We provide full-spectrum revenue cycle management tailored to retina specialists, including:

• Insurance eligibility checks and prior authorizations for high-value procedures

• Precision coding and clean claim submission for J-codes, OCTs, and surgical cases

• Denial management and appeals, especially for injection bundling and frequency edits

• Payment posting and thorough A/R follow-up to protect revenue

• Patient billing and support with clarity and professionalism

We focus exclusively on medical billing for retina practices — with deep expertise in retina workflows and reimbursement rules.

We handle billing for the full range of retina services — from injections and OCTs to lasers and vitrectomies. That includes intravitreal drugs (like Avastin, Eylea, and Vabysmo), advanced imaging, retinal surgeries, and more. Our coders understand the nuances of J-code management, global periods, modifier usage, and payer-specific rules for high-volume retina workflows. If you perform it — we’ve likely billed it.

We work with all types of retina practices — from solo specialists to multi-provider groups and retina surgeons operating in ASCs or hospital settings. Whether you're an independent provider or part of a larger ophthalmology group, we tailor our billing services to match your workflow, technology setup, and surgical volume.

Yes, we assist with prior authorizations for office-based procedures, injections, imaging, and surgical treatments. We manage the process from start to finish or work alongside your staff to ensure nothing slips through the cracks.

Our onboarding is straightforward and built around your retina practice. It typically includes:

• A review of your workflows and billing needs (remote or in-person)

• Secure access to your PM/EHR system and payer portals

• Assessment of A/R and any outstanding retina claims

• Coordination with your current billing team (if needed)

• Fast ramp-up so claim submission continues without delays

We aim for a smooth transition that protects your cash flow from day one.

We adapt to your workflow — whether that’s weekly reports, updates in your PM system, or regular check-ins. We can also join your in-office platforms like Teams, Zoom, or Slack for seamless, real-time collaboration. Our goal is to make communication easy and transparent.

Absolutely. We handle patient billing inquiries related to retina treatments — from injections to imaging and surgeries. Every interaction is logged in your system, and we communicate with professionalism and clarity to protect your patient relationships and resolve concerns quickly.

No — we do not outsource any part of our billing process overseas. All work is performed by our U.S.-based team to ensure clear communication, strict quality control, and full accountability to ensure the highest quality service for your practice. We’re also fully committed to HIPAA compliance and data security best practices, so your patient information stays protected and confidential at every step.

Not at all. We work within your existing systems and workflows, minimizing disruption and training time.

Yes — you maintain full control and ownership of your billing and financial data at all times. We work directly within your PM/EHR systems, so you can monitor claim status, payments, A/R follow-up, and surgical or injection volumes whenever you need. Our goal is to be a transparent, accountable partner that supports your retina practice — not an outside vendor operating in a black box.

Our standard hours are Monday through Friday, but we understand that retina practices may operate evenings, weekends, or emergency clinics. We offer flexible support options, including after-hours claim processing, weekend batching, and availability for urgent billing needs. Let us know your schedule, and we’ll build a support model that fits your workflow.

Switching to RetinaBilling is smooth and revenue-safe. We handle the full transition — from securing access to your PM/EHR and reviewing A/R to coordinating with your current billing provider. We pay close attention to open surgical claims, active injection cycles, and high-dollar procedures to ensure nothing gets lost and cash flow stays steady.

Yes — we specialize in helping retina practices recover from billing breakdowns. Whether you're dealing with denied injections, underpaid vitrectomies, missed modifiers, or aging A/R, we’ll audit your current process to find the root causes. Then we take corrective action, recover lost revenue where possible, and rebuild clean workflows to protect your future collections. Many retina specialists come to us after billing setbacks — and come out stronger.

RetinaBilling is 100% focused on retina — it’s all we do. Unlike general billing firms, we understand the complexity of intravitreal injections, surgical bundling rules, modifier use, drug units, and the fast-changing payer rules that impact retina specialists daily. You’ll work with a U.S.-based team that knows retina inside and out, communicates proactively, and adapts to your workflow. We don’t outsource, and we don’t use cookie-cutter systems. From clean claims to consistent A/R follow-up, we take full ownership of your revenue — so you can focus on patient care.