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Ophthalmology and Optometry Coding Alert
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Ophthalmology And Optometry Coding Alert - 2024; Volume 27, Number 8
Gonioscopy:
Vanquish Misconceptions Hindering 92020 Claims
Get answers to your FAQs about postop, bilateral gonioscopy billing rules. There are sev...
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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...
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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...
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Reader Questions:
Dig for These Details Before Billing Serial Tonometry
Question: Our ophthalmologist evaluated a patient with acute angle-closure glaucoma a...
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Reader Questions:
Solve This E/M Question
Question: Does an undiagnosed new problem with an uncertain diagnosis automatically m...
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Reader Questions:
Easily Fix EHR Errors
Question: How should we correct a mistake in an electronic health record (EHR)? Wash...
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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...
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Ophthalmology And Optometry Coding Alert - 2024; Volume 27, Number 7
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...
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Medicare Tips:
Sharpen Your Medicare Signature Knowledge
Resolving your questionable signatures prior to claim submission is key. In your eye ca...
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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 ...
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Reader Questions:
Find Out How To Handle Family History Facts
Question: When our ophthalmologists get referrals for procedures, the referring physi...
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Reader Questions:
Make Note of Medicare Overpayment Rules
Question: Who is responsible for identifying and correcting overpayment in any Medica...
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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...
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You Be the Coder:
Pinpoint Proper Reporting for This FBR Encounter
Question: A welder presents with swelling in his left eye. The ophthalmologist finds ...
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Ophthalmology And Optometry Coding Alert - 2024; Volume 27, Number 6
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 ...
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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 ...
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Practice Management:
Think Twice Before Waiving Co-Pays
See how a simple financial accommodation can cause a huge headache. Healthcare practiti...
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Reader Questions:
Base Injectable Drug Documentation on This Checklist
Question: When our physicians treat a patient via a drug injection, what should we b...
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Reader Questions:
Rely on Addendums for EHR Mistake Corrections
Question: How should we correct a mistake in an electronic health record (EHR)? Montana ...
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Reader Questions:
Medicare Ups Conversion Factor … Slightly
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) con...
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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 ...
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Ophthalmology And Optometry Coding Alert - 2024; Volume 27, Number 5
Procedure Focus:
Sharpen Your Retina Injectable Rx Coding Skills
Follow these steps to ensure proper payment for drug injections. Although many of your t...
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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...
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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...
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Reader Questions:
Phone-In This E/M Encounter
Question: A patient presented to the office for a follow-up appointment. When the pat...
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Reader Questions:
Learn the Importance of SDOH
Question: I know there's a huge push to document social determinants of health (SDOH...
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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...
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Ophthalmology And Optometry Coding Alert - 2024; Volume 27, Number 4
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 ...
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E/M Coding:
Gain Clarity Amidst MDM Coding Confusion
Hint: Getting the definitions down pat is half the battle. Although the medical decisio...
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Compliance:
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...
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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...
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Reader Questions:
Here’s How To Handle Notes With Vague Language
Question: Our providers are notorious for using “consistent with” and “likely...
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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...
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Ophthalmology And Optometry Coding Alert - 2024; Volume 27, Number 3
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
Procedure Focus:
Keep Your MIGS Coding Know-How Current
Pay close attention to op note details to ensure your reporting is complete. Glaucoma is...
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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
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
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...
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Reader Questions:
Let Opacity Location Drive Secondary Cataract Sx Code Choice
Question: When a patient has a secondary membranous cataract following surgery and un...
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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 ...
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Ophthalmology And Optometry Coding Alert - 2024; Volume 27, Number 2
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...
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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 ...
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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
Reader Questions:
Don’t Be Caught Cloning Clinic Notes
Question: Our office has a medical scribe, and I have noticed that they sometimes ad...
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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 ...
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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...
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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...
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Ophthalmology And Optometry Coding Alert - 2024; Volume 27, Number 1
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
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...
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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...
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Reader Question:
Examine Which Codes Are Modifier 50 Eligible
Question: How do I determine whether an eye care service can be reported bilaterally?...
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Reader Question:
Understand Proper Use of Modifiers X{EPSU}
Question: Can you explain when I should and shouldn't append the X{EPSU} modifiers? ...
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Reader Question:
Be Familiar With NCCI-Associated Modifiers
Question: What modifiers are allowed with the National Correct Coding Initiative (NCC...
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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...
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