OPHTHALMOLOGY BILLING COMPANY
Full-Service Ophthalmology Billing and Revenue Cycle Management
Built exclusively for ophthalmology practices and ASCs.
LMC Practice Management is a nationwide ophthalmology billing company providing full-service revenue cycle management for independent ophthalmology practices and ambulatory surgery centers.
INSURANCE A/R OVER 90
5%
Internal goal: under 10%
CLEAN CLAIM RATE
99%+
AVERAGE DAYS IN A/R
22
THE REALITY
Most ophthalmology revenue cycle problems do not begin in billing.
They begin earlier, through incomplete insurance information, disconnected workflows, inconsistent documentation, unclear financial expectations, and decisions made without visibility into their downstream impact.
By the time the problem reaches the billing team, the claim may already be delayed, denied, misdirected, underpaid, or placed at risk.
Billing often becomes responsible for problems it did not create and cannot correct alone.
Revenue cycle performance is shaped at every step.
THE LMC DIFFERENCE
Full-service should mean full responsibility.
LMC does not isolate claim submission from the rest of the revenue cycle. We connect the work from eligibility through final resolution, identify the process that created the problem, and remain accountable for what happens next.
We do not measure success by how many claims were submitted. We measure it by whether the revenue was resolved correctly.
01
OPHTHALMOLOGY ONLY
LMC works exclusively with ophthalmology practices and ASCs. That focus supports deeper knowledge of medical, surgical, injectable, optical, vision, and patient financial workflows.
02
HUMAN ACCOUNTABILITY
Every account remains connected to experienced U.S.-based revenue cycle professionals who understand the practice, the payer environment, and the history behind the balance.
03
OPERATIONAL THINKING
We review the workflow behind the denial, not only the denial itself.
04
ONGOING STAFF TRAINING
Front desk and clinical staff training is included in every LMC contract on an ongoing basis, so eligibility, documentation, and financial communication stay aligned as your team changes.
SERVICES
The entire ophthalmology revenue cycle. Connected.
LMC provides full-service ophthalmology billing and revenue cycle management from the first insurance inquiry through final payment, patient responsibility, reporting, and resolution.
ELIGIBILITY AND BENEFITS
Review coverage, plan requirements, referrals, deductibles, copays, coinsurance, and ophthalmology-specific benefit details.
CHARGE ENTRY
Support accurate entry of professional, surgical, injectable, diagnostic, and ASC-related charges.
CLAIM SCRUBBING AND SUBMISSION
Review coding, modifiers, provider information, payer requirements, and claim data before submission.
PAYMENT POSTING
Post and reconcile ERA and EOB activity, contractual adjustments, patient responsibility, denials, and payer takebacks.
DENIALS AND APPEALS
Research the cause, correct the underlying issue, prepare appeals, and track the claim through resolution.
INSURANCE A/R FOLLOW-UP
Prioritize actionable balances, evaluate payer delays, document follow-up, and escalate unresolved claims.
PATIENT STATEMENTS
Support accurate balance transfer, statement workflows, financial communication, and patient responsibility review.
REPORTING AND GUIDANCE
Translate revenue cycle data into clear findings, operational concerns, and recommended next actions.
A clean claim is not the finish line. It is the starting point.
OPHTHALMOLOGY EXPERTISE
Built for the complexity of ophthalmology.
Ophthalmology revenue cycle management requires more than general medical billing knowledge. It requires familiarity with the clinical, surgical, financial, and payer-specific details that shape how ophthalmology practices are paid.
- Cataract surgery and premium IOL workflows
- Retina injections and drug billing
- Glaucoma procedures
- Oculoplastics
- Diagnostic testing
- ASC professional and facility billing
- Medical and routine vision coordination
- Corrected claims and payer reconsiderations
- Referring and ordering provider requirements
- Patient financial communication
- Secondary and crossover claim issues
- Practice-management system transitions
FEATURED INSIGHT
Premium IOL confusion rarely begins after surgery. It usually begins before surgery, when the patient does not fully understand the difference between covered cataract services and elective vision-correction upgrades.
RESULTS
Ophthalmology revenue cycle performance you can measure.
LMC evaluates performance through the measures that reveal whether claims are moving, balances are resolving, and the revenue cycle is becoming more controlled over time.
