Reader Question: Let Modifier Q6 Be Your Locum Tenens Friend

Question: One of our physicians is taking maternity leave next month, and a locum physician is filling in for her. I was told that we’re billing for this physician under the [...]

Posted on: 11 August 2017 | 2:08 am

Reader Question: Avoid Blanket ABNs

Question: Our receptionist asks Medicare patients to sign ABNs for almost every service, whether or not we expect to collect. Is this an appropriate use of the form? And if not, [...]

Posted on: 11 August 2017 | 2:08 am

Reader Question: Stay on the Right Side of Co-Management Challenges

Question: We recently contracted with an optometry practice for co-management — our surgeon performs surgical procedures and the optometrist performs post-operative care. We created a contract with the optometry practice, but [...]

Posted on: 11 August 2017 | 2:08 am

Reader Question: Head Toward H44.4 Series for Hypotony Dx

Question: Which ICD-10 code applies to a diagnosis of hypotony? Supercoder.com Subscriber Answer: Choosing the appropriate ICD-10 code from the H44.4 (Hypotony of eye…)  category will [...]

Posted on: 11 August 2017 | 1:08 am

Modifiers: One Blue Cross Insurer Just Cut Modifier 25 Payments in Half

If you bill claims to Independence Blue Cross Blue Shield, watch out for reductions. Eye care practices that use modifier 25 may see their odds of collecting [...]

Posted on: 11 August 2017 | 1:08 am

Get to Know How Else the Fee Schedule Could Impact Your Pay

Fee changes won’t be too dramatic for eye care practices if proposals are adopted. CMS’s 2018 Fee Schedule Proposal isn’t solely centered around the potential changes to [...]

Posted on: 11 August 2017 | 1:08 am

You Be the Coder: Do Eye Exam Codes Have Frequency Guidelines?

Question: My ophthalmologist documented a comprehensive office visit for an established patient, but just five months ago I coded the patient’s last visit with 92014, the same code that is appropriate [...]

Posted on: 11 August 2017 | 1:08 am

Reader Question: Program EHR to Help With Smooth Diagnosis Coding

Question: Our providers use the superbill to select their ICD-10 codes, but we only have the most frequently-reported codes listed on there. For diagnoses that aren’t on the superbill, they frequently [...]

Posted on: 11 August 2017 | 1:08 am

Part B Fee Schedule: Latest Fee Schedule Proposal Could Mean Big Changes to E/M Documentation

The agency seeks feedback on how these changes would impact your practice. With summer about to end, it’s time for CMS to begin preparing for the New [...]

Posted on: 11 August 2017 | 1:08 am

Electronic Health Records: OIG Is Now Going After EHR Vendors — Is Your Program Secure?

In landmark settlement, software vendor faces $155 million in paybacks. When your electronic health record (EHR) vendor tells you that you’ll collect more reimbursement by using its [...]

Posted on: 11 August 2017 | 1:08 am