At Retina Billing, we think of ourselves as an extension of your office team where our responsibility is the full Revenue Cycle Management for your practice. It ranges from enabling you to verify patient insurance eligibility and collecting co-pays to properly submitting claims to payors, keeping track of every claim's status and addressing any denied claims with carriers through the appeal process. In addition to providing our clients full visibility into the revenue cycle management for their practices, we also constantly monitor key performance indicators (KPIs) to identify new revenue opportunities and areas for improvement. The following are some of the key services that we provide to our retina provider clients:

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• Submit claims to commercial and public insurance carriers.  Our technology allows us identify claim issues before submission based on carrier specific requirements.

• Receive ERAs, EOBs and verify accuracy of services and payments based on provider's contracted rates.

• Post payments to ensure patient accounts are always up to date.

• Send patient statements and generate payment plans.

• Address billing related inquiries with patients.

• Track and resolve claim denials through the appeal process.

• Monitor KPIs to ensure operational health of the practice and identify new opportunities.

• Advise on the steps necessary to achieve compliance with certain regulations (i.e. MU, PQRS, MACRA/MIPS, etc...)