Ophthalmology EHR and practice management software built for surgical volume and diagnostic complexity

Ophthalmology EHR practices juggle cataract surgery schedules, glaucoma monitoring, retinal imaging, refractive procedures, and medical eye care requiring precise documentation and complex billing. Generic EHR systems lack visual field integration. Basic billing software misses ASC coordination and global period tracking. Harris CareTracker delivers practice management software and revenue cycle management designed specifically for ophthalmology workflows where diagnostic testing drives medical necessity and surgical billing determines profitability.

Why Choose Us?

Generic Software Costs Ophthalmology Practices Thousands in Lost Surgical Revenue

Patient presents for cataract evaluation. You perform dilated examination, measure visual acuity, assess lens opacity, and order diagnostic testing. Generic EHR template asks about diabetes foot screening. Documentation misses elements proving cataract surgery medical necessity. Pre authorization request denies. Surgery delays. Revenue postpones.

You perform cataract surgery Monday. Patient returns Wednesday with question about vision. Generic billing system codes office visit during global period. Claim denies. Appeal requires manual documentation that visit addressed unrelated issue. Staff wastes two hours on preventable denial.

Glaucoma patient needs visual field testing. Technician performs test. Results require manual entry into EHR because diagnostic equipment does not interface. Data entry errors create medical record inaccuracies. Duplicate work wastes staff time.

Every day ophthalmology specific requirements cost practices revenue and efficiency because software built for primary care cannot handle eye care operational complexity.

Harris CareTracker eliminates these losses. Ophthalmology templates capture cataract surgery medical necessity elements. Global period tracking prevents inappropriate billing while documenting legitimate exceptions. Diagnostic equipment integration eliminates manual data entry. ASC coordination streamlines surgical scheduling and billing.

Documentation Designed Around How Ophthalmologists Actually Practice

Ophthalmology examinations follow systematic patterns. Visual acuity measurement. Intraocular pressure assessment. Slit lamp examination. Dilated fundus examination. Diagnostic testing interpretation. Each element requires specific documentation supporting medical decision making and procedure coding.

Harris CareTracker workflows match ophthalmology operational reality instead of forcing eye care into primary care templates.

Comprehensive eye examination documentation

Complete eye examination documentation includes visual acuity testing, refraction when indicated, external examination, slit lamp biomicroscopy, intraocular pressure measurement, and dilated fundus examination. Each element supports evaluation and management coding levels.

Templates guide systematic documentation. Visual acuity records distance and near vision by eye. Refraction documents sphere, cylinder, and axis. Slit lamp findings organize by anatomical structure. Fundus examination captures optic nerve, macula, vessels, and peripheral retina findings.

Comprehensive documentation supports appropriate evaluation level coding. Missing elements reduce billable complexity. Systematic templates ensure completeness.

Cataract Evaluation and Surgical Planning Documentation

Cataract surgery medical necessity requires documentation proving vision impairment affecting function. Visual acuity measurement. Glare testing. Contrast sensitivity assessment. Functional limitation description. Conservative treatment attempts when applicable.

Templates capture medical necessity elements required by Medicare and commercial payers. Functional impact questions prompt patient reported limitations. Visual acuity at distance and near documents. Prior treatment including glasses or environmental modification notes.

Medical necessity documentation determines surgical authorization approval. Missing elements create denial or delay. Templates ensure authorization success.

Glaucoma Management and Monitoring Documentation

Glaucoma treatment requires ongoing monitoring demonstrating disease control or progression. Intraocular pressure trending. Visual field stability or deterioration. Optic nerve appearance changes. Treatment adjustments based on disease behavior.

Documentation captures serial measurements enabling progression analysis. IOP values trend over time. Visual field results compare against baseline and previous tests. Optic nerve photographs show structural changes. Treatment modification justification documents when therapy adjusts.

Glaucoma monitoring documentation

Intraocular pressure with time-of-day notation
Target pressure definition based on disease severity
Visual field results with deviation indices
Progression analysis comparing current to prior fields
Optic nerve assessment with cup to disc ratio
Retinal nerve fiber layer thickness from OCT
Treatment regimen documentation with adherence assessment
Side effect monitoring for glaucoma medications
Surgical intervention consideration when medical therapy insufficient
Follow up interval determination based on disease stability

Glaucoma documentation supports medical necessity for ongoing care and treatment intensification. Progression demonstration justifies surgical intervention when needed.

Retinal Examination and Disease Documentation

Retinal disease management including diabetic retinopathy, macular degeneration, and retinal vascular occlusions requires detailed posterior segment documentation. Fundus examination findings. Imaging correlation with OCT and fluorescein angiography. Treatment planning for injections or laser.

Templates organize retinal findings by anatomical location. Macula assessment separate from peripheral retina. Vascular changes document distinctly from structural abnormalities. Treatment response tracking compares current to previous examinations.

Retinal disease documentation

Diabetic retinopathy severity grading with standardized scale
Macular edema assessment with central subfield thickness
Age related macular degeneration classification
Choroidal neovascularization documentation when present
Retinal vascular occlusion type and location
Macular hole or epiretinal membrane characterization
OCT interpretation with quantitative measurements
Fluorescein angiography findings when performed
Treatment plan including injection or laser indications
Response to prior treatment with interval change documentation

Retinal disease documentation supports medical necessity for intravitreal injections and laser procedures. Imaging integration provides objective disease measurement.

