Ophthalmology and Optometry Coding Alert
Gonioscopy:
Vanquish Misconceptions Hindering 92020 Claims
Get answers to your FAQs about postop, bilateral gonioscopy billing rules. There are sev... Read more
Vanquish Misconceptions Hindering 92020 Claims
Get answers to your FAQs about postop, bilateral gonioscopy billing rules. There are sev... Read more
Fee-For-Time Billing:
Know These 7 Myths and 1 Truth About Fee-for-Time Billing
Prep now for summer FFT fill-ins, previously called locum tenens. Summer is in full swi... Read more
Know These 7 Myths and 1 Truth About Fee-for-Time Billing
Prep now for summer FFT fill-ins, previously called locum tenens. Summer is in full swi... Read more
Best Practices:
Find Some Light in the Prior Authorization Maze
Hint: Don't forget to keep track of denials so you can troubleshoot your processes. Hea... Read more
Find Some Light in the Prior Authorization Maze
Hint: Don't forget to keep track of denials so you can troubleshoot your processes. Hea... Read more
Reader Questions:
Dig for These Details Before Billing Serial Tonometry
Question: Our ophthalmologist evaluated a patient with acute angle-closure glaucoma a... Read more
Dig for These Details Before Billing Serial Tonometry
Question: Our ophthalmologist evaluated a patient with acute angle-closure glaucoma a... Read more
Reader Questions:
Solve This E/M Question
Question: Does an undiagnosed new problem with an uncertain diagnosis automatically m... Read more
Solve This E/M Question
Question: Does an undiagnosed new problem with an uncertain diagnosis automatically m... Read more
Reader Questions:
Easily Fix EHR Errors
Question: How should we correct a mistake in an electronic health record (EHR)? Wash... Read more
Easily Fix EHR Errors
Question: How should we correct a mistake in an electronic health record (EHR)? Wash... Read more
You Be the Coder:
Recognize Which Details Impact Gonioscopy, VF Reporting
Question: A patient is in for a routine exam and has no complaints. The ophthalmologi... Read more
Recognize Which Details Impact Gonioscopy, VF Reporting
Question: A patient is in for a routine exam and has no complaints. The ophthalmologi... Read more
Foreign Body Removal:
Eye These Encounter Elements When Coding Ocular FBR
Look closely at the documentation for these clues to determine the right code. A common c... Read more
Eye These Encounter Elements When Coding Ocular FBR
Look closely at the documentation for these clues to determine the right code. A common c... Read more
Medicare Tips:
Sharpen Your Medicare Signature Knowledge
Resolving your questionable signatures prior to claim submission is key. In your eye ca... Read more
Sharpen Your Medicare Signature Knowledge
Resolving your questionable signatures prior to claim submission is key. In your eye ca... Read more
HIPAA Help Desk:
Learn These 3 Truths and 3 Myths About PHI
Hint: De-identifying records may allow you to scrub PHI from them. From patient names to ... Read more
Learn These 3 Truths and 3 Myths About PHI
Hint: De-identifying records may allow you to scrub PHI from them. From patient names to ... Read more
Reader Questions:
Find Out How To Handle Family History Facts
Question: When our ophthalmologists get referrals for procedures, the referring physi... Read more
Find Out How To Handle Family History Facts
Question: When our ophthalmologists get referrals for procedures, the referring physi... Read more
Reader Questions:
Make Note of Medicare Overpayment Rules
Question: Who is responsible for identifying and correcting overpayment in any Medica... Read more
Make Note of Medicare Overpayment Rules
Question: Who is responsible for identifying and correcting overpayment in any Medica... Read more
Reader Questions:
Explore Each of the 5 Medicare Denial Appeal Levels
Question: We filed a claim for a Medicare Part B patient with our Medicare Administr... Read more
Explore Each of the 5 Medicare Denial Appeal Levels
Question: We filed a claim for a Medicare Part B patient with our Medicare Administr... Read more
You Be the Coder:
Pinpoint Proper Reporting for This FBR Encounter
Question: A welder presents with swelling in his left eye. The ophthalmologist finds ... Read more
Pinpoint Proper Reporting for This FBR Encounter
Question: A welder presents with swelling in his left eye. The ophthalmologist finds ... Read more
Eye Injuries:
Can You Code These Ocular Trauma Cases?
