Ophthalmology & Oculoplastic Billing Services

Acuity Health Solutions — Revenue Cycle Expertise Built for Eye Care Specialists

For more than 8+ years, Acuity Health Solutions has been supporting U.S.–based ophthalmology and oculoplastic practices with end-to-end revenue cycle management. With deep understanding of payer rules, ophthalmic medicine, oculoplastic surgery, and cosmetic workflows, we help practices achieve predictable, stable, and higher monthly collections.

Our team has successfully managed:

$100M+ in processed claims across all eye-care subspecialties
15,000+ ophthalmic and oculoplastic encounters billed annually
98% clean claims rate on first submission
25–40% average reduction in A/R days
96–103% net collection ratio for well-optimized practices
30–50% decrease in denial rate within the first 90 days of onboarding

We specialise heavily in oculoplastic and eyelid surgery billing, aligning with high-complexity CPTs and documentation workflows.

Why Leading Ophthalmology Practices Choose Our Billing Services

Ophthalmology billing is uniquely complex — multiple anatomical sites, high-value procedures, global periods, modifier rules, medical-vs-cosmetic distinctions and pre-auth requirements.
We bring a specialised, precision-driven billing workflow designed specifically for:

Eyelid & Oculoplastic Surgery
Functional & Cosmetic Procedures
Botox (medical & self-pay)
Lacrimal System Procedures
Eyelid Malposition Repairs
Aesthetic Treatments within Ophthalmology
Cataract, Glaucoma, Cornea, Retina

Our goal is simple: maximize collections while minimizing billing burden for your practice.

Our Experience in Ophthalmology Revenue Cycle Management

Deep Specialty Coding Expertise

We routinely code and manage high-complexity ophthalmology CPTs including:

Oculoplastic Surgery (High Volume for Our Team)

67800–67999 — eyelid & adnexal surgeries
Blepharoplasty (CPT 15822, 15823, 67904)
Ptosis repair (CPT 67903, 67904, 67906)
Brow lift / forehead lift
Canthoplasty, canthopexy
Entropion & ectropion repair (CPT 67924–67961)
Eyelid lesion excisions, biopsies, chalazion
Mohs defect reconstruction

Botox / Chemodenervation

CPT 64612, 64615 (blepharospasm, migraine, hemifacial spasm)
J0585/J0586/J0587/J0588 drug coding
Correct unit calculation & medical necessity support
Separate workflows for self-pay aesthetic Botox

Lacrimal System Procedures

Punctal plugs, probing, DCR procedures
Supply coding + bilateral modifiers

General Ophthalmic Services

92002–92014 (exam codes)
92015 (refraction)
92133, 92134, 92250, 92285, 92286 (imaging & diagnostics)
65400–66999 (anterior segment)
67005–67299 (retina)

Our familiarity with these codes ensures proper bundling rules, modifier usage, and maximized payor compliance.

Proven Revenue Results

Across our ophthalmology clients, our optimized billing workflows consistently deliver:

Increased Monthly
Collections

Better coding accuracy + strong denial prevention = meaningful monthly lift in collections trends.

24–72 Hour Turnaround on Claims Submission

Ensures claims enter payer queues immediately.

Optimized Cosmetic & Self-Pay Workflows

Particularly important for oculoplastics — we eliminate collection gaps for self-pay services.

Stronger Cash Flow

Predictable payments each week and stable revenue month after month.

AR Days Reduced by 30–40%

We aggressively work aging buckets, target denials, and prevent rejections.

98% Clean Claims Rate

Industry benchmark: 90–95%. Acuity clients consistently operate above 98%.

Comprehensive End-to-End RCM for Ophthalmology Practices

✔ Eligibility & Benefits Verification (Medical + Cosmetic Pathways)

✔ Pre-authorizations for eyelid surgery, Botox, tear-duct procedures, etc.

✔ Accurate CPT, ICD-10 & Modifier Coding

✔ Claims Submission + Reconciliation

✔ Denial Prevention & Appeal Management

✔ Insurance & Patient Collections

✔ Monthly Financial Dashboards & KPI Benchmarks

✔ Provider-level performance tracking (RVUs, reimbursement rates, procedural mix)

You get visibility into the financial health of your practice at every stage.

Industry-Standard KPIs We Help You Improve

We benchmark & improve your core revenue cycle metrics:

KPI	Industry Benchmark	Our Target for You
Clean Claims Rate	90–95%	98%+
Net Collection Ratio	96–104%	98–103%
AR Days	30–40 days	20–28 days
Denial Rate	<10%	<5%
Pre-Auth Approval Rate	85–90%	95–98%

With specialty-specific documentation, we ensure payors do not deny eyelid procedures for avoidable reasons like missing visual field tests, photos, or lack of medical necessity.

Billing Support Across All Ophthalmology Subspecialties

Oculoplastics & Aesthetics
Cornea
Retina
Glaucoma
Cataract
Pediatric Ophthalmology
Neuro-Ophthalmology
Comprehensive Ophthalmology

Each subspecialty requires unique coding rules — we handle them all.

Your Growth Partner in Ophthalmology Billing

Whether you perform high-volume eyelid surgeries, a combined medical + cosmetic practice, or a full ophthalmic clinic, Acuity Health Solutions gives you:

More accurate reimbursements
Fewer denials
Faster claim turnaround
Clear financial visibility
Predictable monthly collections
A billing team that truly understands the ophthalmology specialty

Schedule a consultation with Industry Experts

Start With a Free Ophthalmology Billing Audit

We’ll review your existing workflow, coding accuracy, denials, AR, and payer mix — and provide a revenue improvement roadmap within 48 hours.

Let’s optimize your revenue cycle, reduce your administrative burden, and support the long-term financial health of your ophthalmology practice.