Reader Question: Know the New Taxonomy Subspecialty Codes

Question: When can we start using the new retina and glaucoma taxonomy specialty designations? Supercoder.com Subscriber Answer: As many practices are aware, CMS has released new [...]

Posted on: 20 July 2017 | 4:07 am

Billing: Collect More Reimbursement by Correcting This Big Issue

Following up on your claims is just as important as submitting them. As ophthalmologists face the prospect of changing reimbursement amounts in 2018 and the potential issues [...]

Posted on: 20 July 2017 | 4:07 am

Modifiers: Modifier 25 Misuse Leads to Six-Figure Settlement for This Ophthalmologist

At issue: Whether to report intravitreal injections with E/M services. Some eye care practices are so accustomed to tacking modifier 25 onto their E/M services that they [...]

Posted on: 20 July 2017 | 4:07 am

Reader Question: PLI Is Typically An Out-of-Pocket Expense

Question: We have a patient getting cataract surgery who will require a premium lens implant. How will we determine what the patient will have to pay for the surgery and the [...]

Posted on: 20 July 2017 | 4:07 am

Breaking: For These Eye Procedures, Report 99024 for Postop Visits

Certain states now require this new procedure. If you’re used to including post-operative visits in the eye surgeries your physician provides, then you’re going to have to [...]

Posted on: 20 July 2017 | 4:07 am

ICD-10-CM: You'll Find New Myopia, Blindness Codes on Oct. 1

CMS has released the finalized list of 2018 diagnosis codes. Eye care coders hoping for scores of new ICD-10 codes starting this fall are in luck, with [...]

Posted on: 20 July 2017 | 4:07 am

You Be the Coder: Know How to Bill E/M Visits When the Patient Isn't Present

Question: We had a patient’s son present to talk about his mother’s glaucoma, the implications if it worsens, what his options are for treating her, and how to deal with her [...]

Posted on: 20 July 2017 | 4:07 am

Reader Question: Take Your Work Home Without Revealing PHI

Question: Thank you for last month’s article about HIPAA (This Clinic Got Hacked, Had to Pay $400K HIPAA Breach Penalty). It got us thinking about our office staff, who often work [...]

Posted on: 26 June 2017 | 8:06 pm

Reader Question: Know the YAG Global Rules

Question: A patient of ours is in the global period for a YAG laser procedure. She came in for a follow-up with symptoms of foreign-body sensation and irritation in the right [...]

Posted on: 26 June 2017 | 8:06 pm

Reader Question: Know the Rules for 67110 and 67141

Question: Our doctors are retina specialists. One of the physicians performed a pneumatic retinal detachment repair (67110) and cryotherapy (67141) on the same date. They are different procedures and we did [...]

Posted on: 26 June 2017 | 8:06 pm