Ophthalmology Medical Billing Services
Ophthalmology billing depends on correctly separating covered medical eye care from non-covered refractive services, plus accurate cataract surgery and injection coding. CoreStone's ophthalmology-trained billing team keeps surgical, injection, and refraction-exclusion claims clean and on schedule.
Billing That Understands Ophthalmology
From routine eye exams to cataract surgery and intravitreal injections, ophthalmology practices bill a mix of medical, surgical, and non-covered refractive services — each with its own documentation and payer-specific requirements. Our coders and billers are trained specifically on the codes and rules unique to eye care.
- ICD-10 coding for cataracts, glaucoma, macular degeneration & retinal disease
- CPT coding for cataract surgery, intravitreal injections & laser procedures
- Medical-necessity documentation separating covered vs. refractive services
- Prior authorization support for anti-VEGF injections & advanced imaging
- Denial review for bundled surgical and diagnostic same-day visits
Medical Practices Who Can Use Our Ophthalmology Billing Services
Whether you're a solo provider just getting started or a multi-location group, our team scales to fit how your practice actually operates.
- Solo Physicians
- Independent Practice Groups
- Medical Clinics
- Physician Groups
- Hospital-Owned Practices
- Urgent Care Centers
- In-Home Health Providers
- Laboratories
- Freestanding ER Centers
- Hospitals
- Non-Emergency Medical Transport
- New & Growing Practices
Ophthalmology Billing Services We Handle
Every claim type your ophthalmology practice generates, coded and billed by a team that already knows eye care.
Eye Exam & Diagnostic Billing
Medical eye exams and diagnostic imaging coded and billed to the correct level of medical decision-making.
Surgical & Injection Coding
Cataract surgery and intravitreal injections billed with the correct bundling and modifiers so nothing gets denied.
Prior Authorization Management
Prior authorizations and appeals for anti-VEGF injections and advanced imaging, handled before they delay patient care.
Refractive Service Exclusion Billing
Non-covered refractive services separated and billed correctly so covered medical eye care claims aren't denied.
Denial Management
Appeals for medical-necessity denials common to surgical, injection, and diagnostic eye-care claims.
Specialty Credentialing
Payer enrollment and credentialing for ophthalmologists and ambulatory surgical center providers.
Caring Revenue Cycle Management For Ophthalmology Practices
Ophthalmology practices are under constant pressure to raise the standard of care while facing reduced reimbursement, growing regulatory risk, and thinner margins. Maximizing your revenue cycle — billing, coding, and accounts receivable — is essential to keeping up with an increasingly complex payer landscape.
CoreStone is committed to offering the best ophthalmology billing services available, covering nearly every aspect of the billing and patient revenue cycle. We work to secure the fastest possible reimbursement for your practice — the sooner a clean claim goes out, the sooner you get paid. That's why our billing experts are on call around the clock, working while you sleep.
Ophthalmology Billing: Your Needs, Our Solutions
Ophthalmology billing isn't one-size-fits-all — practices across the country have different needs when it comes to revenue cycle management. That's why our ophthalmology billing solutions are highly personalized, giving your practice real autonomy over its finances and workflow while we handle the coding, claims, and collections behind the scenes.
Our Medical Billing Process
A clear, repeatable process from intake to payment. The steps below outline how this service runs day to day — other CoreStone services follow their own version of this same process.
Practice Audit & Assessment
We start with a free trial-base audit of recent claims and reports to pinpoint exactly where your practice is losing revenue.
Enrollment & Credentialing
We confirm payer enrollment status and handle any outstanding credentialing before your first claim goes out.
Data Entry & Charge Capture
Patient encounters and superbills are entered into our system quickly and accurately, saving your staff hours of manual work.
Certified Coding & Billing
Certified coders and billers scrub, code, and submit every claim — compliant, accurate, and up to date with current payer policy.
We Work Within The Software You Already Use
No need to switch systems — our billing team plugs directly into the EHR and practice management platform you're already running.
98%
Clean Claim RatioUp to 30%
Average Revenue IncreaseSpecialty-Trained
Ophthalmology Coding & Billing TeamHere to Help You
Revenue cycle management is a complex maze of coding, claims, registrations, collections, remittance, and follow-ups — but we can help.
Enhanced Infrastructure
CoreStone has the infrastructure and expertise to avoid the costly troubles that come from regulatory changes and unexpected billing errors.
Higher Competency
Revenue cycle management is one of the biggest challenges healthcare organizations face. We streamline the process with proven technology and experienced medical billing experts.
One-Stop Solution
We're your trusted, one-stop outsourcing partner for every healthcare billing need — medical billing, coding, claims adjudication, credentialing, and more.
Offering Ophthalmology Billing Services at Affordable Rates
We believe in offering quality Ophthalmology billing services at reasonable prices, so your practice stays financially stable and healthy.
Starter
Collections under $10,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
Growth
$10,001 – $25,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Established
$25,001 – $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Enterprise
Collections over $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Frequently Asked Questions
Ophthalmology requires clearly separating covered medical eye care from non-covered refractive services, plus precise cataract and injection coding that general billing teams often miss.
Yes. We submit and track prior authorizations for anti-VEGF injections and advanced imaging, and handle appeals if a request is denied.
Yes. We code cataract surgery and track the global period so post-op visits are billed correctly instead of denied as included.
Our coders review documentation for every visit to clearly separate non-covered refractive services from covered medical eye care, so claims aren't denied in error.
Yes. Our billing team plugs directly into the EHR and practice management platform you're already running — no need to switch systems.
Most practices are fully onboarded and submitting claims within 5-10 business days, depending on payer credentialing and EHR access.
Request Your Free Billing Quote
Tell us about your practice and one of our billing specialists will follow up within one business day.
CoreStone Medical Billing Services
Serving healthcare providers across all 50 states with accurate, compliant, and technology-enabled medical billing.