Medical Billing · Nationwide
Ophthalmology & Optometry Medical Billing Services
High-volume surgical and retina billing balancing Medicare 90-day global periods, high-cost anti-VEGF injectables, and Eye Codes vs. E/M optimization.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to ophthalmology surgical centers and eye clinics across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical ophthalmology & optometry CPT range we work: 66984, 66982, 67028, 92004–92014, 92134.
Why ophthalmology & optometry billing leaks revenue
Intravitreal injections (CPT 67028) paired with high-cost biologics (Eylea, Lucentis, Vabysmo) carry six-figure monthly financial risk if pre-auth or NDC is off
Complex cataract surgery (66982) downcoded to standard (66984) when operative notes fail to substantiate pupil expansion devices or iris hooks
Post-operative co-management modifier rules (Modifier 54 surgical care vs. Modifier 55 post-op management) with optometrists
Retinal diagnostic testing (OCT 92134, Fluorescein 92235) bundled or denied for excessive frequency under commercial LCD policies
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Ophthalmology & Optometry billing FAQ
How do you optimize Eye Codes (92004/92014) vs Evaluation & Management (99202–99215)?
Our ophthalmic coders cross-evaluate medical decision making against vision exam elements to submit whichever code set yields the compliant maximum reimbursement for the visit.
How do you protect cash flow on anti-VEGF drug injections?
We maintain automated clearinghouse pre-validation for every single vial, verifying active authorization, NDC batch codes, and bilateral modifiers before claims leave our scrubber.