Retina Practices

Sponsored in part by a grant from Allergan, an AbbVie company

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.

COVID-19 Resources

Coding for phone calls, internet consultations and telehealth
Hybrid telemedicine exam
A Day in the Life of a Retina Clinic during COVID-19 (PDF)

• Amsler grid (PDF)
• Visual acuity charts for adults and children (PDF)

Post COVID-19 Recovery Roadmap for the Retina Practice
What Happens When Staff Is Exposed to COVID-19?
Connect with Your Referring Providers During COVID-19 Reopening
VIDEO: Retina Community Q&A: Getting Your Practice Back to Capacity

Prior Authorization

Coding Resources

2021 E/M Documentation Resources

• Conquering New E/M Documentation Guidelines for Ophthalmology 
• Article: New E/M Rules - How to Document the Retina Exam

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
Coding for Injectable Drugs

• CMS ASP Drug Pricing Files
• Documenting waste
• EyeNet Savvy Coder article: Injectable Drugs, Part 1 – How to get reimbursed for a multidose vial
• EyeNet Savvy Coder: Injectable Drugs, Part 2 – Correct coding for single-use vials
• Table of Common Retina Drugs - Updated Dec. 23, 2020 (PDF)
• YUTIQ^® (J7314) Added to CMS ASP Pricing File for July 2020
• Academy: FDA Must Protect Access to Compounded Drugs
• Academy: Most-Favored Nation (MFN) Plan, CMS Aims to Reshape Drug Payments
• Academy: First Coast to Increase Payment for Avastin
• 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 & Anti-VEGF Drug Treatment
• 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
• Medical Chart Review Standards
• Medical Necessity
• Reality of Third-Party Payer Audits

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
• 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.