Understand DED coding nuances to safeguard your practice’s reimbursement. Nearly half of all U.S. adults experience signs and symptoms of dry eye disease (DED), and roughly a third of patients in eye care clinics present with complaints related to dry [...]
Hint: If patient suspects foreign body but ophthalmologist can’t find, code eye pain. You don’t have to have a clear-cut final diagnosis handed to you on a silver-plated electronic medical record (EMR) to find a code that accurately describes the [...]
Save your practice from denials by accurately coding nonspecific complaints. When a patient presents with vague, generalized complaints — such as blurry vision, dry eyes, or a foreign-body sensation — you can find the right code to report if you [...]
Will Your Specialty Get a CF Boost in 2022? Find Out With COVID surges expected through the winter, you are probably thinking that the conversion factor (CF) cut couldn’t come at a worse time. However, some specialties may weather the [...]
Filing an administrative law judge (ALJ) request next year just got a little bit easier. You can expect the amount in controversy (AIC) to stay the same on Jan. 1. Reminder: The Centers for Medicare & Medicaid Services (CMS) determines [...]
At least one thing isn’t going up next year — the amount in controversy (AIC) threshold. Reminder: The Centers for Medicare & Medicaid Services determines AIC thresholds for ALJ hearings, which are the third level of the Medicare appeals process. [...]
Tackle these case studies involving multiple gestations. Obstetrical ultrasound (US) coding is a staple service of many diagnostic radiology providers. From the coder’s perspective, this means you typically work through more than enough reps on a day-to-day basis to have [...]
Retroactive add-on adjustments likely will take a while longer. The Bipartisan Budget Act of 2018 may have included some dubious provisions for home health agencies, but one welcome one was the reinstatement of a rural add-on. In the Centers for [...]
Failing to correctly report value and condition codes led to overpayments of $2.7 million in 2016. Providers: When Medicare issues a reminder, it's time to listen. And that's just what they did in October's issue of MLN Connects, CMS' weekly [...]
Unsure of how to report Brown’s sheath syndrome? Check these options. Most eye care practices report continuing success using ICD-10 codes, but some others have said that their offices are falling back on old ICD-9 conventions and failing to code [...]