Don't skimp on coding when you see a patient with an urgent diagnosis. While the primary ... Read more
Can You Code These Ocular Trauma Cases?
Don't skimp on coding when you see a patient with an urgent diagnosis. While the primary ... Read more
Reimbursement:
Prevent Denials Before They Occur With These 4 Tips
Here's how to get all your documentation ducks in a row. If you've been experiencing an ... Read more
Prevent Denials Before They Occur With These 4 Tips
Here's how to get all your documentation ducks in a row. If you've been experiencing an ... Read more
Practice Management:
Think Twice Before Waiving Co-Pays
See how a simple financial accommodation can cause a huge headache. Healthcare practiti... Read more
Think Twice Before Waiving Co-Pays
See how a simple financial accommodation can cause a huge headache. Healthcare practiti... Read more
Reader Questions:
Base Injectable Drug Documentation on This Checklist
Question: When our physicians treat a patient via a drug injection, what should we b... Read more
Base Injectable Drug Documentation on This Checklist
Question: When our physicians treat a patient via a drug injection, what should we b... Read more
Reader Questions:
Rely on Addendums for EHR Mistake Corrections
Question: How should we correct a mistake in an electronic health record (EHR)? Montana ... Read more
Rely on Addendums for EHR Mistake Corrections
Question: How should we correct a mistake in an electronic health record (EHR)? Montana ... Read more
Reader Questions:
Medicare Ups Conversion Factor … Slightly
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) con... Read more
Medicare Ups Conversion Factor … Slightly
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) con... Read more
You Be the Coder:
Verify Payer Preference Before Billing Punctal Plugs
Question: How do we bill for the placement of punctal plugs in all four eyelids in a ... Read more
Verify Payer Preference Before Billing Punctal Plugs
Question: How do we bill for the placement of punctal plugs in all four eyelids in a ... Read more
Procedure Focus:
Sharpen Your Retina Injectable Rx Coding Skills
Follow these steps to ensure proper payment for drug injections. Although many of your t... Read more
Sharpen Your Retina Injectable Rx Coding Skills
Follow these steps to ensure proper payment for drug injections. Although many of your t... Read more
Modifiers:
Be Wise in the Ways of Billing Wastage With -JW and -JZ
Also: Use this clinical example to help you calculate drug waste. Even the most experie... Read more
Be Wise in the Ways of Billing Wastage With -JW and -JZ
Also: Use this clinical example to help you calculate drug waste. Even the most experie... Read more
News You Can Use:
Review New Rules for Reporting Multiple Unlisted Procedures
Also, make note of the modifiers you can now use with unlisted codes. If your provider h... Read more
Review New Rules for Reporting Multiple Unlisted Procedures
Also, make note of the modifiers you can now use with unlisted codes. If your provider h... Read more
Reader Questions:
Phone-In This E/M Encounter
Question: A patient presented to the office for a follow-up appointment. When the pat... Read more
Phone-In This E/M Encounter
Question: A patient presented to the office for a follow-up appointment. When the pat... Read more
Reader Questions:
Learn the Importance of SDOH
Question: I know there's a huge push to document social determinants of health (SDOH... Read more
Learn the Importance of SDOH
Question: I know there's a huge push to document social determinants of health (SDOH... Read more
You Be the Coder:
Verify Vial Type To Ensure Correct Coding of Injectable Drugs
Question: Can you explain how to bill for triamcinolone acetonide when given as a bil... Read more
Verify Vial Type To Ensure Correct Coding of Injectable Drugs
Question: Can you explain how to bill for triamcinolone acetonide when given as a bil... Read more
Condition Spotlight:
Learn Which Details Lend To Correct Coding of Hypotony Cases
Cause of condition may ease your code selection woes. Ophthalmologists are no strangers ... Read more
Learn Which Details Lend To Correct Coding of Hypotony Cases
Cause of condition may ease your code selection woes. Ophthalmologists are no strangers ... Read more
E/M Coding:
Gain Clarity Amidst MDM Coding Confusion
