News and Articles
Read current and past news articles featuring coding and reimbursement topics for ophthalmologists and optometrists.
Search for a topic or choose a news piece or article from our library below.
| Title | Summary | Type | Date |
|---|---|---|---|
| Code Implementation Dates | Last week the AMA published information about several important coding and billing updates that will … | News | August 19, 2026 |
| Properly Billing for Intravitreal Injections with E/M Code 99211-99215 and Modifier 25 | CMS TPE audits of intravitreal injections and the accompanying office visit continue. Practices involved in … | News | March 21, 2025 |
| Coding Q&A: Medicare as a Secondary Payer | In certain cases, health care providers must determine whether Medicare is the primary or secondary … | Articles | November 1, 2024 |
| Coding & Reimbursement: Separate Procedures and NCCI Bundles | Exceptions to restrictions and limitations exist, but understanding the exceptions and modifier usage is crucial. … | Articles | October 1, 2024 |
| Medicare Contractor WPS Incorporates ASCRS/AAO Recommendations on Proposed Local Coverage Determination for Cataract Surgery | Medicare Administrative Contractor (MAC) Wisconsin Physicians Service Insurance Corporation (WPS) released its final version of … | News | September 9, 2024 |
| Coding and Reimbursement: What’s New in 2024? | Find out what changed in coding and reimbursement this year and how it affects your … | Articles | July 30, 2024 |
| iDose New Permanent J code | In December 2023, the US Food and Drug Administration approved iDose TR for a single administration … | News | July 10, 2024 |
| Federal Trade Commission Eyeglass Rule | Concluding a comprehensive multi-year review, the Federal Trade Commission (FTC) has announced final updates to … | News | June 27, 2024 |
| Coding & Reimbursement: Part C Medicare vs Traditional Medicare | We can expect enrollment in Medicare Part C, or Medicare Advantage (MA), to continue its … | Articles | June 1, 2024 |
| Coding: Should You Perform More Laser Trabeculoplasty? | There are far more eligible patients than those who are receiving therapy. Not infrequently, an … | Articles | June 1, 2024 |
| Coding: Medicare Considerations of Compounded Drugs | Billing differs for FDA-approved and compounded drugs. Compounded medications can be beneficial in certain circumstances. … | Articles | June 1, 2024 |
| Coding & Reimbursement: The ASC and Unlisted Procedure Codes | “All good things must come to an end,” and I’m afraid my authorship of this … | Articles | April 1, 2024 |
| Coding: Cataract Documentation | As the most frequently performed ophthalmic surgeries, cataract procedures continue to receive payer scrutiny. Between … | Articles | April 1, 2024 |
| CMS Extends Deadline for MIPS 2023 Data Submission | CMS has extended the data submission period for the Merit-based Incentive Payment System (MIPS) eligible … | News | March 16, 2024 |
| Congress Passed bill for MPFS | The recent passing of a partial government funding bill by Congress on March 8 is important … | News | March 13, 2024 |
| Coding: Medicare Coverage of MIGS | A recent policy reversal for MIGS coverage by several Medicare Administrative Contractors raised questions about … | Articles | March 1, 2024 |
| Coding Q&A: Part C Medicare vs Traditional Medicare | Practice managers must understand the implications of the shifting landscape. Medicare Part C, or Medicare … | Articles | March 1, 2024 |
| Change to Processing for Telehealth Services Billed with POS 10 | In calendar year (CY) 2024, the Centers for Medicare & Medicaid Services (CMS) issued a … | News | February 23, 2024 |
| Coding & Reimbursement: January 2024 Update | The new year brings important changes in the Medicare program.Here’s the lowdown for … | Articles | January 1, 2024 |
| Coding: Non-Covered Services | Many practices assume that services without regular CPT codes are automatically non-covered and payable by … | Articles | January 1, 2024 |
| Coding Q&A: What’s New in Retina Coding for 2024 | Revised E/M code descriptions and a new CPT code for suprachoroidal injections are among the … | Articles | January 1, 2024 |
| Coding: Stents and Visual Field Testing | Reimbursement for glaucoma surgery with an aqueous drainage device often depends on visual field testing. … | Articles | December 1, 2023 |
