M&M Claims Care
Expert Ophthalmology Billing Services by M&M Claims Care
Your patients depend on you to protect their vision. Shouldn’t you have a billing partner that protects your revenue just as carefully? With M&M Claims Care’s ophthalmology billing services, you’ll get fewer denials, faster payments, and more peace of mind.
Professional Ophthalmology Billing & Claims Management– M&M Claims Care
Ophthalmology practice is an essential part of healthcare that is growing day by day. In the US only, more than 18000 ophthalmologists are currently working. The financial health of these ophthalmologists depends on efficient billing and timely reimbursement. In ophthalmology practice, each process, starting from routine eye exams to complex surgeries, requires accurate billing. Any missteps can cause great revenue loss and lead to denials, delays, and legal issues.
That’s why ophthalmology practices need a well-experienced medical billing partner. And there is no better choice than M&M Claims Care. We have been working in the medical billing industry for decades and know the importance of accurate billing. Whenever we start a partnership with a practice, we take it seriously and work closely with them on each stage.
Our optimized, simple, and automated billing solution not only helps to increase your revenue but also makes your practice more trustworthy among your patients.
Visionary Billing: Where You Care and We Billed
Just like the eye is a sensitive part of our body, the billing and codes relevant to eye care are also very sensitive. At M&M Claims Care, we understand the ins and outs of ophthalmology billing and coding services because it’s what we do every day. From handling prior authorizations to managing complicated modifiers, our team makes sure your claims go out right the first time and come back paid quickly. As a result, you spend less time stressing about insurance and more time focusing on your patients. Our team of medical billing experts proves to be more efficient than your in-house billing team, and you’ll notice a significant improvement in your revenue within a month. With our experience in handling the billing of more than 30 specialities, we stay updated with the latest regulatory requirements and save your practice from penalties.
Professional Ophthalmology Billing & Coding Services
At M&M Claims Care, we are responsible for a smooth billing process in which we cover each important factor that supports continuous financial support:
- Patient Scheduling & Demographic Entry is the first information gathered from patients, and M&M Claims Care handles all the demographics of patients with great accuracy, so you don’t face denials due to errors later.
- Insurance Eligibility Verification to verify coverage in advance and avoid any claim rejection. We save your team’s time and reduce costly delays in reimbursements and revenue cycles by making it error-free.
- Thorough Documentation to make sure every claim is backed by the right paperwork, detailed notes, and proof of medical necessity. That way, insurance companies have no excuse to deny payment.
- Precise Coding from routine eye exams to complex surgical procedures, we apply the right CPT, HCPCS, and ICD-10 codes every time. You get the accurate coding that speeds up reimbursements and reduces denials.
- Claim Submissions & Management to ensure all the claims are submitted on time. You just focus on patients, and we focus on handling all the complexities of submitting clean claims and managing follow-ups.
- Accounts Receivable Management helps you reduce outstanding bills efficiently. It’s your right to get the money that you’re owed without unnecessary delays.
- Payment Posting with ease and accuracy. All your payment is recorded clearly and properly in detail, so you can easily view all the details of your finances without any confusion.
Diverse Ophthalmology Expertise We Serve
- General ophthalmologist
- Retinal Procedures Specialist
- Glaucoma Management Expert
- Pediatric Ophthalmologist
- Cornea & External Disease Specialist
- Oculoplastic Surgeons
- Neuro-Ophthalmology
Why Choose M&M Claims Care for Ophthalmology Billing Services?
Outsource Ophthalmology billing and coding services to M&M Claims Care, which offers a number of features that make us a preferable choice over others.
⭐Real-time Insights: We provide you with real-time insights to show the overall performance of your practice revenue trends.
⭐Experienced team of Professionals: We have a certified team of professionals that stay updated with the latest billing and coding regulations so your practice does not face any penalty or fine.
⭐Latest Billing Tools: We process claims through automated software, so each claim takes less time and must be error-free.
