Denied claims nobody worked. Payers paying less than your contract. Tests and procedures performed but under-documented. Callisto finds the money ophthalmology practices leave behind, prepares every case for your team, and tracks every dollar back into the bank.
Start with a file upload. No EHR integration, no IT project.
Your billing team is busy getting today's claims out the door. The revenue that slips away afterward rarely gets a second look.
A denied visual field, an OCT outside the frequency window, an injection missing its NDC. Each one is small enough to write off, and together they add up fast. Most are never resubmitted.
The claim was paid, so it looks closed. But was it paid at your contracted rate? Few practices compare every paid line against their contracts, and payers know it.
Complex cataract billed as routine because the chart didn't support it. Testing without an interpretation. Same-day exams without the right modifier. Work performed, revenue lost.
Callisto doesn't just flag problems. It prepares each recoverable claim so your team can act in minutes, then tracks the result so you see exactly what came back.
Every denial across exams, diagnostics, surgery, and injections, sorted by recoverable dollars and appeal deadline instead of by whoever opened the inbox first.
Every paid line checked against your contracted rates and the Medicare fee schedule. Short-pays surface automatically, grouped by payer, so you can recover them and bring evidence to contract talks.
What Callisto learns from your denials feeds back into checks before claims go out, so the same mistake stops costing you every month.
Generic revenue cycle tools treat a denied OCT like a denied knee scope. Callisto's rules, appeal templates, and payer policy library are built around how eye care is actually billed.
Frequency limits, diagnosis-to-test linkage, same-day bundling edits, and interpretation requirements.
Documentation that supports complex cataract, premium lens patient-pay components, and global-period follow-up.
Prior authorization and step therapy, NDC and units, wastage modifiers. A denied injection is a drug you already paid for.
Ongoing testing for glaucoma suspects and patients, plus laser and MIGS procedures and the payer coverage rules behind them.
RT/LT, -25 on same-day exams, -24 and -79 inside global periods, and -54/-55 co-management splits.
Claims sent to the wrong plan, routine refraction, and the coordination headaches that come with both.
Blepharoplasty and ptosis prior authorization, visual field and photo documentation.
Your patient mix skews Medicare and Medicare Advantage. Callisto cites published coverage policies, never invented criteria.
No integration project to start. Your billing team exports remittance files they already have, and Callisto does the rest.
Export your 835 remittance files and, for underpayment recovery, your contracted rates. Any EHR or practice management system works.
Your team · 15 minutesEvery denial and paid line is analyzed, ranked by recoverable dollars and deadline, and matched to the relevant payer policy.
CallistoEach case comes with root cause, a drafted appeal or corrected claim, cited policy, and a checklist of what to verify.
CallistoYour staff reviews, edits, and approves every submission. Outcomes are tracked, so you see exactly what was recovered.
Your team · minutes per caseEvery outcome teaches the system which arguments work with which payers, so your appeals get stronger and your denials get rarer over time.
We help your documentation support the care you delivered. We don't push coding up or invent arguments, because that is how practices end up repaying in an audit.
AI prepares the work: sorting, research, drafting. Nothing goes to a payer without your staff's review and approval. That rule is enforced in the software, not just stated in policy.
Appeals cite published payer and Medicare coverage policies. When no supporting policy exists, Callisto says so on the reviewer checklist instead of filling the gap.
Business associate agreements signed before any patient data enters the system. Encryption in transit and at rest, multi-factor sign-in, and every access to patient data logged.
Callisto sits on top of your EHR, practice management system, and billing partner. Nothing gets replaced, and your workflows stay intact.
Callisto gives your existing billers leverage. It doesn't replace them.
Groups with a centralized billing team and real denial volume across cataract, retina, glaucoma, and diagnostics.
High-dollar, rule-heavy billing where one missed authorization or modifier repeats across hundreds of claims.
Optometry practices growing their medical billing (diagnostics, disease management, co-management) without a dedicated denials team.
Send us 90 days of remittance files. We'll show you the recoverable denials, underpayments, and correctable claims, in dollars, within a week.
This opens your email app with your request filled in. Prefer to write directly? callistoinsights@gmail.com
Please don't include patient information in your request. A business associate agreement is signed before any patient data is shared.