Clearing up confusion with refractions – Ophthalmic Professional

One of the most performed ophthalmic diagnostic tests is the refraction. Some level of refractometry is likely performed at most eye exams. Of course, a detailed refraction is required to provide an eyeglass or contact lens prescription to the patient. In addition, the test is often performed to determine the best corrected acuity when surgery…

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Coding the Aborted MIGS – Ophthalmology Management

With the increased utilization of minimally invasive glaucoma surgery (MIGS) surgery in combination with cataract procedures, we find more instances where part of the planned procedure cannot be completed. Correct billing depends on why the procedure was stopped. This article addresses the following questions: Can you give an example? How should we bill the incomplete…

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Steering Clear of Kickbacks – Review of Ophthalmology

Running afoul of laws regarding self-referrals and anti-kickbacks can result in heavy fines. Here’s how to stay safe. Each year, the Centers for Medicare and Medicaid Services publishes the codes for Designated Health Services that are subject to restrictions under the Physician Self-Referral Law (a.k.a., the Stark Law). It’s important to check the list of…

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Dry Eye Disease and DEWS II – Ophthalmology Management

Dry eye disease (DED) affects millions of patients worldwide and is a common reason to seek eye care. A variety of DED therapies are available, but because DED varies in severity between patients no single therapy works for everyone. Evaluation and management of DED relying on evidence-based medicine is the best approach. This article addresses…

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Minor Surgery but Not Minor Documentation – Retinal Physician

To avoid payment denials, make sure your chart notes include the “how” and “why” of each procedure. To some people, the term minor connotes something unimportant or inconsequential. From this connotation, it’s a short step to a brief chart note that hardly supports the reasons for a minor procedure. But minor surgery is not trivial,…

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Are Screening Tests Reimbursable? – Optometric Management

As a follow-up to last month’s article on how often an optometrist can bill diagnostic tests for reimbursement, this month we discuss reimbursement for screening tests. Screenings are commonly used prior to an eye exam. While they can aid the optometrist in identifying ocular disease early, they can also cause reimbursement complications, as we will…

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Medical Record Signature Options – Retinal Physician

Medicare offers multiple ways to meet the requirement. Everyone knows that medical records must be signed to be valid. Let’s review Medicare’s specific requirements. Does Medicare look at provider signatures during an audit? What are Medicare’s signature requirements? What does Medicare consider an acceptable signature? What is a signature log? What is an attestation statement?…

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The Lowdown on Compounded Medications – Retinal Physician

Customization and lower costs help give these medications an essential role in patient care. Medications compounded for individual patients are an important part of health care. This article discusses what they are and their importance in a retina practice. This article addresses the following questions: What is a compounded medication? Why are compounded medications prescribed?…

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2023 Update on Billing For Medications – Review of Ophthalmology

Injectable drugs got some new rules and regulations in the new year. Here’s what you need to know. 2023 brought changes to the rules for injectables used in both offices and ASCs. Here, we’ll summarize some of them. How does Medicare handle claims for Dextenza (dexamethasone), a drug eluting implant in the lacrimal canal used…

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