Opticode is an all-in-one eye care billing and coding platform built for optometry and ophthalmology private practices and RCM services. It helps prevent denials, optimize bundling, and improve reimbursement accuracy.

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While many established platforms, such as EyeCodingToday, primarily focus on CPT and ICD-10 lookup, modifier guidance, and bundling edits for research purposes, Opticode was engineered for real-world billing workflow and denial prevention. The platform delivers everything practices expect from a comprehensive coding resource hub — including CPT, ICD-10, HCPCS Level II, modifier libraries, Medicare fee schedules, MUE edits, LCD/NCD lookup, OPPS/ASC references, and AWP/lab fee data -all within a streamlined, specialty-focused system.

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Powered by the proprietary Opti Engine™ Suite, Opticode introduces workflow tools that traditional coding platforms do not provide. The OptiScrub Engine™ automatically validates claims prior to submission, flagging coding errors, missing modifiers, documentation gaps, demographic inconsistencies, and payer-specific rule violations. This proactive review helps improve first-pass acceptance rates and significantly reduces costly rework.

The OptiBundle Engine™ acts as a built-in bundle checker, analyzing procedure combinations to ensure services are grouped correctly according to current coding standards — a critical need in eye care where multiple tests and procedures are often performed together.

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The OptiGlobal Period Engine™ goes far beyond a basic global date calculator by mapping the full surgical timeline and providing included services guidance, Modifier 24 clarity, and billing insight designed specifically for ophthalmology workflows — and it is available free for anyone to use. Beyond claim validation, Opticode also supports revenue performance with real-time claim tracking, aged claim prioritization, denial pattern insights, workflow visibility, and saved Code Templates for frequently used combinations. Team collaboration features and automation tools further streamline billing operations and efficiency.

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With flexible pricing starting at just $15 per month or $115 per year — significantly lower than the $139 to nearly $600 per year range of many traditional coding platforms — Opticode offers a modern, specialty-built solution designed for today’s eye care revenue cycle.