Modifier 26 The professional component of certain procedures and includes the interpretation of results and written reports. Using modifier -26 identifies the professional component. Modifier TC The technical component of certain procedures and includes the supply of the equipment, supplies, staff, and costs associated with performing the procedure. A great example of using these modifiers… Read More

This is the first in a 3-part series of our favorite practice management softwares. Practice management software can help you save time, reduce errors, and stay compliant. Plus, any chance you have to automate or optimize can also positively impact your bottom line. In our many years of working with ophthalmology practices, Eye Med Management… Read More

DOES YOUR OPHTHALMOLOGY PRACTICE BILL FOR YAG’S? BELOW ARE TIPS TO GET YOUR CLAIMS PAID TIMELY. #1 Payment is per eye. Use modifier -50 if the procedure is done bilaterally. Use modifiers -RT or -LT if the procedure was performed on only one eye. Use modifier -78 if the procedure was performed within 90 days… Read More

We’re sure the question, “what modifier do I use?”, has popped into your head many times when a patient comes into the office for punctum plugs, an epilation, or an injection. If you’re billing an exam with a minor procedure that has a zero or 10 day global period, modifier -25 is required on the… Read More

Does your ophthalmology practice bill for punctum plugs? Below are six tips to get your claims paid timely. #1 Documentation requirements prior to punctal plugs include: 1) patient’s unique complaint (not cloned), chart documentation should describe the patient complaint as dry, burning, itching and/or excessive tearing, 2) what methods for relief have been tried and… Read More

Insurance reimbursement and collections are more complicated than ever. And, with COVID-19 and the hardships every practice has faced this past year, having systems in place to collect money up front and stop unnecessary waste is crucial.  Follow these six suggestions to improve the AR and overall financial health of your practice: #1 CAPTURE ALL… Read More

BILLING PRO TIP: Use CPT 92136 (Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation) – this test is performed prior to cataract surgery to help measure the axial length of the eye, the corneal curvature, and anterior chamber depth. Medicare pays the technical component bilaterally and pays the professional component unilaterally. Per… Read More