Reimbursement for Treating MIGS Complications – Glaucoma Physician

Review the Medicare rules for proper coding. Minimally invasive glaucoma surgery (MIGS) has grown rapidly due in part to its improved safety profile when compared to traditional incisional glaucoma surgery such as trabeculectomy.1 However, a variety of complications can occur with MIGS. In most cases, medical treatment for these complications suffices; however, for a small…

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Payment for Normal Tests – Glaucoma Physician

Reimbursement for tests is based on a good rationale. Coverage for diagnostic tests is questionable, and claims for reimbursement are often denied if pathology is not found and there is no diagnosis. In clinical practice, this occurs when diagnostic tests are interpreted as normal. However, a normal finding can mean more than one thing, which…

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Is Close Good Enough for CPT? – Glaucoma Physician

Unlisted codes should be a last choice. In coding, we assume “CPT” is understood. This is an abbreviation for Current Procedural Terminology, and it is a valuable reference manual for reporting services on claims for reimbursement. The words and phrases it contains are carefully chosen for clarity, much like a dictionary. Proper usage ensures accuracy,…

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Coding for Minimally Invasive Glaucoma Surgery

To examine long-term trends within glaucoma surgery, the Corcoran Consulting Group has tracked paid claims for Medicare Part B since 1994. Figure 1 graphically displays data through 2015 for the major categories of glaucoma surgery: laser surgeries, trabeculectomies, tubes, minimally invasive glaucoma surgeries (MIGS), and all others.

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Payment considerations for dropless cataract surgery – Ophthalmology Management

In May, the author of an article in Ophthalmology Management quoted a physician as saying that dropless cataract surgery “is a no-brainer.” The author said Imprimis Pharmaceuticals has commercialized two compounds, TriMoxi and TriMoxiVanc, for this purpose and is promoting the concept to an expanding audience of surgeons. He discusses reimbursement issues briefly, but these…

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AAPC Certifies All Corcoran Consulting Group’s Auditors

SAN BERNARDINO, California, February 28, 2014 – Following a rigorous examination on all aspects of auditing medical records, the American Academy of Professional Coders (AAPC) granted the prestigious Certified Professional Medical Auditor (CPMA) credential to Kevin J. Corcoran, Mary Pat Johnson, Paul M. Larson, Kirk A. Mack, and Donna M. McCune of Corcoran Consulting Group…

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Countdown to ICD-10

As the deadline for ICD-10 approaches on October 1, 2014, following these ten steps can help prepare your practice for the transition.

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Untapped Provider Pool for Ophthalmology – EyeWorld

Most planning revolves around near term events that can be readily identified and understood. Yet, these near term challenges and opportunities may not be the most significant for the survival and success of the practice. Instead, large long term changes may pose the greatest threat and require creative strategic planning that contemplates much more than…

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