Refunding Overpayments

Biometry Before Cataract Surgery

At some point, every practice can expect to have to make a refund for a known overpayment.  Following the appropriate timelines and processes is essential to staying compliant.  This 14 minute eLearning program discusses the differences between error and fraud and the steps necessary to refunding an overpayment. Review questions are presented at the conclusion…

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Discounting Services

Biometry Before Cataract Surgery

Understanding discounting patient charges for services is important in ophthalmic practices who serve uninsured or under-insured patients. Before offering a discount for charges, practices should consider several factors, including their usual charges, the patient’s ability to pay a portion of the charge, the amount of discount to provide and any impact this may have on…

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CPT 2021 E/M Corrections

On January 1, 2021, a major change was inaugurated for billing and charting in-office and outpatient evaluation and management (E/M) services (992xx). The general ophthalmological services (aka eye codes) were unchanged. In March 2021, the AMA announced important but not substantial revisions to their earlier guidance on E/M coding. This 11 minute eLearning program discusses…

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Corneal Diagnostic Tests

Corneal diagnostic tests are important to ophthalmologists because they permit close study of the cornea as well as the analysis of disease and disease progression. This 15 minute eLearning program discusses a wide variety of tests, the applicable codes, elements of the chart notes to document the services, and Medicare policies for billing. Review questions…

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Complex Cataract Surgery

Coding for complex cataract surgery can be confusing.  This course describes the characteristics that define complex cataract surgery (CPT 66982) and distinguish it from routine cataract surgery.  New surgical instruments are reviewed and analyzed for the sake of coding.  Differences between payer policies are discussed.  Chart documentation requirements are described.

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ICD-10 Fundamentals – Part 1

ICD-10 is important to ophthalmologists and optometrists because the proper diagnosis code is an essential element of claims for reimbursement and ICD-10 takes the place of ICD-9 for most payers.  In Part 1 of this two part series, the viewer will learn the fundamentals of ICD-10 code selection.  This 25 minute eLearning program provides an…

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ICD-10 Fundamentals – Part 2

ICD-10 is important to ophthalmologists and optometrists because the proper diagnosis code is an essential element of claims for reimbursement and ICD-10 takes the place of ICD-9 for most payers.  In Part 2 of this two part series, the viewer will learn how to use the ICD-10 handbook and GEM files to select an appropriate…

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YAG Laser Capsulotomy

Are you familiar with the documentation and coverage guidelines associated with YAG laser capsulotomy?  This 14 minute eLearning program discusses the documentation required to justify reimbursement and many of the subtleties associated with this service. Review questions are presented at the conclusion of the course.

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Wavefront Aberrometry

Wavefront aberrometry is important to optometrists and ophthalmologists as a diagnostic tool to assess optical aberrations that might not be addressed by traditional refraction.  This 9 minute eLearning program provides a detailed discussion of coding and billing for this important ancillary test. Review questions are presented at the conclusion of the course.

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Visual Fields

This 15 minute eLearning program covers the appropriate coding and documentation for perimetry in all of its forms.  Special attention is devoted to the composition of a physician report and the essential ingredients. Review questions are presented and discussed at the conclusion of the course.

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