99%+
Clean Claim Submission Rate
99%
Net Collection Rate
22
Average Days in A/R
~5%
Insurance A/R Over 90 Days
0
Timely Filing Denials
Better reporting does not improve performance by itself. Better decisions do.
Results vary by practice, payer mix, system, historical A/R, and operational conditions.
HUMAN-LED TECHNOLOGY
Technology should strengthen expertise, not replace it.
LMC combines experienced ophthalmology revenue cycle professionals with structured workflows, performance intelligence, and carefully governed AI assistance.
Technology helps organize information, identify patterns, prepare documents, and improve consistency. Human expertise remains responsible for interpretation, judgment, communication, and action.
AI-ENHANCED. HUMAN-LED. PURPOSE-BUILT FOR OPHTHALMOLOGY.
THE PAVE FRAMEWORK™
Behind every LMC engagement is a framework built for stronger options.
The PAVE Framework™ preserves, organizes, and applies operational judgment developed through real-world ophthalmology revenue cycle management.
It transforms experience into standards, standards into workflows, and workflows into consistent execution.
PAVE strengthens the infrastructure behind the practice so owners and administrators can make decisions with greater clarity, confidence, and control.
P
PROTECT AUTONOMY
Strengthen the business side without giving up control of the practice.
A
ALIGN OPERATIONS
Create cleaner workflows, reporting, and accountability from the front desk through final payment.
V
VISUALIZE PERFORMANCE
See what is working, identify what is not, and make confident data-driven decisions.
E
ENHANCE VALUE
Build durable practice value and preserve future options.
INSIDE THE PAVE FRAMEWORK™
Meet Linny.
Linny is the AI assistant operating inside The PAVE Framework™.
She helps the LMC team and authorized clients navigate approved knowledge, prepare documents, interpret information, and access ophthalmology revenue cycle tools.
Linny supports the process. LMC remains accountable for the work.
CLIENT PROOF
Why ophthalmology practices stay with LMC.
"Outstanding service. After LMC recommended restructuring our fees, we experienced a significant increase in revenue."
COLORADO SPRINGS, COLORADO
"We have finally achieved accurate billing and complete claim resolution. We could not have done it on our own."
ROCKVILLE, MARYLAND
"With a team that is responsive, communicative, and involved, you cannot go wrong with LMC."
CHARLESTON, SOUTH CAROLINA
FAQ
Frequently asked questions about ophthalmology billing and RCM
An ophthalmology billing company manages the full revenue cycle for eye care practices: eligibility and benefits, charge entry, claim scrubbing and submission, payment posting, denials and appeals, insurance follow-up, patient statements, and reporting.
Ophthalmology combines medical, surgical, injectable, diagnostic, and vision benefits in ways general medical billing does not encounter. Premium IOLs, retina injections, and medical versus routine vision coordination all carry rules that require specialty familiarity.
Yes. LMC works exclusively with independently owned ophthalmology practices and ambulatory surgery centers across the United States.
Yes. LMC supports both professional and facility billing for ophthalmology ambulatory surgery centers.
No. LMC works within the practice management system already in use and does not require a change of software as a condition of service.
LMC has experience working within these and other common ophthalmology practice management and clearinghouse systems.
LMC researches the cause of the denial, corrects the underlying issue, prepares the appeal, and tracks the claim through to resolution rather than closing the loop at resubmission.
Yes. LMC reviews aging insurance accounts receivable, prioritizes actionable balances, and escalates unresolved claims.
Yes. LMC operates with a 100% U.S.-based team.
The PAVE Framework™ is the proprietary operating structure behind LMC engagements. It organizes operational judgment into standards, workflows, and consistent execution across protect autonomy, align operations, visualize performance, and enhance value.
Linny is the AI assistant operating inside The PAVE Framework™. She supports the LMC team and authorized clients with knowledge, documents, analysis, and workflow tools. LMC remains accountable for the work.
Complete the form in the contact section of this website or reach out directly by email or phone. A member of the LMC team will follow up to discuss the practice and its current revenue cycle performance.
CONTACT
See what your ophthalmology revenue cycle is truly capable of.
Start with a focused review of your current performance, workflows, and opportunities.
Your review begins with understanding the practice, not selling a predefined package.
DIRECT CONTACT
Thank you. This prototype form is not yet connected. Please contact info@lmcpm.co or call 407-782-0480.