OptiCode is a specialty-built billing and coding platform designed exclusively for optometry, ophthalmology, and RCM teams. It combines comprehensive coding resources with proactive workflow validation to protect revenue before claims are ever submitted.

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Access CPT, ICD-10, HCPCS Level II, modifier libraries, MUE edits, Medicare fee schedules, LCD/NCD lookup, OPPS/ASC references, AWP and lab fee data — all within a streamlined system engineered specifically for eye care billing workflows.

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Powered by the proprietary Opti Engine™ Suite:

OptiScrub™ automatically validates claims pre-submission, identifying coding errors, missing modifiers, documentation gaps, demographic inconsistencies, and payer-specific rule conflicts — helping improve first-pass acceptance rates and reduce costly rework.

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

OptiGlobal Period™ goes beyond a simple global date calculator by mapping the full surgical timeline, clarifying included services, and providing Modifier 24 guidance tailored specifically for ophthalmology workflows. Available free for anyone to use.

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Beyond validation, OptiCode supports revenue performance with real-time claim visibility, aged claim prioritization, denial trend insights, and saved Code Templates to streamline repetitive billing scenarios.

Reduce denials. Strengthen compliance. Improve operational efficiency. Maximize reimbursement accuracy.