Eye Care Medical Billing Services & RCM
Outsource your optometry and ophthalmology medical billing to a remote virtual team of AAPC-credentialed coders. Optometry billing (CPT 92002-92014), ophthalmology surgical billing (65xxx-67xxx), and AR calling with denial recovery. Modifier discipline, global period tracking, anti-VEGF underpayment audit. HIPAA-compliant BPO inside your EMR.
Eye Care Medical Billing Services & RCM, handled by a dedicated remote team
Trained specialists handle it inside your existing software, so your team stays on patient care.
With Staffingly, eye care medical billing services & rcm outsourcing means a dedicated team of trained specialists running this part of your back office. They are named to your account and work remotely as an extension of your staff, not a shared offshore pool. As a HIPAA-compliant healthcare BPO, we bill a flat weekly fee per specialist, never a percentage of your collections. That covers the full optometry and ophthalmology revenue cycle: charge entry, claims, payment posting, accounts receivable follow-up, and denial recovery.
Eye care billing, three workflows under one BPO team
Optometry medical billing runs on the 92xxx eye visit family, OCT, fundus photo, visual field, and refraction patient-pay routing. Ophthalmology surgical billing runs on the 65xxx and 67xxx CPT range with modifier 24/25/57/78/79 discipline and 90-day global tracking. AR calling and denial recovery runs on aged AR triage, anti-VEGF J-code unit-level audits, and modifier 25 appeals. Staffingly puts a remote AAPC-credentialed coder on each. All three work inside your EMR, on US business hours, in your time zone.
Tell us about your practice.
Send us your situation and our team will scope the right setup, usually within one business day. No obligation.
Three reasons our billing team lifts clean claim rate
AAPC-credentialed, eye care trained
Every coder is AAPC-credentialed and trained on optometry and ophthalmology specifics: 92xxx vs 99xxx, refraction non-cover, OCT laterality, modifier 25 audit triggers, 66984 global tracking, anti-VEGF J-code units.
NCCI edits applied current quarter
We track every quarterly NCCI update. The April 2026 deletion of 92137 vs eye-visit edits is applied to affected claims retroactively per CMS guidance. Your claim scrub catches edits before they bounce.
Modifier discipline + global tracking
Modifier 24, 25, 57, 58, 78, 79 applied per chart documentation, not per habit. 90-day, 10-day, 0-day global periods tracked in the EMR. Surgical encounters bill clean the first time.
From encounter to posted payment
Charge capture
Encounters pulled from EMR daily. Refraction flagged for point-of-service patient-pay.
AAPC coding review
Coder confirms 92xxx vs 99xxx, modifier discipline, ICD-10 specificity, global period flag.
Claim scrubbing
NCCI edits, MUE limits, payer-specific edits applied. Vision-plus-medical split routing.
Electronic submission
Submitted via Waystar, Trizetto, or your clearinghouse. Confirmation logged in EMR.
ERA posting + audit
Daily ERA posting. Anti-VEGF J-code unit-level underpayment audit. Surgical underpayment audit by CPT.
AR follow-up + appeals
Aged AR worked by bucket. Modifier 25 appeals filed with chart documentation. See AR Calling spoke.
AI + AAPC-Credentialed Coders = Cleaner Claims, Faster AR
Staffingly AI and workflow automation handle the repetitive parts of optometry and ophthalmology billing. Modifier suggestion, NCCI edits, global period tracking, anti-VEGF J-code units. Every claim still touched by an AAPC-credentialed coder before submission.
AI Coding Assistant
Suggests CPT 92002-92014 element matches, modifier 25/24/57/78/79 placement, and ICD-10 medical-necessity links. Coder confirms; AI never auto-submits.
NCCI Edit Engine
Automated NCCI edits apply the current-quarter ruleset and CCI bundling rules before the claim leaves your EMR. First-pass clean rate climbs.
Global Period Tracker
Automated global-period tracking watches every 90-day CPT 66984 cataracts and 67028 IVT injections. Modifier 24/79 placement happens automatically when post-op visits are unrelated.
AR Auto-Recall Engine
Automation categorizes aged AR by payer, denial reason, and dollar tier. High-yield denials get worked first. Nothing sits in the 90+ bucket without a touch.
- HIPAA Compliant
- SOC 2 Type II
- ISO 27001
- End-to-End Encryption
- BAA Before Pilot
Explore medical billing & rcm services
How Staffingly works, in practice
Inside the work A trained Staffingly specialist handles the workflow inside your existing practice software, with clear escalation back to your team.
One Flat Weekly Rate. No Surprises.
Dedicated specialists at a fixed weekly cost. Per specialist FTE, per week. No contracts, no minimums, no hidden fees.
Want to compare against an in-house hire? Use the savings calculator.
Frequently asked questions
Should I outsource medical billing for my optometry or ophthalmology practice?
For most practices the answer is yes. Eye care billing has its own quirks: refraction (CPT 92015) is not Medicare-covered, the eye visit code family 92002-92014 has element requirements that differ from E/M, modifier 25 is a top audit trigger on same-day E/M plus minor procedures, and the 90-day global period after CPT 66984 cataract surgery requires disciplined tracking. A remote AAPC-credentialed coder priced as an outsourced BPO specialist typically lifts the first-pass clean claim rate and removes hours of appeals work from the practice manager.
How much does eye care medical billing outsourcing cost?
Staffingly eye care billing is a flat weekly rate: $399 per AAPC coder per week for a single-position engagement, $349 at 5+ coders, and $299 at 10+ resources. Each coder works 45 hours per week inside your EMR (Eyefinity, RevolutionEHR, Crystal PM, MaximEyes, Compulink, NexTech), fully managed, no long-term contract. The 2-Week Free Trial is included so you see real charges go out on your real EMR before any invoice.
What is included in eye care medical billing outsourcing?
Charge entry, claim scrubbing with NCCI edits applied per quarter, electronic submission, ERA posting, refraction patient-pay routing, modifier 24/25/57/78/79 discipline on surgical encounters, global period tracking, anti-VEGF J-code unit-level underpayment audit, dual vision-plus-medical claim splitting, and aged AR follow-up by aging bucket. All performed by AAPC-credentialed coders working inside your EMR.
Where can I find a trusted eye care medical billing service near me?
Staffingly serves optometry and ophthalmology practices across the United States from secure access-controlled facilities. Our remote AAPC-credentialed coders work inside your EMR on US business hours in your time zone. There is no geographic limit on coverage. Book a strategy call from any state and a dedicated billing team is assigned within the week.
President and CEO, Staffingly, Inc. 25+ years in IT consulting and healthcare BPO operations. One of the earliest US operators to set up an RPO/BPO delivery network in India. Leads AI-driven optometry and ophthalmology workflows that help vision practices and multi-location groups cut admin cost without compromising care.
Security Your Compliance Officer Will Sign Off On
Staffingly is audited to SOC 2 Type II with zero exceptions and certified for ISO/IEC 27001:2022, HIPAA, and GDPR. In eight years we have never had a breach. Every workstation runs inside the Venn Blue Border secure enclave on US-based servers, screen captures and downloads are blocked by policy, and every engagement operates under a signed BAA, and Staffingly maintains $5M in professional liability (E&O) and cyber insurance as part of its enterprise risk-management program.