedure complexity, and ensuring correct code selection, especially for surgical and diagnostic services.


Ophthalmology practices should monitor metrics such as days in accounts receivable, denial rates, clean claim percentage, and reimbursement turnaround times to assess revenue cycle health.


Plutus Health supports ophthalmology practices by delivering structured billing workflows, specialty-specific coding expertise, and performance visibility to help U.S. eye care providers improve collections and reduce denials.



















