Optometrist holding a trial frame in an eye clinic beside a slit lamp and eye chart

Optometry Billing Services Perfectly Aligned with Your Practice Vision

Dastify Solutions redefines optometry billing services. With precision, technology, and expert insight, we turn complex claims into seamless & consistent revenue. We provide scalable RCM solutions designed to optimize your net collection rate and stabilize cash flow.

AAPC/AHIMA/CPB certified coding expertsHIPAA & CMS ComplianceAligned with HFMA & AOA Billing Standards

Quality Optometry Billing: Not Optional. It’s Absolutely Essential.

You watch over your eyes, we watch over your claims, so nothing is missed. Our AAPC-certified experts ensure no revenue opportunity is left unexplored, and you receive full value for the services you render.

  • RPA operations & claim submissions

  • Reduced administrative burden & cost up-to 50%

  • Reduced billing errors & data breaches

  • Increase in cash collections up-to 5-10%

  • Improved patient retention & satisfaction rate

  • AI-driven billing workflows

  • Faster payment processing

  • Advanced AI scrubbers & seamless clearinghouse integration

Tailored Solutions for Optometrists

Tell us about your needs, and get a custom billing plan.

Dedicated Account Manager

Personalized attention. Every time.

Clear & Transparent Reporting

On-demand reports that show the practice’s performance.

Services Built on Experience, & Designed for Your Success

Missed payments, unfair reimbursements, constant denials,  and rework, are you struggling like other optometrists? Our medical billing for optometry practices understands your struggles. We provide services in accordance with AOA & CMS guidelines.

Medical Coding & Billing Services

We specialize in the TART (Tissue texture, Asymmetry, Restriction, Tenderness) documentation required to support 98925–98929. Our 2026 workflow validates that your OMT notes match the specific ICD-10 M99 somatic dysfunction codes per body region.

Eligibility Verification & Prior Authorization Services

We perform prior authorization for diagnostic eye tests. We check authorization for both medical and vision plans. Moreover, we also check patients' benefits and update them on their copays & deductibles.

Claim Submission Services

Our experts handle electronic and paper claim submissions. We scrub claims before submission, track them in real time, and follow up until payment is secured.

Denial Management Services

At Dastify Solutions, lost revenue isn’t written off; it’s pursued. We identify the root causes of denials and fix them. Moreover, we follow denial patterns to prevent future denials.

AR Management Services

We actively manage your A/R and keep strong communication with payers to secure timely payments and avoid bad debt. We clear your aging buckets and keep your AR under 20-30 days.

Payment Posting Services

Tired of discrepancies? Not with us, our billing services for optometrists are a real saviour. Our team verifies contractual adjustments and investigates any underpayments to recover money.

MIPS Quality Reporting

We support MIPS compliance through accurate capture and reporting of quality measures. This includes Registry-based reporting and proper use of Category II CPT codes to protect incentives and avoid penalties.

Delayed Enrollment Blocks Your Revenue! Fast Credentialing. Faster Payments. With Dastify Solutions!

We Keep Your Records Audit‑Ready and Compliant

At Dastify Solutions, we ensure your clinical documentation meets all medical-necessity requirements so that claims are clean, compliant, and reimbursable. Our billing company helps you create medical-necessity documentation for eye care:

  • Chief Complaint (CC): We review notes to ensure the patient’s symptoms are clearly documented in their own words.

  • History of Present Illness (HPI): We verify that OLDCARTS elements (Onset, Location, Duration, Characteristics, Aggravating/Relieving factors, Timing, Severity) are fully captured.

  • Review of Systems (ROS): We check that all relevant positives and negatives are recorded.

  • Medical/Ocular History: We ensure previous diagnoses, surgeries, and current medications are documented for accurate coding.

  • Examination Findings: We confirm that specific clinical findings support the diagnosis and billed procedures.

  • Assessment: We ensure that diagnosis codes (ICD-10) clearly justify medical billing.

  • Plan: We verify that treatment plans, follow-up schedules, and patient education are documented to meet payer requirements.

Ready to Experience Smarter Optometry Billing Services?

Looking for a true partner in optometry billing? We understand the challenges your practice faces, from complex claims to patient billing. Dastify Solution is trusted by hundreds of optometry clinics in the USA. Why?

