Specialty
OHIP billing for Ontario ophthalmology specialists
Ophthalmology blends medical retina and glaucoma care with surgical episodes. Ontario has specific expectations for how visits and procedures are reported.
Common billing gaps in ophthalmology
- →Pre-op and post-op visit rules around surgical global concepts
- →Diagnostic testing bundled incorrectly against same-day assessment
- →Injections and procedures coded without matching operative or procedure notes
- →Follow-up intervals that do not align with payable revisit rules
- →Hospital ophthalmology consults under-coded relative to charted complexity
Hospital affiliation hubs relevant to ophthalmology
Ontario OHIP pages for major hospitals where this specialty often intersects hospital billing. Each hospital page links back to specialties for deeper context.
Common questions
- What does a billing review usually surface for Ontario ophthalmology practices?
- We look for pattern-level issues in codes, modifiers, premiums, and resubmissions that match typical ophthalmology encounters in hospital and clinic settings. You get a short list of concrete gaps tied to your workflow.
- How do you work with our existing billing setup?
- We map your current workflow, who owns rejections and AR, and where documentation and fee schedule rules diverge. Then we show whether a focused change in process or support would move net revenue.
- What should I prepare before we talk?
- Recent rejection or pend reports help when you have them. A rough sense of monthly OHIP volume and who signs off on corrections is enough to make the first conversation productive.
Find out what your billing is missing
Start with a free OHIP billing review. We identify specific gaps in your current setup.
What to expect
- The free review is the same process we use across specialties: specific gaps, honest fit, and clear next steps.
- We reply within one business day after you submit the form.
- Typical reported outcomes for new clients include a 30 to 40% average revenue increase within 90 days where that metric applies.
Figures are reported averages and ranges. Your results depend on scope, documentation, and volume.