Generated by All in One SEO v5.0.0.1, this is an llms.txt file, used by LLMs to index the site. # Eye Med Management Solutions ## Sitemaps - [XML Sitemap](https://www.eyemedmanagement.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Blog](https://www.eyemedmanagement.com/blog/) - [Boost Revenue Cycle Health: Managing and Reducing Patient A/R Effectively](https://www.eyemedmanagement.com/medical-billing/boost-revenue-cycle-health-managing-and-reducing-patient-a-r-effectively/) - Effective revenue cycle management hinges on dedicated staff and clear processes. Learn how strategic partnerships can turn around your patient A/R challenges. - [The Front Office Is Where Your Revenue Cycle Actually Begins](https://www.eyemedmanagement.com/medical-billing/the-front-office-is-where-your-revenue-cycle-actually-begins/) - The Front Office Is Where Your Revenue Cycle Actually Begins Let me say the quiet part out loud. Your revenue cycle does not start in billing. It starts with the person who answers the phone and the team at the front desk. Before a claim exists. Before a CPT code is chosen. Before a payer - [The Ultimate Clean Claims Checklist for Ophthalmology Medical Billing](https://www.eyemedmanagement.com/medical-billing/the-ultimate-clean-claims-checklist-for-ophthalmology-medical-billing/) - Maximizing reimbursement and minimizing denials in eye care practices Why Clean Claims Matter in Ophthalmology Clean claims submission is crucial for ophthalmology practices due to complex procedures, high-value claims, and specialty-specific coding requirements. A single denied retinal procedure can cost $3,000-$5,000 in lost revenue, plus $25-$50 in administrative rework costs. Ophthalmology billing challenges: Complex bilateral - [5 Ophthalmology Billing Tips You Can’t Afford to Miss](https://www.eyemedmanagement.com/medical-billing/5-ophthalmology-billing-tips-you-cant-afford-to-miss/) - You already know that getting claims paid is an important part of the financial health of your practice. Unpaid claims are a huge drain on your bottom line. - [BILLING BASICS: CPT 65778](https://www.eyemedmanagement.com/medical-billing/billing-basics-cpt-65778/) - CPT 65778, placement of amniotic membrane on the ocular surface; without sutures, also known as AMT.⁣ - [5 REASONS TO OUTSOURCE BILLING AND REAP THE REWARDS](https://www.eyemedmanagement.com/medical-billing/5-reasons-to-outsource-billing-and-reap-the-rewards/) - When you outsource to expert billers who are well-versed in the specifics of ophthalmology, you can be sure that claims will be sent clean the first time they go out. - [BILLING BASICS: MODIFIER 24](https://www.eyemedmanagement.com/medical-billing/billing-basics-modifier-24/) - Eye Med Management has over 40 years of experience billing for practices throughout the United States. Contact us today to learn more about our services. - [3 SIMPLE TIPS TO GET INSURANCE CLAIMS PAID](https://www.eyemedmanagement.com/medical-billing/3-simple-tips-to-get-insurance-claims-paid/) - Our team has more than 40 years of ophthalmology billing experience. Learn more about our results, contact us to discuss how we can help maximize your revenue. - [6 TIPS FOR BILLING PLUGS, CPT 68761](https://www.eyemedmanagement.com/medical-billing/billing-hack-cpt-68761-punctal-occlusion-with-plugs/) - Does your ophthalmology practice bill for punctum plugs? Here are six tips to get your claims paid timely. Learn More At Eye Med Management. - [EVERYTHING YOU NEED TO KNOW ABOUT MODIFIER -25](https://www.eyemedmanagement.com/medical-billing/everything-you-need-to-know-about-modifier-25/) - Eye Med Management Solutions has years of experience billing for ophthalmology services. If billing has you stumped, read about our results. - [5 THINGS YOU NEED TO KNOW ABOUT BILLING CPT 66821](https://www.eyemedmanagement.com/medical-billing/5-things-you-need-to-know-about-billing-cpt-66821/) - Does your Ophthalmology practice bill for YAGs? Find Tips To Get Your Claims Paid Timely! The Eye Med Management Team Can Help. - [5 THINGS WE LIKE ABOUT ADVANCEDMD PRACTICE MANAGEMENT SOFTWARE](https://www.eyemedmanagement.com/medical-billing/5-things-we-like-about-advancedmd-practice-management-software/) - Eye Med Management Solutions has years of experience assisting ophthalmology practices with their revenue cycle management process. Contact us to learn more. - [BILLING BASICS: MODIFIERS -26 AND -TC](https://www.eyemedmanagement.com/medical-billing/billing-basics-modifiers-26-and-tc/) - Billing