Bennu Medical Billing

Specialized Ophthalmic & Surgical Billing Support

High-Precision Backend Claim Management for Standalone Eye Practices.

What Washington Doctors Say

Independent ophthalmologists and cataract surgeons deal with a billing environment that is unusually unforgiving: surgical modifiers, global periods, documentation support for surgeries, Medicare rules, and obscure payer-specific edits all have to line up cleanly for claims to move forward. Once the front desk is done, I take over billing. I work your claims, denials, accounts receivable, payer follow up and appeals so your staff spends less time fighting with payers.

I provide a boutique medical billing service with the personal touch and responsiveness of a dedicated local partner.

The Billing Reality for Standalone Eye Practices

• In 2022, national data from Crowe showed initial denial rates rising to about 11% of all claims for the average health system—more than one in ten claims rejected on first pass.
• Premier reported that nearly 15% of claims submitted to private payers are denied initially, and Medicare Advantage claims were denied at an even higher 15.7% rate.
• In ophthalmology, many of the most preventable denials come from familiar operational breakdowns: missing or incorrect modifiers, documentation gaps, eligibility and patient-information errors, and billing mistakes tied to the global period.
• Most practices do not lose money because one claim denied. They lose money because denied claims are not worked quickly, refiled correctly, or appealed aggressively enough to recover what should have been paid.

How I Keep Denials Exceptionally Low

Preventable ophthalmology denials happen because of a lack of clear systems between the front office and the back office, wrong modifiers, incorrect patient or insurance information, missing documentation, and services billed incorrectly inside the global period. Coming from an IT and automation background, I actively engineer your clinic’s data workflow so clean, complete insurance and clinical information flows directly into my billing stream.

Here is exactly how I actively run your account:

• Billing Review and Workflow Audit: I review your current billing flow, denial patterns, AR, and write-offs to identify where revenue is leaking and which errors are recurring.
• Front-End Guardrails: I give your front desk simple, usable intake steps so the information reaching billing is cleaner from the start—accurate demographics, better insurance data, and fewer preventable eligibility mistakes.
• Daily Billing and Denial Management: I handle claim submission, clearinghouse edits, denial follow-up, corrected claims, and appeals so problems are fixed quickly instead of aging out in AR.
• Ongoing AR Recovery: I track unpaid and underpaid claims, work payer follow-up, and keep old balances from quietly turning into write-offs.
• Transparent Reporting: You receive clear updates on denials, recoveries, and collections so you can see exactly what is being fixed and what cash is coming back into the practice.

*In one long‑term solo eye practice I supported, the practice’s analytics showed roughly 99.42% of charges collected and about 0.58% not paid on first submission during my tenure. Actual results depend on your payer mix, case mix, documentation, and how much change you are willing to implement, so I do not promise a specific rate—but this is the level I design the system to aim for.

I’ve run every part of the billing and revenue cycle for small practices for 15+ years— credentialing, claims, denials, AR, Medicare, and payer rules. I know how to keep money from slipping through the cracks.

I handle claim submission, denial follow‑up, and AR with a focus on the issues that hit cashflow hardest.

I work with a small number of private Washington clinics so I stay personally involved in your claims and AR. Your account is never handed off to a junior biller or call center—you always know who is watching your money

Let’s Talk About Your Billing

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