Practice Management for Retina

Your trusted resource for vital coding, practice management and Merit-Based Incentive Payment System resources unique to the retina practice. Practice Management for Retina provides current and relevant information as your practice evolves over the next decade.

Coding Resources

E/M Documentation Resources

Complete Guide to Retina Coding
Ophthalmic Coding Specialist Retina Exam
Coding News and Expert Advice
VIDEO: Retina Coding Series: Anterior Segment and Retina Combined Cases

Intravitreal Injections

• Coding for Injectable Drugs
• EyeNet Savvy Coder article: Retina—Biosimilars, Dual Inhibitors, and Coding for New Drugs
• EyeNet Savvy Coder article: Intravitreal Injections – Lessons From a National Audit
• Intravitreal Injection for Geographic Atrophy
• EyeNet Practice Perfect: 11 Steps to Add a New Drug (link to come July 1)
• CMS ASP Drug Pricing Files
• Effective July 1, 2023, report JZ modifier for single-dose medications with no waste
  • Fact Sheet JZ and JW Modifier (PDF)
• Documenting waste
  • EyeNet Savvy Coder article: Injectable Drugs, Part 1 – How to get reimbursed for a multidose vial
  • EyeNet Savvy Coder article: Injectable Drugs, Part 2 – Correct coding for single-use vials
• Table of Common Retina Drugs - Effective June 2023 (PDF)
• Academy: How to Ensure Your Recordkeeping for Injections Is Complete
• OMIC: Risk Management for Anti-VEGF Treatment for Adult Patients
  • Addresses on and off-label use, informed consent issues and documentation

Audit tools and resources

• Documentation Checklists
• Intravitreal Injection Documentation Checklist
• Fluorescein Angiography and Fundus Photography
• Fluorescein Angiography and Indocyanine Green Angiography Combined Checklists
• Indocyanine Green Angiography Documentation Checklist
• Retina OCT Documentation Checklist
  
• Photodynamic (PDT) Laser
• Eye visit code checklist
• Proactive Audit Preparedness
• Competency Questions and Answers
• ICD-10 Linkage Documentation Checklist
• Medical Chart Review Standards
• Medical Necessity
• Reality of Third-Party Payer Audits

Prior Authorization

MIPS Reporting Resources

MIPS information including road maps for small and large practices
Quality measures for retina practices

Practice Management Resources

Annual Meeting: AAOE Practice Management Program

• VIDEO: Strategically Grow Your Retina Practice: Three Key Steps to Success
  
• VIDEO: Avoiding Common Errors Impacting Drug Profitability
• VIDEO: Actionable Steps and Considerations When Expanding Retina Practices 
• E-Retina listserv

Benchmarking for the Retina Practice

The Profitable Retina Practice modules

• Medication Inventory Management (PDF)
• Strategically Grow Your Retina Practice (PDF)

Please email retinapm@aao.org with retina coding and practice management questions.