Visual Field Integration and Progression Analysis

Visual field testing monitors glaucoma progression and neurological disease. Results include threshold values, deviation maps, and reliability indices. Manual entry of complex visual field data is impractical.

Direct integration with Humphrey, Octopus, and other visual field analyzers imports complete test results. Deviation plots display within EHR. Progression analysis compares current test against baseline and interval studies. Reliable versus unreliable test identification prevents clinical decisions based on poor quality data.

Visual field integration features

Visual field integration saves staff time while improving clinical decision making. Progression analysis tools enhance glaucoma management quality.

OCT Integration for Retinal Disease Monitoring

Optical coherence tomography provides quantitative retinal thickness measurements essential for macular disease management. Central subfield thickness determines treatment timing for diabetic macular edema and macular degeneration.

OCT integration capabilities

OCT integration eliminates manual measurement entry. Trending analysis supports treatment decisions. Imaging availability during encounters improves clinical workflow.

ASC Scheduling and Surgical Case Management

Ophthalmology EHR practices performing surgery coordinate between office, ambulatory surgical center, and hospital settings. Surgical scheduling requires facility coordination. Pre operative clearance documentation. Implant ordering for cataract surgery. Post operative follow up scheduling.

Harris CareTracker coordinates surgical workflows from initial booking through post operative care ensuring nothing falls through coordination gaps.

Surgical scheduling with facility coordination

Cataract surgeons operate at ASCs or hospital based surgical suites. Scheduling requires checking facility availability, coordinating with facility OR schedules, and managing block time allocation.

Surgical scheduling features:

Multi facility scheduling showing availability across locations
Block time management with utilization tracking
OR preference by surgeon and facility
Procedure duration templates based on case complexity
Bilateral surgery scheduling with appropriate time allocation
Equipment and implant coordination with facility
Anesthesia requirement communication
Preoperative clearance requirement tracking
Same day versus separate day bilateral surgery management

Efficient surgical coordination maximizes OR utilization and prevents scheduling conflicts.

Post operative care scheduling and monitoring

Cataract surgery requires day one post operative evaluation. Additional follow ups at one week and one month typical. Scheduling occurs automatically when surgery books.

Post operative visit templates capture standard assessments. Visual acuity improvement documentation. Intraocular pressure measurement. Anterior chamber reaction grading. Complication screening. Refraction timing for glasses prescription.

Post operative management features:

Automatic post-operative appointment scheduling
Day one post operative visit template
Visual acuity improvement tracking
Complication monitoring and documentation
Refractive surprise evaluation when outcomes differ from target
Secondary procedure discussion when indicated
Glasses prescription timing based on healing
Patient satisfaction assessment
Surgical outcome reporting for quality tracking

Systematic post-operative care improves outcomes and patient satisfaction while ensuring billable follow up visits schedule appropriately.

Ophthalmology Billing Handling Surgical Complexity and Global Periods

Ophthalmology EHR billing involves surgical global periods, ASC versus office billing, technical versus professional components, and modifier requirements. Each element creates denial risk when handled incorrectly.

Harris CareTracker revenue cycle management automates ophthalmology billing complexity. Global period tracking prevents inappropriate billing. ASC coordination ensures facility and professional billing align. Technical component separation when applicable. Modifier intelligence for bilateral procedures and surgical add ons.

Injection and laser procedure billing

Intravitreal injections for macular degeneration and diabetic retinopathy represent significant revenue. Laser procedures including YAG capsulotomy and laser trabeculoplasty require accurate coding. Drug administration billing for injections needs appropriate codes.

Injection and laser billing:

Injection procedure code with drug code billing
J code assignment for specific medications injected
Bilateral injection billing with modifier 50
Laser procedure coding by type and location
Multiple laser procedure modifier application
Drug wastage documentation when applicable
Medical necessity support from imaging and examination
Series tracking for multiple injection protocols

Injection billing requires both procedure code and drug code. Missing either component loses revenue.

Ophthalmology EHR and Practice Management Built for Surgical Complexity and Diagnostic Integration

Generic software ignores ophthalmology reality. Missing medical necessity documentation delays cataract surgery authorization.

Harris CareTracker eliminates these inefficiencies. Ophthalmology EHR templates capture medical necessity elements. Global period tracking prevents inappropriate billing. Diagnostic integration eliminates manual entry. ASC coordination streamlines surgical workflows. Amplify ambient listening documents examinations during patient care.

Stop fighting software designed for primary care. Start operating with infrastructure built for eye care specialists.

What Our Customers Say About Us

We chose Harris CareTracker for our office because of its cost-effectiveness and since changing to them, we have seen a significant increase in our monthly savings. The standout feature has been the excellent customer support and training!

Tara Warnock

Billing Specialist | Naples Vascular Specialists

It’s really easy to use Harris CareTracker Practice Management. Very easy to learn.

Lauren O'Brien

Billing Manager | New England OB/GYN

We have used Harris CareTracker in our practice for 5 years, and it has been a wonderful experience. The trainers and on-going support teams are knowledgeable, accessible, and quick to respond to queries. They provided easy-to-follow step-by-step guidance for using the software. They never failed me. I highly recommend CareTracker for practices of any size.