Medical Billing for Ophthalmology Practices

Ophthalmologic billing is more complicated than many other medical disciplines. The most common question about medical billing for ophthalmology practices is whether to use an in-house billing staff or an outsourced contract company.

In-House Billing

• An option for ophthalmology billing is what is known as in-house billing. Hiring an experienced billing specialist to join the practice can be a cost effective way to control the process of filing claims and collecting insurance and billing.

Contracted/Outsourced Billing

• Another option in medical billing for ophthalmology practices would be to contract with a billing company. An experienced, professional company will have the resources to file and follow up with every insurance and self-pay claim while keeping up-to-date on changes made to the diagnosis and procedure coding from the government.

Cost

• In-house billing requires the ophthalmology practice to pay staff, offer training and provide equipment. According to Physicians Practice, a medical support company, outsourced or contracted billing companies will typically receive anywhere from 5 to 10 percent of the amount of a bill or claim collected by the practice.