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Practices can recover $300K+ annually with our RCM Suite

Complete Revenue CycleManagement for Optometry

Stop losing 30% of revenue to billing inefficiencies. Our AI-powered RCM suite automates insurance verification, optimizes billing, and ensures clean claims—recovering revenue while saving 15+ hours weekly.

97%
Target first-pass claim rate
Industry avg: 75%
$312K
Potential annual recovery
Per practice
18 days
Target payment time
vs 45+ days avg
73%
Less staff time
On billing tasks

Your Revenue Is Leaking—Here's Where

The average optometry practice loses $300,000+ annually to preventable billing issues

Insurance Verification Gaps

23% of claims denied due to eligibility issues. Manual verification takes 15 minutes per patient and still misses coverage details.

-$85K
Lost annually

Undercoding & Missed Charges

18% of revenue lost to conservative coding. Missing billable procedures like punctal plugs, photos, and extended ophthalmoscopy.

-$125K
Lost annually

Claim Denials & Rework

First-pass denial rate of 23%. Each denial costs $25 to rework, with 35% never recovered despite appeals.

-$90K
Lost annually

Complete RCM Automation in One Platform

Everything you need to maximize revenue and minimize administrative burden

Auto Insurance Verification

  • Real-time eligibility checks
  • Benefits breakdown automation
  • Prior auth management
  • VSP/EyeMed integration
Learn more

Intelligent Billing Engine

  • AI-optimized CPT selection
  • Modifier intelligence
  • Medical vs vision routing
  • Charge capture automation
Learn more

Claims Automation

  • Target: 97% first-pass acceptance
  • Auto-denial management
  • Smart appeals generation
  • ERA/EFT automation
Learn more

A/R Management

Reduce days in A/R from 45 to 28 with automated follow-ups

Compliance Engine

Built-in LCD/NCD compliance and audit protection

Patient Payments

Automated copay collection and payment plans

Payer Intelligence

Payer-specific rules for 500+ insurance plans

Your Revenue Recovery Potential

Based on average optometry practice with $1.2M annual revenue

Current State

Insurance verification time15 min/patient
Claim denial rate23%
Days in A/R45 days
Undercoding loss-$180K/year
Denial write-offs-$95K/year
Total Revenue Loss-$312K/year

With RCM Suite

Insurance verification timeInstant
Claim denial rate3%
Days in A/RTarget: 18 days
Coding optimization+$162K/year
Denial recovery+$86K/year
Total Revenue Recovery+$312K/year

ROI: 867% • Pays for itself in 11 days

Based on $299/month investment

Works With Your Existing Systems

Seamless integration with leading EHR and PMS platforms

EHR/PMS Systems

  • • RevolutionEHR
  • • Compulink Advantage
  • • Eyefinity EHR
  • • CrystalPM
  • • MaximEyes
  • • OfficeMate

Built-in Clearinghouse

  • ✓ 3,400+ payers connected
  • ✓ No separate contracts
  • ✓ No clearinghouse fees
  • ✓ Real-time submissions
  • ✓ Modern API platform
  • ✓ All payers nationwide

Vision Plans

  • • VSP Vision Care
  • • EyeMed
  • • Davis Vision
  • • Spectera
  • • Superior Vision
  • • Medicare Advantage

Real Results from Real Practices

Based on aggregated data from 80+ optometry practices

87%

Target Denial Reduction

Target reduction in claim denials within first 30 days of implementation. Designed to help practices achieve immediate improvement in first-pass acceptance rates.

Multi-location practices see even higher improvements

$47

Per Exam Increase

Average increase in reimbursement per patient encounter through optimized coding and complete charge capture.

Billing optimization identifies missed revenue opportunities

19 days

Faster Payments

Average reduction in days in A/R. Practices typically see payments accelerate from 45+ days to under 20 days.

Improved cash flow transforms practice operations

Frequently Asked Questions

How quickly can I see ROI from the RCM suite?
Most practices see immediate improvements in claim acceptance rates and recover their investment within 2 weeks. Full revenue optimization typically shows within 30-45 days as cleaner claims process and denials decrease.
Do I need to change my current EHR or billing company?
No. Our RCM suite integrates with your existing systems. We work alongside billing companies as well—many actually prefer receiving our pre-optimized, clean claims as it reduces their workload significantly.
How does the insurance verification automation work?
Our system connects directly with 500+ payers for real-time eligibility checks. It automatically verifies coverage, benefits, deductibles, and prior authorizations—updating your PMS instantly. What took 15 minutes per patient now happens in seconds.
Will this help with VSP and vision plan complexities?
Absolutely. Our system has built-in rules for VSP, EyeMed, and other vision plans. It handles frequency limitations, material coverage, coordinated benefits, and knows exactly when to route medical vs. vision for maximum reimbursement.
What about HIPAA compliance and security?
We are fully HIPAA compliant with enterprise-grade security. All data is encrypted at rest and in transit, with regular security audits. We exceed industry standards for healthcare data protection.
How much staff training is required?
Minimal. The system is designed to be intuitive and automates most processes. We provide comprehensive onboarding and your team typically becomes proficient within 2-3 days. Ongoing support is always available.

Start Recovering Revenue Today

Join 80+ optometry practices maximizing revenue with 70% less administrative work. See results in your first billing cycle.

No credit card required • See ROI calculator • 14-day trial

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* All metrics and savings shown are based on industry averages and potential improvements. Individual results may vary.