Medical Billing Companies & Consultants in Merrick, NY

Focused Medical Billing is a billing and revenue cycle firm in Merrick, New York. It works only with ophthalmology practices and does not serve a wide range of specialties. Its clients are eye care groups across the United States that want better coding accuracy, fewer denied claims and steadier collections. Buyers who run a general ophthalmology, retina or surgical eye practice will find that this narrow specialty focus is what sets the company apart.

Background

Allison May founded the company in 2008 and is its CEO. She started in eye care in 1998 as an ophthalmic technician, so she first saw the field from the clinical side. She later moved into the financial side and became billing manager at a large ophthalmology group in Manhattan. That job gave her a working knowledge of practice operations and revenue management. Her background as a technician, a manager and a business owner shapes how the firm handles its client relationships.

Services

The firm handles every stage of a claim, from the patient visit to final payment. Its core work includes:

• Checking patient demographics, insurance details, eligibility and benefits
• Charge entry, coding support and claim scrubbing before submission
• Submitting clean claims and following up with payers
• Payment posting, EOB processing and underpayment review
• Tracking and collecting patient balances
• Accounts receivable follow-up and performance reporting

Its specialty billing lines follow the main areas of eye care. Retina work covers intravitreal injections, drug billing and imaging. Surgical billing covers cataract procedures, global periods, co-management and postoperative claims. Diagnostic billing covers OCT, visual field testing and the documentation needed to show medical necessity. The refractive and self-pay line covers LASIK, PRK, refractions and other services insurance doesn't pay for. On coding, the team works with the 92002-92014 Eye Codes, E/M levels, CPT and ICD-10 codes, and modifiers such as -25, -24, -RT and -LT. It also helps practices tell medical coverage apart from routine vision coverage.

How They Work With Clients

When claims are denied, the company doesn't just resubmit them. It looks for patterns that point to a deeper cause, such as missing modifiers, mismatched diagnosis and procedure codes, authorization or eligibility gaps, weak documentation, or conflicts with surgical global periods. Beyond day-to-day billing, it offers forensic billing reviews, revenue recovery and practice consulting. Its stated aim is to make sure every chargeable service is captured.

The firm presents itself as a scalable alternative to keeping billing staff in-house. Its fees include HIPAA-compliant billing technology, so clients don't have to buy or upgrade their own software. Practices get ongoing visibility into claim status, reimbursements, denial trends and receivables. The company works with eye care practices of all sizes and tailors its service to each one. New clients usually start with a complimentary review of their current billing, followed by an onboarding process.