Ophthalmology billing company
Full-Service Ophthalmology Billing and Revenue Cycle Management
LMC Practice Management is a nationwide ophthalmology billing company providing full-service revenue cycle management for independent ophthalmology practices and ambulatory surgery centers. Ophthalmology is all we do.
Results
Revenue cycle performance you can measure.
Clean claim submission rate
Net collection rate
Average days in A/R
Insurance A/R over 90 days
Timely filing denials
Results vary by practice, payer mix, system, historical A/R, and operational conditions.
The reality
Most ophthalmology revenue cycle problems do not begin in billing.
They begin earlier: 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, underpaid, or at risk. LMC connects the work from eligibility through final resolution, finds the process that created the problem, and stays accountable for what happens next.
We measure success by whether the revenue was resolved correctly, not by how many claims were submitted.
Services
The entire ophthalmology revenue cycle. Connected.
Eligibility and Benefits
Coverage, referrals, deductibles, and ophthalmology-specific benefit details verified before the visit.
Charge Entry
Professional, surgical, injectable, diagnostic, and ASC charges entered accurately.
Claim Scrubbing
Coding, modifiers, provider data, and payer rules reviewed before submission.
Payment Posting
ERA and EOB activity posted and reconciled, including takebacks and adjustments.
Denials and Appeals
Root cause corrected, appeal prepared, claim tracked through resolution.
Insurance A/R Follow-Up
Actionable balances prioritized, payer delays escalated, follow-up documented.
Patient Statements
Accurate balance transfer and clear patient financial communication.
Reporting and Guidance
Data translated into findings, operational concerns, and next actions.
Ophthalmology expertise
Built for the complexity of ophthalmology.
General medical billing knowledge is not enough. Ophthalmology combines medical, surgical, injectable, diagnostic, and vision benefits in ways other specialties never encounter.
Cataract and Premium IOL
Covered surgery and noncovered refractive upgrades, billed and communicated correctly.
Cataract BillingRetina and Injectables
Buy-and-bill drug billing, NDC reporting, wastage modifiers, and authorizations.
Retina BillingOphthalmology ASCs
Professional and facility billing, coordinated across surgeon and center.
ASC BillingA/R Recovery
Aging insurance balances analyzed, prioritized, recovered, and prevented.
A/R RecoveryAlso: glaucoma procedures, oculoplastics, diagnostic testing, medical and routine vision coordination, corrected claims, and practice management system transitions.
Platforms
No software lock-in. We work in your system.
LMC works inside the practice management system you already use. No software change is required, and there is no add-on software to purchase.
ModMed Billing Services
Led by a team with a formal ModMed billing certification, working directly inside your ModMed system.
ModMed Billing NEXTECH PRACTICESNextech Billing Services
An ophthalmology-only revenue cycle team working directly inside the Nextech environment you already use.
Nextech BillingAlso experienced with AdvancedMD, Office Ally, and other common ophthalmology practice management and clearinghouse systems.
Leadership
Led by an ophthalmology revenue cycle specialist.
LMC is led by founder and Chief Revenue Cycle Officer Lindsay Cavalier, BAS, who brings approximately 25 years of healthcare and medical billing experience. She holds a formal ModMed billing certification and is an active ASOA member. Every LMC engagement has direct access to leadership.
Meet the Team Behind LMCOngoing Staff Training
Front desk and clinical staff training is included on an ongoing basis, so eligibility, documentation, and financial communication stay aligned as your team changes.
The PAVE Framework™
The operating structure behind every LMC engagement.
The PAVE Framework™ turns real-world ophthalmology revenue cycle experience into standards, standards into workflows, and workflows into consistent execution.
Protect autonomy. Strengthen the business side without giving up control.
Align operations. Cleaner workflows from front desk to final payment.
Visualize performance. See what works and decide with data.
Enhance value. Build durable practice value and preserve options.
Client proof
Why ophthalmology practices stay with LMC.
"Outstanding service. After LMC recommended restructuring our fees, we experienced a significant increase in revenue."
"We have finally achieved accurate billing and complete claim resolution. We could not have done it on our own."
"With a team that is responsive, communicative, and involved, you cannot go wrong with LMC."
FAQ
Ophthalmology billing questions, answered.
What does an ophthalmology billing company manage?
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.
Why does ophthalmology need specialty-specific billing experience?
Ophthalmology combines medical, surgical, injectable, diagnostic, and vision benefits. Premium IOLs, retina injections, and medical versus routine vision coordination all carry rules that general billing teams rarely see.
Does LMC provide ophthalmology ASC billing?
Yes. LMC supports both professional and facility billing for ophthalmology ambulatory surgery centers.
Does LMC require a specific practice management system?
No. LMC works within the system already in use, including ModMed, Nextech, AdvancedMD, and Office Ally.
Does LMC work old accounts receivable?
Yes. LMC analyzes aging insurance A/R, prioritizes balances with real recovery potential, pursues them through resolution, and fixes the workflows that let them age.
Is the LMC billing team based in the United States?
Yes. LMC operates with a 100% U.S.-based team.
How does a practice request a revenue cycle review?
Complete the request form or call 407-782-0480. A member of the LMC team will follow up to learn about the practice and its current performance.
See what your ophthalmology revenue cycle is truly capable of.
Start with a focused review of your performance, workflows, and opportunities. It begins with understanding your practice, not selling a predefined package.
Request a Revenue Review