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Optometry Billing Services for New York Eye Care Practices

Our optometry billing services help New York eye care providers streamline revenue cycle management (RCM) while staying compliant with HIPAA, Medicare, and New York Medicaid rules. From CPT coding to claim submissions and AR follow-ups, our experts manage your billing so you can focus on vision care.

With extensive knowledge of New York's payer environment—including Empire BlueCross BlueShield, UnitedHealthcare, and Fidelis Care—we improve reimbursements, reduce denials, and ensure timely collections for optometry practices statewide.

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Our Optometry Medical Billing Services For New York Practices

Claim Denials & Empire BlueCross Appeals

From cataract evaluations to glaucoma management, we handle denial resolution efficiently—particularly with common New York carriers like Empire and Healthfirst. Our appeals team tracks down underpaid or denied claims and follows payer-specific protocols.

Documentation & Compliance Support

We align every claim with NY Medicaid documentation standards, HIPAA, and Medicare Part B requirements. We also provide audit-readiness support to protect your practice from claim rejections due to insufficient documentation.

Insurance Verification & EligibilitaInsurance Eligibility & Pre-Authorizations in New Yorky Checks

We verify patient coverage for routine exams, diabetic eye care, and specialty services. Proactive eligibility checks help reduce denials from New York Medicaid Managed Care and commercial plans like EmblemHealth and MVP Health Care.

Payment Posting & Medicaid Reconciliation

We post and reconcile payments from Medicare, Medicaid, and private insurers. Our billing experts are fluent in New York Medicaid reconciliation workflows and Medicare Advantage plan processes.

Specialized Optometry Billing Services for New York Providers

We support independent optometrists, group practices, and multi-location clinics across New York—from Long Island to Buffalo and beyond. Our services include:

Routine Eye Exam Billing

Expert billing for codes like 92004, 92014, and 92015, optimizing between medical and vision plan usage based on NY payer policies.

Contact Lens Evaluation & Fitting

Billing for 92310, 92071, and 92072, ensuring compliance with documentation requirements from plans like VSP and Aetna.

Diagnostic Imaging & Testing

We bill for OCT (92134), fundus photography, corneal topography, and visual fields (92083) with proper modifiers for New York-specific insurance nuances.

Chronic Disease Management

Support for ongoing treatment of glaucoma, diabetic retinopathy, and AMD—using correct ICD-10 coding and following Medicare Advantage billing rules.

Pediatric & Geriatric Eye Care Billing

From school screenings to senior eye exams, we code and submit claims that reflect patient age and payer policies in New York.

Supporting Optometrists Across New York State

We serve independent optometrists, multi-location eye clinics, and group practices throughout New York:

  • New York City: Manhattan, Brooklyn, Queens, Bronx, Staten Island
  • Long Island: Nassau County, Suffolk County
  • Upstate New York: Albany, Syracuse, Buffalo, Rochester
  • Hudson Valley & Capital Region