| Diabetes Cost Measure Misattributed to Ophthalmologists | The American Society of Cataract and Refractive Surgery (ASCRS), the American Society of Retina Specialists … | News | October 13, 2023 |
| Review Your 2022 MIPS Performance Feedback and Final Scores | The Centers for Medicare & Medicaid Services (CMS) has released the Merit-Based Incentive Payment System … | News | August 18, 2023 |
| Clearing up confusion with refractions – Ophthalmic Professional | One of the most performed ophthalmic diagnostic tests is the refraction. Some level of refractometry … | Articles | July 1, 2023 |
| Coding the Aborted MIGS – Ophthalmology Management | With the increased utilization of minimally invasive glaucoma surgery (MIGS) surgery in combination with cataract … | Articles | July 1, 2023 |
| JZ Modifier Required July 1, 2023 | The much-anticipated mandatory reporting of the JZ modifier for Part B Medicare begins July 1, … | News | June 26, 2023 |
| 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 … | Articles | June 10, 2023 |
| Cigna Hits the Brakes on Their New Modifier 25 Policy | Following fierce opposition from the physician community, the insurer Cigna announced today a delay in … | News | May 24, 2023 |
| Dry Eye Disease and DEWS II – Ophthalmology Management | Dry eye disease (DED) affects millions of patients worldwide and is a common reason to … | Articles | May 1, 2023 |
| Identifying medically necessary services – Ophthalmic Professional | CMS’ recent final rule provides guidance on what is considered reasonable and … | Articles | May 1, 2023 |
| Minor Surgery but Not Minor Documentation – Retinal Physician | To avoid payment denials, make sure your chart notes include the “how” and “why” of … | Articles | May 1, 2023 |
| Medical Consulting Group and Corcoran Consulting Group Announce Merger | Springfield, MO, April 27th, 2023. Medical Consulting Group (MCG), a provider of consulting services to … | News | April 27, 2023 |
| IHEEZO Gel gains Medicare Pass-Through | On March 13, 2023, Harrow® announced that the Centers for Medicare & Medicaid Services (CMS) … | News | April 24, 2023 |
| Are Screening Tests Reimbursable? – Optometric Management | As a follow-up to last month’s article on how often an optometrist can bill diagnostic … | Articles | April 1, 2023 |
| Medical Record Signature Options – Retinal Physician | Medicare offers multiple ways to meet the requirement. Everyone knows that medical records must be … | Articles | March 20, 2023 |
| The Lowdown on Compounded Medications – Retinal Physician | Customization and lower costs help give these medications an essential role in patient care. Medications … | Articles | March 20, 2023 |
| Cigna Change Modifier 25 Policy | As a result of a recent review, Cigna has announced it will require the submission … | News | March 20, 2023 |
| 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 … | Articles | March 10, 2023 |
| How Often Can I Test for Glaucoma? – Optometric Management | A question that we receive frequently at Corcoran Consulting Group is “How often can I … | Articles | March 1, 2023 |
| Review your documentation practices for the new year – Ophthalmic Professional | Accurate chart documentation is time consuming yet … | Articles | March 1, 2023 |
| At Last: 2023 CMS Updates – Ophthalmology Management | There are some important changes in the Medicare program for 2023, and yet another last-minute … | Articles | March 1, 2023 |
| Congress makes positive adjustments that affect ophthalmologists | In this Healio Video Perspective from Hawaiian Eye 2023, Kevin J. Corcoran, COE, CPC, CPMA, … | News | January 28, 2023 |
| The 2023 Coding and Reimbursement Update – Review of Ophthalmology | Every year, the government tweaks the rules for reimbursement. Here’s what you need to know. … | Articles | January 10, 2023 |
| Intravitreal Medications for Geographic Atrophy – Retinal Physician | Billing questions will arise with new drug treatment. According to the American Academy of Ophthalmology … | Articles | January 1, 2023 |
| Update on inpatient E/M codes – Ophthalmic Professional | When circumstances present, it’s important to know the appropriate inpatient services … | Articles | January 1, 2023 |