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Young Ophthalmologists
Yo Info

Support provided by Allergan

May 2014

YO Info™ is the American Academy of Ophthalmology's newsletter for young ophthalmologists (YOs) — those in training as well as in their first few years in practice.

This newsletter provides YOs with information about practice management, coding and insurance questions, balancing work and family, and many other issues relevant to YOs. You'll also learn more about resources and services that are already available to you from the American Academy of Ophthalmology and the American Academy of Ophthalmic Executives (AAOE).

E&M Documentation Requirements: A Look at ‘Review of Systems’
Ophthalmologists are more likely to be audited on exam documentation than on tests or surgical procedures. It is therefore imperative that documentation meets the payer requirements each time an exam code is billed. It’s also necessary for both risk management and coding compliance. Ophthalmology practices can use both E&M and Eye codes, but each has its own documentation requirements. This month, YO Info will focus on one piece of the E&M puzzle — the review of systems.

Practice Management
5 Tips for Avoiding OSHA and HIPAA Hypertension
Two areas of the practice that sometimes fail to get the attention and training required are OSHA and HIPAA. These federal regulations require annual staff training, and staff must constantly be aware of the dangers that exist if they are not purposeful and careful in their actions and words. Here are five tips to effectively train employees and monitor activity within your practice.

Is Solo Practice for You?
Starting a solo ophthalmology practice can be intimidating even in the healthiest of economies — especially for young ophthalmologists. But while private practice might be daunting, it’s an option ophthalmologists continue to choose. If you have the skills of an entrepreneur and the willingness to devote 100 percent of your time and effort into the investment, solo practice could be for you. This month, YO Info talks with several experts about how to take the leap and practice ophthalmology as a small business person.

Studying Won’t Protect Us: A Resident’s Lessons from Mid-Year Forum
I turned my phone back on after the OKAP exam to unexpected good news: I’d won the New York Clinical Grand Rounds contest and would be sponsored by the New York State Ophthalmological Society to attend the Academy’s Mid-Year Forum as an Advocacy Ambassador. The rest of that weekend, I celebrated winning the award. But now, after my trip, I realize the real prize was the experience I gained through participating in this extraordinary event.

Clinical Pearl
When to Say No to Elective Surgery
Whether considering cataract extraction, blepharoplasty or an epiretinal membrane peel, many of the surgeries that ophthalmologists perform can be classified as elective. As surgeons, it is our responsibility both to provide care to patients and to prevent bad outcomes by avoiding procedures on patients determined to be poor surgical candidates. Here are a few considerations ophthalmologists need to address to ensure the best possible outcome, especially when a procedure is elective.

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Academy Online Community Highlights

YO Info picks the most relevant highlights from recent discussions among your peers.

News in Brief

YOs Dominate Mid-Year Forum, Other Advocacy Efforts
Young ophthalmologists continue to play an important role in Academy advocacy efforts. Of the 353 members who participated in Congressional Advocacy Day last month, more than 40 percent were young ophthalmologists. Find out how your peers have spoken up for their patients and the profession: 

*2014 Advocacy Ambassador Program participant

Correction to Documentation Story
What You Didn’t Learn in Medical School About Proper Documentation” incorrectly described the requirements to bill for testing services. Only subsequent ophthalmoscopy CPT 92226 must have a clearly drawn change in pathology. All other tests can be billed when medically necessary.

Featured Academy Resources
 • Latest Focal Points: Why Can't My Baby See?
 • Featured resource: Learning Disabilities, Dyslexia, and Vision joint statement 
Latest EyeNet
 • Check out EyeNet's May feature, "Managing Vitreomacular Interface Diseases" — video available!

Moneyball and Ophthalmology: Learning from Valuable Numbers
In the May EyeNet, Robert Wiggins, MD, writes about the powerful insights practice financial data can provide. His “essential” analytic tools include the new AcadeMetrics™ benchmarking and salary surveys for Academy and American Academy of Ophthalmic Executives members. Learn more, including what you’ll need to gather, and how benchmarking can help your practice, at The benchmarking survey closes May 31.