Coding and Billing

Coding & Billing: Keys to Maximizing Reimbursements

By Mark Wright, OD, FCOVD,
and Carole Burns, OD, FCOVD

Dec. 20, 2017

In 2017, Professional Editors Mark Wright, OD, FCOVD, and Carole Burns, OD, FCOVD, shared their expertise in coding and billing, and showed readers how to get the maximum in reimbursements.

How to Create an Internal Coding & Billing Compliance Program

It’s not enough to just submit your claims to third-party “insurance” companies. You must have an internal compliance program to make sure what you are submitting is both true and accurate. Within the Patient Protection and Affordable Care Act of 2010 is a requirement that doctors treating Medicare and Medicaid beneficiaries establish a compliance program. >>READ MORE>>

Coding for Long-Term Medication Use

Plaquenil was originally used to treat malaria. Plaquenil is used today to treat inflammatory disease. Diseases treated with Plaquenil today are Lupus, Sjögren’s syndrome and rheumatoid arthritis. These diseases occur when the immune system attacks the patient’s own body. Plaquenil works by lowering the immune system’s response. >>READ MORE>>

 

Avoid Coding & Billing Errors By Using Medical Decision-Making

Medical decision making (MDM) is used for 99000 E/M coding. Of the three areas necessary for coding the 99000 E/M series – history, physical examination and medical decision making – MDM is the most difficult. We’ll try to make it easier with this article. >>READ MORE>>

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