Category: Medical Billing

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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


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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


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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


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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


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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


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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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The Gold Standard of Outsourcing: Increase Your Revenue with Eye Med Management Solutions

Cost cutting may be a big factor when looking to outsource, but it’s not the only reason to consider. Outsourcing your medical billing can significantly increase your revenue stream and efficiency. Every business wants to hire the best people, with the best education and credentials, and in turn produce the best results. When you outsource… Read More


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Coding Tips for Common Ophthalmology Services: Part Two

This is the second blog in a two part series on common ophthalmology services and how to avoid billing errors. To reduce the risk of an audit and costly billing mistakes, here are some tips on common ophthalmology tests and procedures. Fluorescein angiography. Use CPT code 92235, Fluorescein angiography (includes multiframe imaging) with interpretation and… Read More


Closeup of an Eye

Coding Tips for Common Ophthalmology Services: Part One

We’ve all heard the saying “it takes a village” – and this includes ophthalmology billing and coding. Exams, testing, and minor and major surgical procedures all take a team to coordinate and complete. The physician is ultimately responsible for selecting the proper code, however, it takes a team effort to properly document, code, and bill… Read More


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