Specialty Billing
Ophthalmology Medical Billing Services
Expert Billing for Cataract Surgery, Retina Care, and Full-Scope Eye Care Practices
MHS provides ophthalmology medical billing services built around the surgical complexity and medical-versus-vision plan separation that determine whether your eye care practice captures full reimbursement on every procedure and visit.
The Challenge
Ophthalmology billing spans surgical procedures, diagnostic testing, and dual-plan coordination.
Ophthalmology practices perform everything from routine exams to cataract extractions, retinal repairs, and glaucoma surgery, and many visits involve both medical and vision plan billing for the same encounter. Cataract surgery alone requires accurate IOL coding, facility rate application, and global period tracking. When these details are missed, the result is denied claims and revenue that takes months to recover through appeals.
Our Approach
Every eye care procedure coded with the precision your payer contracts require.
MHS reviews operative notes for cataract, retina, and glaucoma procedures to ensure correct CPT selection, implant coding, and global period management before any claim is submitted. Our revenue cycle management approach is built around preventing the medical-versus-vision billing errors and global period violations that cost eye care practices significant revenue every year.
What MHS Covers in Ophthalmology Billing
Cataract Surgery Coding
Retina and Vitreous Procedure Billing
Glaucoma Management Claims
Medical vs. Vision Plan Separation
Denial Management and Appeals
Global Period and Post-Op Tracking
How It Works
- Practice Assessment.
We review your procedure mix and payer plan distribution to identify where revenue is being lost.
- Onboarding and Integration.
Our team integrates with your EHR and establishes surgical documentation and plan routing workflows.
- Clean Claim Submission.
Every claim is reviewed for correct plan routing and modifier application before submission.
- Denial Resolution.
Denied claims are worked immediately with operative reports and medical necessity documentation.
- Ongoing Optimization.
Regular reporting on surgical collections and denial trends supports practice growth.
Years in Medical Billing
Specialties Served
Year Average Client Tenure
AAPC/HBMA Certified Team
The MHS Difference
Ophthalmology billing expertise, not generalist billing applied to an eye care practice.
Automated billing platforms can submit claims. What they cannot do is recognize when a cataract claim needs a complex surgery modifier, or catch a payer's reclassification of a diagnostic test from medical to vision coverage. That is what our team does, every day, for every ophthalmology client.
MHS has supported healthcare practices across more than 25 medical specialties for over 35 years. Our approach combines medical coding services, provider credentialing services, revenue recovery made simple, practice management consulting, healthcare analytics, and revalidation into one system built around surgical accuracy.
See What Accurate Ophthalmology Billing Can Do for Your Practice
Contact MHS today for a free consultation and discover how expert revenue cycle management can transform your organization's financial performance.