with modifiers have you puzzled? The Eye Med Management team stays up to date on ophthalmology billing and coding. - [6 WAYS TO STOP REVENUE LOSS](https://www.eyemedmanagement.com/medical-billing/6-ways-to-stop-revenue-loss/) - Insurance reimbursement and collections are more complicated than ever. And, with COVID-19 and the hardships every practice has faced this past year, having systems in place to collect money up front and stop unnecessary waste is crucial. Follow these six suggestions to improve the AR and overall financial health of your practice: #1 CAPTURE ALL - [BILLING HACK: CPT 92136](https://www.eyemedmanagement.com/medical-billing/billing-hack-cpt-92136/) - BILLING PRO TIP: Use CPT 92136 (Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation) - this test is performed prior to cataract surgery to help measure the axial length of the eye, the corneal curvature, and anterior chamber depth. Medicare pays the technical component bilaterally and pays the professional component unilaterally. Per - [Billing for Surgical Complications: Modifiers -58, -78 and -79](https://www.eyemedmanagement.com/coding-master/billing-for-surgical-complications-modifiers-58-78-and-79/) - Occasionally a patient may experience a surgery complication that will require additional treatment. The payment for the initial surgery also includes post-op care during the global period (excluding testing). Under Medicare, the global period includes a postoperative time period for minor surgeries that can be either 0 or 10 days. For major surgeries the global - [2019 Ophthalmology CMS ICD-10 Updates](https://www.eyemedmanagement.com/coding-master/2019-ophthalmology-cms-icd-10-updates/) - This week the Centers for Medicare and Medicaid Services (CMS) released the ICD-10-CM updates for FY 2019. The 2019 ICD-10-CM codes are to be used for patient encounters and discharges occurring from October 1, 2018 through September 30, 2019. Below is a list of ICD-10 code changes that impact ophthalmology. For the ICD-10 codes below: - [The Gold Standard of Outsourcing: Increase Your Revenue with Eye Med Management Solutions](https://www.eyemedmanagement.com/medical-billing/the-gold-standard-of-outsourcing-increase-your-revenue-with-eye-med-management-solutions/) - Cost cutting may be a big factor when looking to outsource, but it’s not the only reason to consider. Outsourcing your medical billing can significantly increase your revenue stream and efficiency. Every business wants to hire the best people, with the best education and credentials, and in turn produce the best results. When you outsource - [Cataract Surgery Billing and Coding Tips](https://www.eyemedmanagement.com/coding-master/cataract-surgery-billing-and-coding-tips/) - June is Cataract Awareness Month and we’re giving you our top billing and coding tips for cataract surgery. Cataracts are the leading cause of vision loss in the United States, affecting over 22 million people. To reduce the risk of an audit and get paid correctly and in a timely manner, it’s imperative that your - [Coding Tips for Common Ophthalmology Services: Part Two](https://www.eyemedmanagement.com/coding-master/coding-tips-for-common-ophthalmology-services-part-two/) - This is the second blog in a two part series on common ophthalmology services and how to avoid billing errors. To reduce the risk of an audit and costly billing mistakes, here are some tips on common ophthalmology tests and procedures. Fluorescein angiography. Use CPT code 92235, Fluorescein angiography (includes multiframe imaging) with interpretation and - [Coding Tips for Common Ophthalmology Services: Part One](https://www.eyemedmanagement.com/medical-billing/coding-tips-for-common-ophthalmology-services-part-one/) - We’ve all heard the saying “it takes a village” - and this includes ophthalmology billing and coding. Exams, testing, and minor and major surgical procedures all take a team to coordinate and complete. The physician is ultimately responsible for selecting the proper code, however, it takes a team effort to properly document, code, and bill - [Improving Your Practice A/R](https://www.eyemedmanagement.com/medical-billing/improving-your-practice-a-r/) - Well-run practices watch their collections like hawks. The financial health of your practice is directly correlated with your A/R numbers. How can you bring in the most cash? How can you collect the most amount of money with the least