EyeCOR's experienced staff has written a number
of technical articles and presentations on important topics
regarding Medical Coding and Reimbursement. A synopsis of each
article is noted below.
As a service to all doctors and their staff, we have made these
available to everyone.
You do not have to be an
EyeCOR
client to request an article.
Please click on each topic to forward a request for the full
publication.
New Codes Replacing 92135 - Scanning Laser in 2011
In 2011 the original code
92135 for Scanning Laser (OCT, GDx, HRt) was deleted. It was
replaced by three new codes (92132, 92133 and 92134) which are
specific to an Eye segment. However, only a few regions have
updated their LCDs. Therefore, many doctors are not being
reimbursed. This article details all the changes, the change
from Unilateral and the Mutually Exclusive aspect affects coding
Physician Quality Reporting Initiative (PQRS)
EyeCOR has always contains and identified which diagnoses and Exams PQRS applies to. Unfortunately, most practices are not reporting. When PQRS reporting becomes mandatory and you do not report, you will loose a significant percentage of your reimbursement. There has been significant changes in PQRS reporting in 2011 (including the change from PQRI to PQRS). This article explains the new changes, how to report and why you should start now.
Choosing the Appropriate Exam Type
Provides detailed
information about choosing the proper Exam type and how to
Code Properly.
Both the Ophthalmic (92xxx) and Evaluation and Management (992xx)
exams are explained.
Glaucoma Severity Effects Frequency of Procedures
Many Ophthalmic procedures were previously allowed to be performed as many as four times per year for patients with Advanced Glaucoma damage. Now CMS has restricted and in some cases eliminated certain procedures from being performed depending on the severity level of the patient. This article identifies affected procedures as well as details the Medicare definition of the various severity levels.
Over 30 Ophthalmic procedures require an Interpretation and Report. However, 80% of doctors either do not complete a report or do not create it properly. Many doctors consider these optional, they are required. This document details the requirement, how to create the report and what not to do. We also explain the very expensive ramifications of when you do not create a report.
Provider Enrolment, Chain and Ownership System (PECOS)
President Obama signs 2.2% Medicare Increase
Optometry Services Reinstated as Medi-Cal Covered Benefit
System changes were implemented July 26, 2010 to reinstate optometry services as a covered benefit for adult beneficiaries under the Medi-Cal program. This article contains information about this important change for California Optometrists.
If you have any suggestions for additional topics please feel free to call or email EyeCOR.
EyeCOR and our Coding Experts are here to help you!!
Toll Free: 888-9-EYECOR
Email: EyeCOR@nteon.com
EyeCOR by NTEON
466 Main Street - Suite 7
Harwich Port, MA 02646
Dr. John Leeth - Virginia