Why Do We Only Do Eye Care?
Eye care billing has rules that general billing companies meet only now and then, which is why we run an ophthalmology billing company that does nothing else. Laterality on almost every code, two exam code families, test frequency limits, anti-VEGF drug units, cataract global periods and vision plans all sit in the same practice. We chose to focus on eye care so that every coder and biller on our team works with those rules every day.
That focus shapes what we offer. Our services cover the full eye care revenue cycle, from eligibility verification and coding to denial management, A/R recovery and credentialing, and extend to subspecialties such as retina, cataract surgery and ophthalmic ASCs.
Leadership at SP Ophthalmology Billing
SP Ophthalmology Billing is led by its Director.
Muzammil Hussain, Director
Muzammil Hussain is the Director of SP Ophthalmology Billing. He sets the company's direction and the standards every client account follows, from coding review and compliance to monthly reporting.
He writes about eye care billing, including optometry billing for vision exams, contact lens codes and eyewear.
Read his full profile and career history or view Muzammil Hussain on LinkedIn.
Our Client Standards
Every practice we serve receives the same five commitments, written into the service agreement.
- A signed HIPAA business associate agreement before we see any patient or claim data.
- Work inside your systems. We use your EHR, practice management system and clearinghouse, and you keep ownership of all data.
- A named account lead who knows your practice and joins a monthly review call.
- The same KPIs every month, including net collection rate, days in A/R, clean claim rate and denial rate, measured the same way each time.
- Compliance first. We code to the documentation, not to a target level, and we flag audit risks such as modifier 25 on injection days before claims go out.
How Do We Keep Our Guidance Accurate?
Coding rules change every year. Our team reviews each year's CPT and HCPCS changes, the Medicare Physician Fee Schedule and OPPS and ASC final rules, NCCI edit updates and the local coverage determinations that affect eye care tests. Pages on this website show the date they were last reviewed. When a rule changes, we update the page and the date.
Working With SP Ophthalmology Billing
Most practices start with a free ophthalmology billing audit. It shows your current results in writing and gives both sides a clear starting point. You can also contact our team with a question, or read how our pricing works.