Jeffrey P. Restuccio – Optimizing Compliance and Maximizing Revenue for Ophthalmology and Optometry

Outline

A COMPREHENSIVE LOOK AT CODING FOR EYECARE

• CPT coding fundamentals
• HCPCS coding – G codes – S codes – V codes
• Contrast and comparison of the E & M codes vs. the eye exam codes
• The intermediate and comprehensive eye exams
• Overview of Evaluation and Management (E & M) guidelines
• What services you can and cannot report with the office visit codes
• Tips on how to find the very best insurance company and employer in your town
• What is your most likely audit?
• What your EMR is currently not checking or gathering accurately
• How to
  • think like an auditor
  • manage strict coding compliance and optimal reimbursement
  • train the providers and what is required of them

COMMON EYE PROCEDURES COVERED

• GDX/OCT Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
• Co-Management and cataract surgery
• Fundus Photography
• Visual Field Exam
• External ocular photography
• Ophthalmic echography and biometry
• Coding for dry eye syndrome and punctal plugs
• Miscellaneous procedures

NEW AND IMPROVED! ADVANCED ICD-10 CODING

• Added, Deleted, and Revised codes for 2018
• Degenerative Myopia
• Blindness
• Low vision,
• What does disease specificity really mean?
• Formal ICD-10 coding training concepts
• When two codes are required and not just one.
• Exceptions and “Gotchas”
• Keratoconus
• Pterygiums
• Amblyopia
• Glaucoma

CRITICAL TO THE REIMBURSEMENT PROCESS

• National Correct Coding Initiative (NCCI) information
• Relative Value Units (RVU’s)
• Local Coverage Determination (LCD) guidelines
• Global Days/Global fees
• The Bilateral Surgery Indicator

SURGICAL PROCEDURES PERFORMED IN THE OFFICE

• Codes for removal of foreign body
• Coding for repairs
• Epilation
• Punctal Plug insertion
• Correct use of Modifiers