amount of time and effort? These are questions your practice needs to think about when - [Boosting Patient Collections Up Front](https://www.eyemedmanagement.com/medical-billing/boosting-patient-collections-up-front/) - With rising out of pocket costs in the healthcare system, the shift to patient financial responsibility is increasing. A Kaiser Family Foundation found the average deductible increased 32% from 2009 to 2014. Educating front desk staff, insurance verification, and a clear office financial policy are important components in collecting payments up front. Any of these - [Mastering ICD-10: Diabetic Retinopathy and AMD](https://www.eyemedmanagement.com/coding-master/mastering-icd-10-diabetic-retinopathy-and-amd/) - Have you mastered the latest ICD-10 codes for Diabetic Retinopathy and AMD? If you haven’t don’t fear, Eye Med Management Solutions to the rescue! The tables below include the coding for nonproliferative diabetic retinopathy (NPDR), proliferative diabetic retinopathy (PDR), wet age-related macular degeneration (AMD), and dry age-related macular degeneration (AMD). It’s important to remember that - [New Medicare Cards](https://www.eyemedmanagement.com/news/new-medicare-cards/) - Doctors, be on the lookout for new Medicare cards starting in April. Medicare is issuing new cards for all patients in an effort to keep patient information more secure. The cards will look the same however instead of a social security number, each patient will have a Medicare Beneficiary Identifier (MBI) to protect identity and - [San Diego Lilac Fire](https://www.eyemedmanagement.com/do-gooders/san-diego-lilac-fire/) - Just before Christmas fires broke out throughout California and affected many of us at Eye Med Management. The Lilac Fire in San Diego County was less than a mile away from our office and prompted a voluntary evacuation. Luckily for us the winds were in our favor that day and we were out of harms - [AAO 2017 New Orleans!](https://www.eyemedmanagement.com/medical-billing/aao-2017-new-orleans/) - We’re back in the office after a weekend in New Orleans for the American Academy of Ophthalmology Annual Meeting. We love attending this meeting for many reasons - educational classes, connecting with industry friends and making new ones, and being immersed in all things ophthalmology. Coding Camp 2017 was a highlight of the meeting. Healthcare - [Susan G. Komen Race for the Cure](https://www.eyemedmanagement.com/do-gooders/susan-g-komen-race-for-the-cure/) - This past weekend Eye Med Management participated in the Susan G. Komen Race for the Cure 5k at Balboa Park in San Diego. We walked in memory of Kathy Spooner, cousin of our President Susan Stratton. It was a beautiful day with amazing energy. We feel honored that we were able to participate. - [5 FRONT OFFICE QUALITIES THAT COULD BOOST REVENUE](https://www.eyemedmanagement.com/medical-billing/5-front-office-qualities-boost-revenue/) - "The strength of the team is each individual member. The strength of each member is the team." – Phil Jackson Successful businesses recruit team members much like sports teams do—by finding talent particularly suited for their individual roles. Your front office staff can be one of your greatest assets when it comes to boosting your - [BILLING AND CODING CHANGES 2020: MEDICARE BENEFICIARY IDENTIFIERS](https://www.eyemedmanagement.com/coding-master/billing-coding-changes-2020-medicare-beneficiary-identifiers/) - 2020 brought some changes to ophthalmology billing. This is the third in our 3-part series on the CPT changes you need to be aware of. UPDATE: Medicare no longer uses Social Security Numbers (SSNs) as patient identifiers. The Details Medicare cards now use a Medical Beneficiary Identifier (MBI) to identify patients. This 11 character alpha-numeric - [BILLING AND CODING CHANGES 2020: BILLING PLUGS TO MEDICARE](https://www.eyemedmanagement.com/medical-billing/billing-coding-changes-2020-billing-plugs-to-medicare/) - 2020 brought some changes to ophthalmology billing. This is the second in our 3-part series on the CPT changes you need to be aware of. UPDATE: Medicare has updated their payment policy for treating dry eye, CPT codes 68760 and 68761. The Details Medicare has updated their payment policy for CPT codes 68760 and 68761 - [BILLING AND CODING CHANGES 2020: EXTENDED OPHTHALMOSCOPY](https://www.eyemedmanagement.com/coding-master/billing-coding-changes-2020-extended-ophthalmoscopy/) - 2020 brought