Medicare Payment Rates for Eyecare & ASCs

Effortless Medicare Payment Rates: Accurate Data at Your Fingertips

Each year, the Centers for Medicare & Medicaid Services (CMS) publishes updates for payment policies, payment rates, and other service provisions furnished under the Medicare Physician Fee Schedule. Practices must adopt these Medicare updates every year to establish accurate physician fees by geographic location.

VMG Health offers an easy-to-use Medicare Payment Rates (MPR) program for eyecare providers that does the work for you. Our industry experts update this tool annually to help your billing team easily navigate Medicare updates and fee schedule changes. Our comprehensive MPR solution saves you time by easily looking up the Medicare allowable for your geographic location.

Optimize reimbursement by creating an accurate baseline for practice fees. MPR allows you to quickly look up reimbursement rates by CPT code without extra steps and easily integrate that data into your electronic practice management system. Equip your team with the insights they need to optimize your practice’s revenue potential and stay ahead in the evolving healthcare landscape.

Eyecare-Specific Codes

Each year, our consultants, with over 60 collective years of industry expertise, review the national fee schedule and provide you with eyecare-specific codes only, giving you the most relevant data and saving you valuable time. Available for your practice or ASC.

Customized Report Per Practice Locality

Many factors affect how you set your annual practice fees, including your local market. This tool is created specifically for your practice based on the ZIP code(s) you practice in.

Customized Report Per ASC CBSA

The ASC version of the tool takes the ASC ZIP code and uses the core-based statistical area (CBSA) data to tailor this for your ASC.

Intuitive Payment Indicator Legend

This quick, one-page reference guide clearly explains payment indicators to help you navigate through your baseline practice fees for the current year.

Relevant Info in One Guide

Our comprehensive solution contains relevant information regarding procedure codes, including CPT codes, assistant surgeon coverage, bilateral payment indicators, diagnostic test supervision, global periods for surgery, and multiple procedure payment indicators.

Enterprise Version

If you are a large, multi-location practice with one or more ASCs, it may be to your advantage to purchase our Enterprise version of this program.

Pricing: One Low Fee for the Entire Year

  • $119 First Practice or ASC
  • $29 Per Additional Locality

*National rates free for Ophthalmology Connection members

Empower your team with access to our Medicare Payment Rates tool, crafted by seasoned consultants with over 60 years of combined industry expertise. For an affordable fee, your staff will benefit from a resource designed to streamline reimbursement processes and integrate seamlessly into your practice management system.

Order Your Locality Now

By the Numbers

One Annual Fee

$119
first practice or ASC
$29
per additional locality

Contact Us

What’s your biggest business challenge? Reach out to an expert today.

NOTE: For additional questions, please contact email@vmghealth.com.