Most recent by Riva Lee Asbell
Revised coding methodology for glaucoma available
A new diagnosis coding methodology has been developed, effective Oct. 1, 2011, that enables more detailed and specific glaucoma diagnosis coding for those who have the need to track such data. It will be carried over to ICD-10 effective Oct. 1, 2013; however, the codes themselves will obviously be changed.
The new OCT coding and reimbursement guidelines
In Part 1 of this series, the basic guidelines for coding and receiving reimbursement for optical coherence tomography in 2011 were covered. Part 2 concentrates on proper usage of the codes so that you are in compliance with Medicare’s rules and regulations. The principal instrument used by Medicare for compliance is the Local Coverage Determination, or LCD.
CPT coding changes restrict OCT reimbursements
With the advent of a new and revised coding system for the diagnostic tests collectively known as Scanning Computerized Ophthalmic Diagnostic Imaging, or SCODI, a barrage of questions has emerged amidst confusion. This review addresses these issues regarding optical coherence tomography and pertains to Medicare only. Other insurers are making independent decisions and may be slow in their implementation. Each insurer should be contacted directly.
Careful distinction can prevent surgical coding errors
In Part 1 of the series, the principle causes of faulty surgical coding were reviewed, including the use of unlisted Current Procedural Terminology codes and the differentiation between coding for foreign body removal and implant removal.
Comprehension, caution can prevent surgical coding errors
Many surgical coding mistakes result from misinterpretation of Current Procedural Terminology (CPT) wording. When the CPT editorial panel works on a code description, significant time is spent dissecting each word used. Unfortunately, most people attempting to code procedures are not privy to this process and fail to understand how the code is meant to be used.
A Medicare guide to ophthalmic ASC reimbursement
In this second part of the Medicare guide to ophthalmic ASC reimbursement, we will focus on surgical coding. Part 1 may be found in the Jan. 25 issue of Ocular Surgery News, and the complete guide may be found online at www.OSNSuperSite.com/view.aspx?rid=60000.
A Medicare guide to ophthalmic ASC reimbursement
This guide has been compiled in order to provide a basic reference for obtaining proper reimbursement in the ASC setting, with particular emphasis on surgical coding and compliance for Medicare.
To bill for diagnostic tests, understand these three modifiers
Let’s see how you make out on this little quiz.
Expert tackles examination component of evaluation and management coding
Riva Lee Asbell We continue our series on the Documentation Guidelines for Evaluation and Management Coding with questions and answers on the second key component of evaluation and management (E/M) coding — examination. Q: How many elements actually comprise a comprehensive ophthalmic examination, and why are there so many conflicting answers regarding the number of elements in a comprehensive exam?
Expert: Knowing guidelines will help avoid audit trap
The fear of being audited by Medicare remains one of the primary concerns of practicing ophthalmologists. Driven by this, many resort to undercoding, or even not coding certain services, diagnostic tests and procedures. This review presents some guidelines and tips to help you avoid the audit trap as seen in various subspecialties. Retina Riva Lee Asbell Improper or lack of chart documentation in two areas usually sets the audit trap in this subspecialty: interpretation and report requirements for diagnostic tests; and the performance and documentation of elements counting for a comprehensive examination with specific reference to extended ophthalmoscopy.