Ophthalmology Billing
Drive Your Practice Forward with Superior
Ophthalmology Billing Services
Trust our specialized ophthalmology billing experts to navigate the complex insurance landscape and ensure proper reimbursement for your services. Want to increase your ophthalmology practice's bottom line? Let us handle your billing, follow-up, and reimbursement needs for maximum profitability. If you run an ophthalmology practice, you know how important it is to ensure that your billing and coding practices are accurate, efficient, and compliant with all regulations. At HMS USA Ophthalmology medical billing services, we comprehend the exceptional necessities of ophthalmology practices and deliver a thorough selection of medical billing solutions to meet those necessities. Here are some top reasons to choose TNS USA as your medical billing and coding partner.
Experience with Leading Healthcare Organizations
TNS USA has a proven track record of working with many short term and long term care facilities, from stand alone hospitals to healthcare systems with multiple facilities and specialty programs.
We verify insurance eligibility in detail to confirm patients are eligible for Ophthalmology services benefits under their insurance policy and meet any referral or pre-authorization criteria. After verifying eligibility, we calculate the amount of deductible and patient co-payment. Enhance Your Insurance Eligibility Verification Services with Our Ophthalmology Billing Solutions.
In the billing process, the charge entry process is crucial as it calculates the payment amount for the healthcare organization. Our skilled team ensures that charges from the patient’s Face Sheet are accurately entered into the patient’s account. Expect flawless patient demographic and Ophthalmology charge entry services from our proficient billing services team.
Our medical billing team for Ophthalmology verifies the services performed. It assigns appropriate ophthalmology codes by reviewing multiple sources in a patient’s file, such as diagnostic test reports, imaging reports, doctor’s transcriptions, and other relevant sources.
Accounts receivable management is critical to ensuring your practice receives service payments. At HMS USA, we understand the importance of following up on all accounts receivable instances to keep AR days to a minimum. Our ophthalmology accounts receivable team ensures timely processing and reimbursement of claims, who persistently pursue unpaid claims and promptly appeal refused and underpaid claims.
Ensuring that billing processes comply with industry regulations is crucial for minimizing legal and financial risks. Our team works with you to ensure that your billing processes always comply with industry regulations. We provide auditing services to identify potential risk areas and recommend solutions to mitigate those risks. We also keep track of regulatory changes to ensure that your practice is always up-to-date with industry standards.
Significant losses for your practice can result from claim denials, making it crucial to keep track of them. To ensure timely reimbursement, our ophthalmology billing services team is dedicated to identifying the reason for denial, fixing errors, and resubmitting denied claims within the timely filing limit.
Payment posting is critical in recognizing payer issues. Our ophthalmology RCM team will handle any denials associated with medical necessity, non-covered services, or prior authorization once they are identified.
Credentialing is crucial in the healthcare and determines how physicians are associated with payers. Our ophthalmology billing team facilitates faster payment by setting up ERA setups, increasing referrals, preventing revenue leakages, minimizing denials, and identifying provider trends.