Hint: Getting the definitions down pat is half the battle. Although the medical decisio... Read more
Gain Clarity Amidst MDM Coding Confusion
Hint: Getting the definitions down pat is half the battle. Although the medical decisio... Read more
Compliance:
Discover 4 Ways To Overcome Telehealth Compliance Obstacles
Contracted vendors are also obligated to adhere to HIPAA rules. Telehealth services have... Read more
Discover 4 Ways To Overcome Telehealth Compliance Obstacles
Contracted vendors are also obligated to adhere to HIPAA rules. Telehealth services have... Read more
Reader Questions:
Find Out How Isopters Factor Into VF Exam Code Choice
Question: We tend to use 92082 to avoid overcoding. When a patient undergoes visual f... Read more
Find Out How Isopters Factor Into VF Exam Code Choice
Question: We tend to use 92082 to avoid overcoding. When a patient undergoes visual f... Read more
Reader Questions:
See Who Did the Glaucoma Screening for Suitable Code Selection
Question: When a patient is screened for glaucoma, what codes should we report for t... Read more
See Who Did the Glaucoma Screening for Suitable Code Selection
Question: When a patient is screened for glaucoma, what codes should we report for t... Read more
Reader Questions:
Here’s How To Handle Notes With Vague Language
Question: Our providers are notorious for using “consistent with” and “likely... Read more
Here’s How To Handle Notes With Vague Language
Question: Our providers are notorious for using “consistent with” and “likely... Read more
You Be the Coder:
Pinpoint Proper Reporting for These Ophthalmological Services
Question: A patient returns for follow-up. The provider notes improvement in the meib... Read more
Pinpoint Proper Reporting for These Ophthalmological Services
Question: A patient returns for follow-up. The provider notes improvement in the meib... Read more
Case Study Corner:
Get Answers to These Eye Injury Encounter Questions
See these NCCI code bundles clearly. If you're feeling hesitant about filing claims for p... Read more
Get Answers to These Eye Injury Encounter Questions
See these NCCI code bundles clearly. If you're feeling hesitant about filing claims for p... Read more
Procedure Focus:
Keep Your MIGS Coding Know-How Current
Pay close attention to op note details to ensure your reporting is complete. Glaucoma is... Read more
Keep Your MIGS Coding Know-How Current
Pay close attention to op note details to ensure your reporting is complete. Glaucoma is... Read more
E/M Coding:
Use These Pro Tips To Attain Telehealth Reporting Perfection
Bonus: Use this clip-and-save chart to answer future questions. There's no denying that ... Read more
Use These Pro Tips To Attain Telehealth Reporting Perfection
Bonus: Use this clip-and-save chart to answer future questions. There's no denying that ... Read more
Reader Questions:
Understand When You Can Bill for FS Laser Use
Question: Can you explain when it is, and is not, appropriate to charge for the use o... Read more
Understand When You Can Bill for FS Laser Use
Question: Can you explain when it is, and is not, appropriate to charge for the use o... Read more
Reader Questions:
Make Sure All Who Work With PHI Get HIPAA Training
Question: Our practice occasionally uses temporary workers. Is it necessary to have n... Read more
Make Sure All Who Work With PHI Get HIPAA Training
Question: Our practice occasionally uses temporary workers. Is it necessary to have n... Read more
Reader Questions:
Let Opacity Location Drive Secondary Cataract Sx Code Choice
Question: When a patient has a secondary membranous cataract following surgery and un... Read more
Let Opacity Location Drive Secondary Cataract Sx Code Choice
Question: When a patient has a secondary membranous cataract following surgery and un... Read more
You Be the Coder:
Consider This Cat III Code for Xen Stent Insertion
Question: We've noticed an uptick in our surgeons' use of the Xen stent for aqueous ... Read more
Consider This Cat III Code for Xen Stent Insertion
Question: We've noticed an uptick in our surgeons' use of the Xen stent for aqueous ... Read more
Mythbuster:
Shatter These 4 Myths, Strengthen Signs and Symptoms Smarts
Get the 411 on what to code – and what to leave off – your claims. Choosing the ICD-1... Read more
