top of page
Senior Man Eye Exam.jpg

Our Services

We offer flexible medical billing solutions — from full-service RCM to oversight and support for your in-house or third-party team — all designed to help retina specialists get paid faster with fewer denials and less burden on your staff.

Contact Us Biller.png

Full Service Medical Billing

Perfect for retina practices seeking end-to-end revenue cycle management. We operate as your billing department — working closely with your in-house staff to ensure accurate coding, clean claim submission, and predictable reimbursements for retina injections, imaging, and surgical care.​

Billing Oversight & Support

Already have a billing team in place but need retina-specific oversight or reporting? We partner with your staff to run compliance checks, analyze performance, and deliver targeted support — especially around high-value retina services.

Medical Billing Services

Eligibility Verification

We confirm retina patients’ insurance benefits ahead of appointments — minimizing eligibility issues and delays with injections, imaging, and surgical authorizations.

Payment Posting

Prompt, accurate posting and reconciliation — with retina-specific payer rules in mind — to keep your books clean and balanced.

Reporting & Analytics

Get retina-specific reporting that highlights trends in reimbursements, denials, and A/R — helping you improve cash flow and reduce friction.

Claim Submission

We ensure fast, clean claim submission for retina-specific services — including J-code injections, OCT, FA, and surgeries — to all major commercial and government payers.

Patient Billing

We handle patient statements and field questions clearly and professionally — so your staff can focus on care, not collections.

Coding Support

We stay up to date on retina billing codes (like 67028, J2778, and OCT bundling rules) to ensure every claim is clean, compliant, and optimized for payment.

Denial Management 

We review, correct, and resubmit denied claims (e.g. modifier use, frequency limits) with speed and precision — increasing your recovery rate.

Accounts Receivable 

We consistently follow up on unpaid retina claims — ensuring high-value procedures like injections and laser treatments don’t go unpaid.

Payer Setup

We manage payer setup, ERA/EFT enrollments, and portal access so you can get paid faster and with fewer administrative delays.

Expert Billing for Retina Practices

We specialize in what matters most to retina specialists — accuracy, compliance, and fast payments across both medical and surgical billing.

Medical Retina
Precision Billing for Ongoing Care

OCT Scan.jpg

We handle the full scope of medical retina billing — including J-codes, OCTs, intravitreal injections, and long-term disease management. Our team is fluent in the complexities of chronic care protocols, modifier use, and payer-specific rules for conditions like macular degeneration and diabetic retinopathy.

 

Accurate claim coding

Proper modifier and diagnosis pairing     

Support for recurring treatment cycles

Surgical Retina

Clean Claims for Complex Surgeries

Eye Surgery.jpg

From vitrectomies to membrane peels and laser procedures, we specialize in bundled surgical billing for retina specialists.
We understand the impact of global periods, NCCI edits, and high-value procedures — and we build every claim for maximum reimbursement with minimal denials.

Surgical bundles and global periods handled

Prior auths and frequency rules managed

Denials tracked and resolved quickly

Experience with Leading PM and EHR Platforms

AdvancedMD Logo.png
Kareo logo.png
Nextech logo.png
ModMed logo.png
Nextgen logo.png

You Focus on Patients — We’ll Handle the Billing

1135 Kildaire Farm Rd, #200

Cary, NC 27511

Call or Email

(888) 247-2770

info@RetinaBilling.com

bottom of page