Coding and Billing

Coding Connection: Maximizing Your Reimbursements

Coding Tips to Enhance Practice Cash Flow
By Mark Wright, OD, FCOVD,
and Carole Burns, OD, FCOVD

Effective coding and billing is a cornerstone of building a profitable practice. Review of Optometric Business Professional Editors Mark Wright, OD, FCOVD, and Carole Burns, OD, FCOVD, share their insights of how to ensure accurate coding that results in swift, high reimbursement.

Lessons from Coding for Vision Therapy & Neuro-Rehabilitation

In April 2018, the AOA updated its white paper entitled Vision Therapy and Neuro-Rehabilitation: Optometric Considerations in Third Party Reimbursement. There are important lessons in this document for everyone. We are going to highlight five of these lessons. >>READ MORE>>


Coding for Fundus Photography: How to Enhance Your Reimbursements

Fundus photography is an essential diagnostic tool that enhances care. It also can boost your practice’s profitability. Here are the top ways you can improve your coding for use of this instrument to increase your reimbursements. >>READ MORE>>


Coding & Billing: Making Medicare National & Local Carrier Determinations

If you want to know the rules, as well as what is covered and what is not covered by Medicare, then you must know about National Coverage Determinations and Local Coverage Determinations. Here’s what you need to know. >>READ MORE>>


Scleral Contact Lenses: Coding Dos & Don’ts

Scleral contact lenses play an important role in your treatment of some patients, and can add to your profitability–and can be challenging to code for. Here are keys to keep in mind when coding for treatment that includes scleral contacts lenses. >>READ MORE>>


New Coding & Billing Rules for 2018

Changes have been made to coding and billing protocol. These are the coding rules that are different this year, and how you should make the changes in how you submit claims for reimbursement. >>READ MORE>>


Medicare Physician Fee Schedule Lookup: Know the Codes to Make Revenues Flow

Medicare provides a great resource that helps you to examine your fees, as well as know exactly what Medicare is going to pay. This resource is called the Medicare Physician Fee Schedule Look-up. Here is what you should know about optimizing this new tool. >>READ MORE>>


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. Here is how to do that >>READ MORE>>


Online Coding & Billing Learning Resource

You have a resource for learning about coding and billing that you might not know about: The Medicare Learning Network, a learning tool created by The Centers for Medicare and Medicaid Services (CMS). Here is what you should know about this new resource. >>READ MORE>>


Coding for Long-Term Medication Use

Coding for long-term medication use, such as for Plaquenil, can be tricky. Here are some dos and don’ts to keep in mind to help you get reimbursed for treating patients on long-term medication use that affects their eyes. <<READ MORE>>


How Much is Faulty Coding Costing You?

Faulty coding can lead to significant lost revenues. Here’s how to determine how much you may be losing, and what to do to correct those errors, and capture greater reimbursements. >>READ MORE>>


Coding & Billing: Avoid Payment Delays with Complete Medical Reports

Many of the procedure codes we use in medical coding and billing require a report. What needs to be contained in that report? Here are the four areas you need to address in your report, and how to work with each of these areas.  >>READ MORE>>


Coding and Billing How-To: Corneal Foreign Body Visits

A patient presents in your office with a corneal foreign body in the left eye. It’s the first time you’ve seen the patient with this problem (i.e. initial encounter). What diagnosis and procedure codes do you use? Here’s how to handle this situation. >>READ MORE>>


Vision Vs. Medical Insurance: When to Bill Each

The patient presents in your office with a red eye. The patient has both medical insurance and vision insurance coverage. The medical insurance has a $500 deductible, which has not yet been met. The vision insurance has a $20 co-pay. Here’s what you should do. >>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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