Shatter These 4 Myths, Strengthen Signs and Symptoms Smarts
Get the 411 on what to code – and what to leave off – your claims. Choosing the ICD-1... Read more
Modifier Madness:
Minimize Laterality Modifier Snafus in 5 Simple Steps
Remember to review the fine print, as payer policies may differ. Even though every coder ... Read more
Minimize Laterality Modifier Snafus in 5 Simple Steps
Remember to review the fine print, as payer policies may differ. Even though every coder ... Read more
Compliance:
Brush Up on Medical Necessity Basics To Boost Claim Success
Also, get expert advice on establishing a risk assessment. There probably isn't an eye c... Read more
Brush Up on Medical Necessity Basics To Boost Claim Success
Also, get expert advice on establishing a risk assessment. There probably isn't an eye c... Read more
Reader Questions:
Don’t Be Caught Cloning Clinic Notes
Question: Our office has a medical scribe, and I have noticed that they sometimes ad... Read more
Don’t Be Caught Cloning Clinic Notes
Question: Our office has a medical scribe, and I have noticed that they sometimes ad... Read more
Reader Questions:
Check These Details Before Adding Modifiers to VF Claims
Question: We have a clinic with two offices in two different states, but only one of ... Read more
Check These Details Before Adding Modifiers to VF Claims
Question: We have a clinic with two offices in two different states, but only one of ... Read more
Reader Questions:
Choose the Correct Level for This Hospital Consult
Question: I'm trying to code a hospital consult and am struggling with the medical de... Read more
Choose the Correct Level for This Hospital Consult
Question: I'm trying to code a hospital consult and am struggling with the medical de... Read more
You Be the Coder:
Pick the Right Modifiers To Properly Report This Case
Question: A 27-year-old patient presented to the clinic stating that when he was mowing th... Read more
Pick the Right Modifiers To Properly Report This Case
Question: A 27-year-old patient presented to the clinic stating that when he was mowing th... Read more
Medicare Physician Fee Schedule:
Turn Your Attention to These 2024 Final Rule Highlights
Steady reimbursement decline is a recipe for financial instability, AMA warns. Practices ... Read more
Turn Your Attention to These 2024 Final Rule Highlights
Steady reimbursement decline is a recipe for financial instability, AMA warns. Practices ... Read more
ICD-10 Coding Quiz:
Can You Code These Common Ocular Diagnoses Correctly?
See if you can spot the best-suited codes for these scenarios. Although coding for ophtha... Read more
Can You Code These Common Ocular Diagnoses Correctly?
See if you can spot the best-suited codes for these scenarios. Although coding for ophtha... Read more
Back to Basics:
Perfect Your Procedural Coding With These Pro Tips
Remember to exercise caution when using a modifier to break an NCCI edit. Chances are yo... Read more
Perfect Your Procedural Coding With These Pro Tips
Remember to exercise caution when using a modifier to break an NCCI edit. Chances are yo... Read more
Reader Question:
Examine Which Codes Are Modifier 50 Eligible
Question: How do I determine whether an eye care service can be reported bilaterally?... Read more
Examine Which Codes Are Modifier 50 Eligible
Question: How do I determine whether an eye care service can be reported bilaterally?... Read more
Reader Question:
Understand Proper Use of Modifiers X{EPSU}
Question: Can you explain when I should and shouldn't append the X{EPSU} modifiers? ... Read more
Understand Proper Use of Modifiers X{EPSU}
Question: Can you explain when I should and shouldn't append the X{EPSU} modifiers? ... Read more
Reader Question:
Be Familiar With NCCI-Associated Modifiers
Question: What modifiers are allowed with the National Correct Coding Initiative (NCC... Read more
Be Familiar With NCCI-Associated Modifiers
Question: What modifiers are allowed with the National Correct Coding Initiative (NCC... Read more
You Be the Coder:
Search for These Surgery Specifics When Coding IOL Exchange
Question: When our retina surgeon performs a lensectomy with insertion of an intraocu... Read more
Search for These Surgery Specifics When Coding IOL Exchange
Question: When our retina surgeon performs a lensectomy with insertion of an intraocu... Read more