⭐HIPAA Compliant: M&M Claims Care is a HIPAA-compliant Ophthalmology billing company that ensures all your patient data is saved and protected from unauthorized access.
Key Ophthalmology CPT Codes We Handle
We won’t list every single code here but here are some of the most common Ophthalmology CPT codes our team works with daily:
- Eye Exams: 92002, 92004, 92012, 92014
- Diagnostic Tests: 92133, 92134 (OCT scans), 92250 (fundus photography), 92285 (external ocular photography)
- Surgical Procedures:
- 66984 – Cataract surgery with intraocular lens
- 65855 – Laser trabeculoplasty
- 67028 – Intravitreal injection of medication
- Minor Procedures: 67820 (epilation), 68761 (punctal plug insertion)
Our experts at M&M Claims Care know when to use these codes and how to support them with documentation.
We Provide a Complete RCM Solution
At M&M Claims Care, we are not only responsible for your billing needs but we also help you to optimize your revenue by providing a complete revenue cycle management (RCM) solution. In this Ophthalmology billing solution, we:
- Ensure all your Accounts Receivable(A/R) and client accounts are updated with daily transaction processing.
- Suggest patient-friendly payment solutions in our ophthalmology medical billing services.
- Know that happy patients are loyal patients. That’s why we offer clear and fair billing practices and flexible payment options.
- Help your patients pay their bills while helping you collect your revenue.
- Using data and analytics, we identify and fill all those gaps that become hurdles in your revenue generation.
- Our experts maximize your revenue within 90 days and provide you with the best results.
Proven Success: Exceptional Ophthalmology Billing Outcomes of M&M Claims Care
- 30% reduction in front-end denials
- 85% reduction in billing-related administrative workload for practices
- 48 hours average turnaround time
- 25 A/R days for all ophthalmology practices
- 100% patient data security
- 95% client retention rate
- 99% accuracy rate in billing documentation
- 99% patient satisfaction rate with billing inquiries
- 4% of the denial rate
Benefits of Choosing M&M Claims Care
M&M provides comprehensive billing solutions that are customized according to the unique needs of healthcare providers in the US. So we work on providing an efficient revenue cycle management process, starting from the initial patient encounter to follow-up. When you outsource Ophthalmology billing services, we take responsibility to
FAQ's
Ophthalmology billing services are all about handling the financial side of an eye care practice. That includes coding the services you provide, submitting claims to insurance companies, following up on payments, and making sure your revenue cycle runs smoothly. At M&M Claims Care, we focus specifically on ophthalmology billing, which means we know how to navigate everything from cataract surgery codes to diagnostic imaging claims. Our goal is to help your practice get paid accurately and on time without the constant stress of insurance red tape.
Because it often involves both medical and vision coverage, multiple modifiers, and very specific coding rules that can easily lead to denials if not handled correctly. Because payer rules change frequently, keeping up with these details is a job in itself. That’s why many practices turn to experts like us—we stay updated of these complexities so you don’t lose revenue over technicalities.
We don’t just send claims and hope for the best—we make sure they’re coded right, supported with proper documentation, and submitted cleanly the first time. On top of that, we’re proactive about denial management, meaning if a claim does come back unpaid, we jump in, figure out why, and appeal with the right corrections. Over time, this leads to fewer missed payments, faster reimbursements, and more consistent cash flow. Most practices that partner with us see a noticeable increase in revenue, often 15–30% within just a few months.
Yes, and not just generic ones. We believe transparency is key, so we provide detailed monthly reports that break down collections, track denial trends, and show you exactly how your revenue cycle is performing. This gives you a clear picture of your practice’s financial health at any given time.
Absolutely. We know that every ophthalmology practice is different and we’ve built our services to fit them all. Whether you’re a solo provider just starting out, a mid-sized clinic juggling a steady patient flow, or a multi-location group with a large team, we can scale our services to meet your needs. Small practices love us because we take the billing burden completely off their plate, while larger practices rely on us to handle volume efficiently and keep denial rates down.
