Ophthalmology billing, done the way it should be.
Brenner Medical Management runs revenue cycle for retina and ophthalmology practices that are tired of leaving money on the table. Cleaner claims. Faster AR. Fewer denials. Quietly, and without drama.
We do the unglamorous work of billing so the practice runs on time and gets paid the first time.
No dashboards full of vanity metrics. No "we'll get back to you next quarter." Just the slow, careful work of catching the J-codes, working the denials, and making sure the right amount lands in the right account on the right day.
Specialty billing and full-service practice management — the whole back office, under one roof.
Most of our clients hire us for one and grow into the other. The two services are designed to run together: when billing and operations are managed by the same firm, the gaps where money usually falls disappear.
End-to-end RCM, built around the way an ophthalmology office actually runs.
Coding, billing, posting, AR follow-up, denials, credentialing — the whole revenue cycle, run by people who know the difference between modifier 25 and modifier 59 and aren't going to bill you both.
Coding & Charge Capture
Certified coders who actually understand ophthalmology — E&M leveling, eye codes, drug J-codes, modifier logic for testing services. We catch what your scribes miss.
Claims Submission & Posting
Clean claims out the door inside 24 hours of charge entry. Payments posted daily, with adjustments reconciled and contractual variances flagged.
AR Follow-Up
Aging is worked weekly, not when it gets bad. We chase 30-day balances before they become 90-day write-offs.
Denials Management
Every denial worked, appealed, and tracked. We don't write off what we can win back. Patterns get reported up so the front desk and clinical team can stop the bleed at the source.
Credentialing & Payer Enrollment
New providers credentialed without the six-month delay. CAQH maintained. Re-credentialing tracked so nothing lapses.
MIPS & Quality Reporting
Quality measures captured, reported, and optimized. We treat MIPS like the revenue line item it is — not a checkbox.
The whole back office — run by people who've worked inside one.
Financial operations, payroll, credentialing, payer contracts, compliance, workflow, reporting. Full-service practice management for owners who'd rather see patients than chase down a vendor invoice or a Medicare revalidation.
Financial Operations
Day-to-day accounting, accounts payable, monthly close, and clear financial reporting. So the practice's books actually reflect what's happening in the practice.
Payroll & Benefits
Payroll runs on schedule, benefits enrollment and renewal, time-off tracking, and the IRS paperwork nobody likes. Quietly, on time, every time.
Credentialing & Provider Enrollment
Initial credentialing for new providers, recredentialing tracking so nothing lapses, CAQH maintenance, payer enrollment, and Medicare PECOS updates.
Payer Contract Negotiation
Annual contract review, fee schedule benchmarking, and re-negotiation with major payers when the contract no longer fits the practice you've grown into.
Operations & Workflow
Front desk redesign, scheduling optimization, intake review, and the patient-flow fixes that change the day-to-day — not the kind of consulting that lives in a slide deck.
Built for retina. Sharpened on every other ophthalmology subspecialty.
Most billing companies treat ophthalmology like any other specialty. It isn't. Retina alone runs on injectable drugs that cost more than the surgery, denial patterns that change with every payer policy update, and modifier rules that catch even experienced coders off guard.
We work this lane on purpose. Eylea HD reimbursement timing. Vabysmo prior auth pitfalls. Susvimo refill logistics. Biosimilar substitution policies. Modifier 25 documentation that survives an audit. MIPS measures that actually move the needle for a retina practice.
"We built Brenner to run billing and practice management the way the best practices always wished theirs were run — careful, accountable, and small enough to actually answer the phone."
— Mike Brenner, Founder
Brenner isn't an offshore billing shop or a private-equity-owned consolidator.
It's a New Orleans firm founded by an operator who spent 25 years running multi-million-dollar businesses — including the #1 Acura dealership in the nation — before bringing that operating discipline to medical practices. Direct accountability. A deliberately small client list. A real conversation with the person responsible — not a regional VP you'll never meet again.
Read our story →Onboarding that respects the practice you've already built.
Listen first
We start with the free 30-day AR audit. No commitment. We look at your aging, your denial mix, your top five payer patterns, and tell you exactly where the leakage is.
Build the bridge
If we're a fit, we map the transition around your workflow — not ours. EHR access, payer portals, clearinghouse handoff, scheduled so nothing drops mid-cycle.
Run the cycle
Weekly check-ins for the first 90 days, monthly after that. You get a real human, a real phone number, and clean reporting that tells you the truth.
Find out what your practice is leaving on the table.
Thirty days. No cost. We'll review your AR, your denial patterns, and your top revenue leaks — and tell you what we'd do about them. If we're a fit, we keep going. If not, you've learned something useful either way.