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How to Make Sure Your Billing for Tests Passes an Audit

JUN 05, 2017 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

Recently, many practices have reported Supplemental Medical Review Contractor audits that involve anywhere from one to 50 records. Many of these chart audits had something in common: testing services. The basic principles and cases in this article will help you learn exactly when and how to bill for these services.

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Views 390

How to Bill for Exams During the Global Period: 3 Scenarios

APR 26, 2017 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

Billing for exams during the global period requires thorough knowledge of modifiers, documentation requirements and other details. Here’s a look at three billing scenarios to help you receive the proper reimbursement, no matter who performed the initial procedure.

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Views 520

How Would You Bill? Test Your Coding Competency

MAR 28, 2017 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

Physicians have ultimate responsibility for CPT and diagnosis code selection, as well as chart documentation. Test your billing knowledge with these three cases from the American Academy of Ophthalmic Executives.

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Views 865

3 Things That Will Affect Your Billing in 2017

FEB 16, 2017 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

This year, you can expect some significant modifications to how you bill and get paid. Stay ahead of the curve with this overview of the three things that might impact your practice’s billing the most — value-based payments; new and revised retina codes; and ongoing implementation of ICD-10 changes.

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Views 2871

Test Your Coding Competency: 2016 Codapalooza Quiz

NOV 28, 2016 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

Payer rules constantly change. How current is your ophthalmic coding knowledge? Test yourself with these five questions from the American Academy of Ophthalmic Executives’ Codapalooza course last month at AAO 2016.

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Views 940

3 ICD-10 Coding Changes to Watch For

OCT 20, 2016 Joy Woodke, COE, OCS in Billing

As you continue to learn and use the new, expanded ICD-10 codes that took effect Oct. 1, 2016, pay particular attention to these three significant revisions.

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Views 508

New ICD-10 Diabetes Coding Launches Oct. 1

SEP 12, 2016 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

The health care system will roll out additional ICD-10 coding changes this October. Here’s a review of some brand-new codes, plus some revisions made based on specialty society feedback about how some codes were structured.

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Views 657

Don’t Miss These Coding Courses at AAO 2016

AUG 11, 2016 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

Change is constant when it comes to billing and coding. With new policies seemingly created daily, how do you know whether you’re current with the latest submission and documentation practices? Get back your coding confidence at AAO 2016 with these 10 offerings from the American Academy of Ophthalmic Executives.

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Views 285

How to Test Your Modifier IQ

JUL 13, 2016 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

Correctly using modifiers can make or break your practice. Test your own coding knowledge with these five questions from a recent American Academy of Ophthalmic Executives webinar, Mastering Modifiers.

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Views 567

To Bundle or Unbundle? That Is the Question

MAY 18, 2016 Jennifer S Edgar, OCS, Sue J Vicchrilli COT OCS in Billing

Last month, YO Info explained CCI edits and how to decode them. Here, we provide a few examples to show when unbundling is appropriate — and when it’s not— and dig deeper into the most commonly used modifier in medicine, -59.

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Views 636

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About YO Info

YO Info

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

Support provided by

YO Info Editorial Board

James G. Chelnis, MD - Chair
Jiaxi Ding, MD
Olivia L. Lee, MD
D. Wilkin Parke III, MD
Nathaniel Roybal, MD
Jason D. Rupp, MD
Evan Silverstein, MD

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