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cataract surgery billing

BILLING HACK: CPT 92136

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


ophthalmology front office receptionist

5 FRONT OFFICE QUALITIES THAT COULD BOOST REVENUE

“The strength of the team is each individual member. The strength of each member is the team.” – Phil Jackson Successful businesses recruit team members much like sports teams do—by finding talent particularly suited for their individual roles. Your front office staff can be one of your greatest assets when it comes to boosting your… Read More


ophthalmologist with medicare patient

BILLING AND CODING CHANGES 2020: MEDICARE BENEFICIARY IDENTIFIERS

2020 brought some changes to ophthalmology billing. This is the third in our 3-part series on the CPT changes you need to be aware of. UPDATE: Medicare no longer uses Social Security Numbers (SSNs) as patient identifiers. The Details Medicare cards now use a Medical Beneficiary Identifier (MBI) to identify patients. This 11 character alpha-numeric… Read More


billing medicare for punctal plugs cpt 68761

BILLING AND CODING CHANGES 2020: BILLING PLUGS TO MEDICARE

2020 brought some changes to ophthalmology billing. This is the second in our 3-part series on the CPT changes you need to be aware of. UPDATE: Medicare has updated their payment policy for treating dry eye, CPT codes 68760 and 68761. The Details Medicare has updated their payment policy for CPT codes 68760 and 68761… Read More


health insurance claim form ophthalmoscopy

BILLING AND CODING CHANGES 2020: EXTENDED OPHTHALMOSCOPY

2020 brought some changes to ophthalmology billing. This is the first in our 3-part series on the CPT changes you need to be aware of. UPDATE: There are new CPT codes for extended ophthalmoscopy. The Details Old codes 92225 and 92226 were replaced with: CPT 92201: ophthalmoscopy, extended – with retinal drawing and scleral depression… Read More


Dollar Bill Revenue Making Money

5 TIPS TO MAXIMIZE REVENUE

Small steps can add up over time to make a big impact. Here are five relatively easy things you can do to boost your bottom line: #1 Verify patient’s insurance eligibility prior to the visit Rejected claims are the biggest potential drain on reimbursement. Lack of insurance coverage is one of the leading causes of… Read More


BILLING: IT’S EVERYBODY’S RESPONSIBILITY

It’s an easy mistake to think that medical billing is only the responsibility of the person (or people) in the billing department, as they send out insurance claims and make sure they get paid. But the most successful practices realize that everybody in the office plays an important role in the billing cycle. Does everybody… Read More


ONE YEAR POST LASIK

I’m free!!! My friends and family were happy for me when I told my friends and family that I was getting LASIK done, but I also got a few squeamish questions. “They’re going to put a laser in your eye??”  I’d guess I’m not alone in taking my time to do something only to exclaim… Read More


man reading chart

5 BILLING VITAL SIGNS YOU SHOULD BE CHECKING

It’s no secret that optimized billing is critical to the health of your ophthalmology practice. Cash flow can slow down to a trickle when insurers are sluggish in paying or patients don’t compensate you. Successful practices have an efficient and effective collection system in place. How can you tell if your billing process is helping… Read More


Closeup of an Eye

Billing for Surgical Complications: Modifiers -58, -78 and -79

Occasionally a patient may experience a surgery complication that will require additional treatment. The payment for the initial surgery also includes post-op care during the global period (excluding testing). Under Medicare, the global period includes a postoperative time period for minor surgeries that can be either 0 or 10 days. For major surgeries the global… Read More


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