some changes to ophthalmology billing. This is the first in our 3-part series on the CPT changes you need to be aware of. UPDATE: There are new CPT codes for extended ophthalmoscopy. The Details Old codes 92225 and 92226 were replaced with: CPT 92201: ophthalmoscopy, extended – with retinal drawing and scleral depression - [5 TIPS TO MAXIMIZE REVENUE](https://www.eyemedmanagement.com/medical-billing/5-tips-to-maximize-revenue/) - Small steps can add up over time to make a big impact. Here are five relatively easy things you can do to boost your bottom line: #1 Verify patient’s insurance eligibility prior to the visit Rejected claims are the biggest potential drain on reimbursement. Lack of insurance coverage is one of the leading causes of - [5 BILLING VITAL SIGNS YOU SHOULD BE CHECKING](https://www.eyemedmanagement.com/medical-billing/5-billing-vital-signs-you-should-be-checking/) - It’s no secret that optimized billing is critical to the health of your ophthalmology practice. Cash flow can slow down to a trickle when insurers are sluggish in paying or patients don’t compensate you. Successful practices have an efficient and effective collection system in place. How can you tell if your billing process is helping - [ONE YEAR POST LASIK](https://www.eyemedmanagement.com/uncategorized/one-year-post-lasik/) - I’m free!!! My friends and family were happy for me when I told my friends and family that I was getting LASIK done, but I also got a few squeamish questions. “They’re going to put a laser in your eye??” I'd guess I'm not alone in taking my time to do something only to exclaim - [BILLING: IT'S EVERYBODY'S RESPONSIBILITY](https://www.eyemedmanagement.com/medical-billing/billing-its-everybodys-responsibility/) - It’s an easy mistake to think that medical billing is only the responsibility of the person (or people) in the billing department, as they send out insurance claims and make sure they get paid. But the most successful practices realize that everybody in the office plays an important role in the billing cycle. Does everybody ## Pages - [Home](https://www.eyemedmanagement.com/) - Our Ophthalmology Medical Billing Service Covers The Entire Spectrum - From Patient Registration To Collections. Our Success Is Measured By Your Success. - [Privacy Policy](https://www.eyemedmanagement.com/privacy-policy/) - Cookie Declaration and Consent - [Meet Our Leadership](https://www.eyemedmanagement.com/meet-our-leadership/) - Meet the team at Eye Med Management. With more than 30 years of ophthalmology billing and practice management experience. - [Services](https://www.eyemedmanagement.com/services/) - At Eye Med Management Solutions (EMMS), our team isn’t just behind the scenes — they’re at the heart of everything we do. Meet the billers who bring precision, empathy, and deep ophthalmology expertise to every claim and conversation. 100% Human, 100% Ophthalmology We believe in the power of people. While artificial intelligence has its place, - [Testimonials](https://www.eyemedmanagement.com/testimonials/) - "Working with Eye Med Management Solutions since 2004 has transformed our billing operations. Susan Stratton and her team bring unmatched expertise, efficiency, and integrity to the table. Their tailored approach and deep knowledge of ophthalmology have streamlined our processes and significantly improved collections. They’ve become a trusted extension of our team." Dr. John Zdral | - [Case Studies](https://www.eyemedmanagement.com/case-studies/) - Multi-Specialty Ophthalmology Practice Doubles Practice Income Problem Busy six physician practice losing substantial money due to inexperienced and overwhelmed billing staff, untimely claims submission, and poor follow up and collection performance. Accounts receivable increasing over three year period and high staff turnover has all contributed to the problem. Only 40% of AR was under 30 - [Thank You](https://www.eyemedmanagement.com/thank-you/) - Your message has been sent. Thank you for filling out our form! Go Back If for some reason we do not get back to you within a week, please call 760.451.6412. - [Contact Us](https://www.eyemedmanagement.com/contact-us/) - [Medical Billing Services](https://www.eyemedmanagement.com/medical-billing-services/) - [Join Our Newsletter](https://www.eyemedmanagement.com/join-our-newsletter/) - Please add your email address to the form below to sign up for our newsletter. 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