💰 Increase Collections by 35% with AI

Stop Losing $150,000+ Annually to Billing Errors

The average optometry practice loses 15-20% of revenue to undercoding, missed charges, and denials. Our AI captures every billable service, optimizes coding, and ensures clean claims the first time.

The Hidden Revenue Crisis

What billing inefficiencies really cost

18%
Revenue lost to undercoding
23%
Initial claim denial rate
$85K
Annual missed charges
45 days
Average days in A/R

AI That Understands Optometry Billing Complexity

Medical vs vision, VSP requirements, modifier rules - all automated

🎯

Smart Code Selection

AI analyzes documentation and automatically selects optimal CPT codes. Knows when to use 92004 vs 99204, when to add modifiers, and maximizes reimbursement legally.

🔍

Charge Capture

Never miss billable services. AI identifies every procedure, test, and service performed, including often-missed items like punctal plugs, foreign body removal, and photos.

🛡️

Denial Prevention

Pre-submission audit catches errors before claims go out. Ensures documentation supports coding, medical necessity is clear, and all payer requirements are met.

🏥

Medical vs Vision

Automatically determines medical vs vision billing based on diagnosis and services. Knows payer-specific rules and maximizes coverage utilization.

📋

VSP Optimization

Built-in VSP rules engine ensures clean claims. Handles complex scenarios like coordinated benefits, frequency limitations, and material coverage correctly.

Real-Time Verification

Instant eligibility checks and benefit verification. Know coverage details before service, preventing surprises and improving patient satisfaction.

Advanced Coding Intelligence

Stop undercoding and overcoding with AI precision

Common Missed Revenue

  • Extended ophthalmoscopy (92225)-$65
  • Fundus photography (92250)-$85
  • Gonioscopy (92020)-$55
  • Punctal plug insertion (68761)-$145
  • Foreign body removal (65222)-$195

AI Captures Everything

Automatic Detection

AI identifies every billable service from notes

Modifier Intelligence

Knows when to use -25, -59, -RT/-LT correctly

E&M Level Optimization

Ensures you bill appropriate complexity level

Bundle Detection

Prevents NCCI edit denials automatically

Calculate Your Lost Revenue

See how much billing inefficiencies are costing you

Your Current Situation

Annual collections:$1,000,000
Undercoding loss (18% avg):-$180,000
Missed charges (8% avg):-$80,000
Denial write-offs (5% avg):-$50,000
Total annual loss:-$310,000

With AI Billing Automation

Coding optimization:+$162,000
Charge capture improvement:+$72,000
Denial reduction:+$45,000
Staff time savings:+$36,000
Annual revenue recovery:+$315,000

ROI: 8,750% | Pays for itself in 3 days

Stay Compliant, Avoid Audits

Built-in compliance checks protect your practice

Audit Protection

  • Documentation supports every code
  • Medical necessity clearly established
  • Time-based billing requirements met
  • Modifier use properly justified
  • Frequency limitations tracked

Payer-Specific Rules

  • Medicare LCD compliance
  • VSP Global requirements
  • EyeMed billing guidelines
  • Medicaid state-specific rules
  • Commercial payer preferences

Transform Your Revenue Cycle

❌ Without Automation

  • Staff spends 3+ hours daily on billing
  • 23% claim denial rate
  • 45+ days in A/R
  • Constant coding confusion
  • $300K+ annual revenue loss
  • High audit risk

✅ With AI Automation

  • Billing automated in real-time
  • 3% claim denial rate
  • 22 days in A/R
  • Perfect coding every time
  • $300K+ revenue recovered
  • Audit-proof documentation

Practices Collecting More with Less Effort

"Improved coding and cleaner claims made a clear difference. The AI catches things we used to miss, and reimbursements have been more consistent."

Dr. Cynthia Ragland, OD

Solo Practice

"The AI supports coding through claim submission. Our team spends less time on billing and sees more reliable collections."

Jamie Cook, Business Manager

C Eye Care

"Our claims process is smoother now. The AI helps us meet payer requirements the first time, which has reduced rework."

Craig Davis, Practice Owner

Marshalltown, Iowa

Billing Automation Questions

How much revenue can I really recover?
Most practices recover 25-35% additional revenue through proper coding, charge capture, and denial prevention. For a $1M practice, that's $250,000-$350,000 annually.
Does it work with my billing company or clearinghouse?
Yes. We integrate with all major clearinghouses and work alongside billing companies. Many billing companies actually prefer our pre-optimized claims as it reduces their workload.
How does it handle medical vs vision billing decisions?
AI analyzes the diagnosis, services performed, and patient coverage to automatically determine optimal billing path. It knows payer-specific rules and maximizes reimbursement.
Will it reduce my audit risk?
Yes, significantly. Every code is supported by proper documentation, medical necessity is clearly established, and all compliance requirements are met automatically.
Can I still review and modify billing before submission?
Absolutely. While the AI is highly accurate, you maintain full control. Review suggested coding, make any adjustments, and approve before claim submission.

Stop Leaving Money on the Table

Join practices collecting 35% more revenue with 70% less effort. AI billing automation pays for itself in days, not months.

Free revenue analysis • See your potential recovery • No obligation