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CPOC and OCS Certified Ophthalmology Medical Coding Service

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Plutus Health Is A One-stop Personalized solution For All ASC Billing, Coding, And RCM Needs

AAPC-Certified

AAPC certified ASC coders

Denial and AR Management Services

Specialized denial and A/R management services

One Click support

One-click support 24/7* 365 days

Stop compromising your ASC’s revenue performance. Speak to our ASC medical billing and coding specialist today.

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Maximum reimbursement, highest FPAR, and minimum efforts

Plutus Health is one of the leading ophthalmology coding service providers in the country. We have a dedicated team of certified medical coders with 15+ years of experience in ophthalmology coding. Plutus Health’s professionals understand the different types of codes used. We know when and how to use code for consultations, surgical procedures, office visits, and drug administration. We precisely use CPT and E&M codes according to the requirement.

Understand the balance

The correct balance between CPT and E&M codes is maintained, which helps us maintain Industry’s highest clean claim ratio.

Know the time

Accurately use the limited ophthalmology diagnosis codes with a wide range of CPT codes and thoroughly understands the use of E&M codes.

Patient’s history check

Verify the patient’s history of visits and how many times they use a specific service to understand ‘frequency edits’ and the limitations of the code.

Ophthalmology and optometric coding

Apply appropriate codes for SCODI, low vision service, cataract care, and comprehensive eye exams.

Don’t lose reimbursements, partner with the best

Ophthalmology providers partnered with Plutus Health have experienced high cash flow and growth. We know to code for ophthalmology subspecialties like glaucoma, retina, and oculoplastics, pediatric ophthalmology. Our ophthalmology medical coders have got the highest FPAR for our clients.

  • Always verify diagnosis codes and use them when required
  • E&M codes are used when a visit includes a ‘medical element’
  • Thoroughly keep track of frequency limitations
  • Provide all the specific documents demanded by the payers
  • Review the rules and guidelines of each payer and work accordingly
  • Check the medical necessity and code accordingly

Know the ways to maximize your revenue by improving your coding quality

Consult an ophthalmology coding expert

Seamlessly improve your productivity and coding quality

Plutus Health’s ophthalmology medical coders work round-the-clock to provide premium quality coding services to clients. Ophthalmology providers never face staff shortages, and all the claims are submitted on time. We ensure that there are no financial or legal risks to the clients due to undervaluation or upcoding.

  • Identification of document deficiency
  • Compliance audits to improve accuracy
  • HIPPA-compliant organization
  • Appropriate use of DX codes and modifiers to eliminate denials
  • Use of RPA and automation to eliminate coding errors

Plutus Health is renowned for providing exceptional ophthalmology coding services

Coding quality

The coding quality of ophthalmology providers reached 98%

98%

Coding errors

Brought down coding errors for ophthalmology providers below 1% of the total denials

1%

Denial rates

Less than 5% of the claims submitted by Plutus Health get denied

5%

First-pass resolution rate

The average first-pass resolution rate for ophthalmology practice increased above 95%

95%

No more denials. Plutus Health is here to code exceptionally for your practice

  • Ophthalmology-specific certified and experienced coders
  • Highest FPAR in the industry
  • Accurate ophthalmology coding
  • Documentation improvement programs and physician education
  • Seamless partnership
  • 24*7*365 support
  • Scalable solutions
  • Complete data security
  • RAC and OIG audit defense
PH Answers to Your Questions

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Outsource Ophthalmology Coding Services to
Plutus Health

Plutus Health’s commitment to ophthalmology providers

Certified ophthalmology coders from the Plutus Health team have mastered the basics of ophthalmology coding and can code effortlessly for facility and physician requirements. We take care of coding related to conditions like eye injury, diabetic retinopathy, eye tumors, glaucoma, myopia, Graves’ ophthalmology, and macular degeneration.

  • Coding for lumps and bumps, eyelid lesions, or complex cases involving retained lens material or canaliculi repair
  • Certified from AHIMA and AAPC Plutus Health’s coders are well-versed with all coding guidelines
  • Submit CMS-1500 forms while submitting claims to payers
  • Internal quality audits to reduce money loss
  • Coding accuracy, which is a benchmark for ophthalmology providers

Important CPT codes used in ophthalmology coding

Insurance Payers Audit in ABA
  • 92012 - Eye and medical examination for diagnosis and treatment, established patient
  • 92134 - Diagnostic computerized imaging of the retina in the posterior segment
  • 66984 - Removal of cataract with insertion of the artificial lens
  • 66821 - Removal of recurring cataract in lens capsule using laser
  • 99204 - New patient office or other outpatient visits, typically 45 minutes

Click here to download the complete list of Ophthalmology CPT codes

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Our happy clients

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