Our plethora of benefits includes:

Patient Billing Support That Protects Your Reputation

We take care of your patients the way you would: with clarity, professionalism, and compassion. Clear statements, benefit explanations, flexible payment options, and courteous support ensure patient trust is never compromised.

No Staffing Gaps, No Workflow Disruptions

We act as a seamless extension of your team, eliminating staff shortages, training challenges, and turnover risks, so billing never slows down.

Workflow-Aligned Practice Management Support

Whether you’re working within your current system or considering new solutions, we adapt to your workflow, providers, and visit types without forcing change.

Human Intelligence + AI Automation

Automation improves speed and accuracy, but human expertise drives decisions. Our team monitors payer behavior, identifies denial patterns, and takes proactive action before revenue is impacted.

Medical vs. Vision Billing Accuracy

We resolve the 92000 vs. 99000 coding conflict by correctly selecting between ophthalmological and E/M codes based on the visit and medical decision-making (MDM). This prevents payer confusion, reduces rejections, and minimizes compliance risk.

Post-Surgical & Global Period Billing Management

At Dastify Solutions, we manage post-operative global care billing, ensuring services are bundled correctly and reimbursed without triggering audits or denials.

Denial Prevention; Not Just Denial Fixing

We don’t wait for denials to happen. Our team identifies root causes, updates workflows, and corrects documentation gaps to reduce repeat issues.

Faster Reimbursement & Clean Claim Strategy

Claims are scrubbed, validated, and submitted with payer-specific rules to maintain high clean claim rates and faster payments.

No Revenue loss

Working with Dastify solutions means putting your revenue into safe hands. Our experts use Modifier 25 and 57 to ensure that office visits are paid alongside surgical procedures or diagnostic tests to ensure successful reimbursement.

Vision Plan Portal Management

Our team handles direct entry and reconciliation for all principal Vision Benefit Managers (VBMs), including VSP, EyeMed, and Davis Vision.

Medical Necessity for Diagnostics

We validate medical necessity for OCT, fundus photography, and visual field testing before billing. By monitoring payer frequency edits and utilization limits, we ensure diagnostics are billed only when reimbursable, reducing denials and audit risk.

Refraction Billing (S0620 / 92015)

We correctly identify refraction as a non-covered service under most medical plans. Our experts manage advanced beneficiary and non-covered service notifications to ensure patient payment is collected without billing disputes or payer issues.

Autorefractor screen showing a patient's eye during an optometry examination

How We Fix Common Denial Issues in Osteopathic Billing

NextGen Healthcare

Kareo / Tebra

Practice Fusion

Transform

Without Dastify Solutions

  • 1. High Overhead Costs

  • 2. Staff Shortage Issues

  • 3. Billing Errors & Rejections

  • 4. Delayed Reimbursements

  • 5. Cash Flow Problems

  • 6. Compliance Risks

  • 7. Training & Turnover

  • 8. Denied Claims Pile Up

  • 9. Patient Billing Complaints

  • 10. Revenue Leakage

  • Time away from patient care

  • Administrative burden

  • Staff overhead costs

With Dastify Solutions

  • See PatientsFocus 100% of your time on delivering quality care.

  • Collect ReimbursementsWatch payments flow in while we handle your RCM.

  • Grow Your PracticeScale without adding billing staff or overhead.

  • ExperienceAutomated Claim Management

  • 100%Revenue Cycle Management

  • 20%Revenue Increase

Frequently Asked Questions

What services are included in optometry medical billing and coding?

Optometry billing services typically handle insurance verification, accurate CPT/ICD‑10 coding, claim scrubbing and submission, denial management, payment posting, patient billing, and reporting. They also monitor documentation for medical necessity and help reduce denials and delays in reimbursement.

Why are optometry claims denied, and how can proper billing prevent it?

Claims are often denied due to incorrect patient data, inaccurate coding, missing modifiers, or poor documentation of medical necessity. Proper verification, correct code use, and well‑supported clinical documentation can significantly decrease denials and speed up payments.

What is the difference between a vision plan and medical billing in optometry?

Vision plans usually cover routine eye exams and glasses/contact lenses, while medical billing is used for eye diseases, injuries, and medically necessary procedures. Knowing when to bill each payer correctly is crucial to getting claims paid and avoiding rejections.

Ready to Transform Your Optometry Billing?

FAST. SECURE. COMPLIANT. Reimbursements You Can Trust!

Written byRicky Bell
Reviewed byAnum NaveedDirector of Compliance
Last updated