Coding and Billing

Coding Insights: 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.

CODING: REMOVING REDUNDANCY IN EVALUATION & MANAGEMENT DOCUMENTATION
Until 2019, if anyone other than the doctor took part of the history, the doctor had to do it again. The Centers for Medicare and Medicaid Services has removed that requirement. Here is what you should know about the removal of this requirement, including how you can optimize this change in rules to streamline your coding process.
>>READ MORE>>

MEDICARE PROVIDER COMPLIANCE: WHAT ODS NEED TO KNOW
Coding and billing for Medicare can present challenges, which could result in violations of the law. Here are the top points to keep in mind to align with regulations and maximize reimbursement. >>READ MORE>>

CODING SELF-ASSESSMENT: A QUIZ TO TEST YOUR CODING ABILITY
Accurate coding impacts the level of reimbursement you receive, and can protect your practice from charges of insurance fraud. Here’s an assessment to alert you to areas of coding that you may need to learn more about, or approach differently. >>READ MORE>>

CODING & BILLING: FEE-FOR-TIME COMPENSATION ARRANGEMENTS
When you are out of the office, and another OD is seeing patients in your place, do you know the proper billing procedure? Here is key information to ensure you’re doing it right. >>READ MORE>>

CODING FOR TELEHEALTH CONSULTATIONS
The final 2019 Medicare Physician Fee Schedule contains four existing CPT codes, and creates two new CPT codes for inter-professional internet consultations. Here are the details. >>READ MORE>>

CODING & BILLING: INCORPORATING LIFESTYLE HISTORY INTO MEDICAL HISTORY
When you care about your patient, you learn about their lifestyle and incorporate these important facts into your medical history. Here’s how to do that in the coding you do. >>READ MORE>>

CODING FOR MEDICAL HISTORY
Taking a thorough history of each patient’s health is essential to delivering quality care. Here’s how to ensure you are accurately coding for that history. >>READ MORE>>

2019 MEDICARE CHANGES: WHAT YOU NEED TO KNOW
Every year there are changes to the Medicare program. Here are the key updates to learn for next year, so your reimbursements are not compromised. >>READ MORE>>

HOW TO DOCUMENT FOR OUT-OF-POCKET SCREENINGS
Screenings that are not covered by patient insurance are becoming more common. Here’s the documentation your practice must do when these screenings take place. >>READ MORE>>

ONLINE RESOURCE THAT MAKES CODING FOR MEDICARE EASIER
Coding for Medicare can be challenging. Here’s an online resource that can answer your questions as they arise, and help you increase your reimbursements. >>READ MORE>>

WHEN YOU CAN–AND CANNOT–CHARGE AN EXAM FEE
Can you charge an exam fee when you charge for a minor surgical procedure? Here’s the answer to that question, along with tips on how to legally maximize your reimbursements. >>READ MORE>>

CODING & BILLING: WHY SOME ODS CHEAT & HOW TO AVOID BREAKING THE LAW
A New Jersey OD was found guilty of health-care fraud last year. Here’s how he went wrong, and why it may be more tempting than you think to do the same. >>READ MORE>>

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>>

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>>

 

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>>

 

To Top
  
Subscribe Today Free...
And join more than 25,000 optometric colleagues who have made Review of Optometric Business their daily business advisor.
YOUR EMAIL
FIRST NAME
LAST NAME
  
Subscribe Today Free...
And join more than 25,000 optometric colleagues who have made Review of Optometric Business their daily business advisor.
YOUR EMAIL
FIRST NAME
LAST NAME
Subscribe Today for Free...
And join more than 35,000 optometric colleagues who have made Review of Optometric Business their daily business advisor.
Subscribe Today for Free...
And join more than 35,000 optometric colleagues who have made Review of Optometric Business their daily business advisor.