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The article focuses on the Current Procedure Terminology (CPT) codes used in glaucoma surgery including topics like materials used for corneal and other grafts, coding tips for medicare, and surgical and reimbursement issues in minimally invasive or micro invasive glaucoma surgery (MIGS).

The article provides suggestions for dealing with the various types of Medicare physician audits. It distinguishes the six types of Medicare audits, which are utilization audits, recovery audit contractor audits, comprehensive error rate testing audits, medicare administrative contractor audits, Department of Justice audits and quality assurance audits. It mentions the basic rule for requesting and handling medical records.

The article focuses on compliance of ambulatory surgical center (ASC) with different modifiers related to medical coding provisions. Topics discussed include illustration of Modifier 52 for discontinued radiology services; differentiation of Modifier 73 and 74 through anesthesia administration services; observation of services regarding postoperative care for outpatients; and discussion of different cases regarding cataract surgeries are presented.

The article offers information on herpes simplex virus (HSV) eye infection and its treatments. An overview of herpetic keratitis forms are presented, which include epithelial keratitis, immune stomal keratitis, and endotheliitis. Treatment options are also discussed, such as Viroptic (trifluridine) and Zirgan (ganciclovir ophthalmic gel 0.15 percent).

The article provides an overview of evaluation and management (E/M) codes for ophthalmology practice in the U.S. It points out that using only eye codes may lead to upcoding or downcoding such as in the case of intermediate eye code for established patients which is not always appropriate for coding frequent follow-ups. Among the components of E/M codes are history, examination and decision making. According to the author, a good forced entry chart is possible through facilitating proper chart documentation.

The article discusses the release of the ambulatory surgical center (ASC) regulations for ptosis and blepharoplasty by the Centers for Medicare and Medicaid Services (CMS) wherein the regulations apply to the outpatients departments and physicians.

The article focuses on Medicare payment issues related to ambulatory surgery center (ASC) and mentioned on ASC coding for surgical complications, use of current procedural terminology (CPT) codes, and difference in modifiers used in Medicare ASC surgical coding and physician surgical coding.

The article presents some of the issues that should be considered when deciding where to perform retina surgery, at the ambulatory surgery center (ASC), outpatient hospital or office. Topics discussed include a comparison between intravitreal injections done at the office and at the ASC, the supply issues for each place of service (POS), and retina and vitreous surgical coding. Also explained are the National Correct Coding Initiative (NCCI) in ASC coding and coverage determinations.

The article discusses the Medicare fraud and abuse issues in ophthalmology ambulatory surgical center (OASC) reimbursement as of 2013. A diagram of Medicare compliance hierarchy, with an explanation, is provided. The Office of the Inspector General (OIG) oversees the activities of the Centers for Medicare and Medicaid Services (CMS) and conducts studies on payment issues and the role of the Medicare Administrative Contractors (MACs) in causing erroneous payments.

The article focuses on reimbursement provisions by Ophthalmic Ambulatory Surgery Centers (ASC) for management of surgeries associated with eyelid malposition. Topics discussed include adoption of different approaches for eyelid surgeries that includes functional or cosmetic such as blepharoplasty; consideration of Local Coverage Determination (LCD) for Medicare reimbursement; and appropriate coding services for ptosis and blepharoplasty surgeries for reimbursement.

The article discusses the coding and reimbursement requirements in ophthalmic ambulatory surgery centers (ASC) based on medicare guidelines. Compliance issues for chart documentation as well as coding issues for multiple surgery rules, unlisted codes and modifiers are detailed. Information needed for operative reports are also provided.

The article focuses on the proactive ways in handling Medicare audits. In chart documentation, one is advised to use forced-entry chart examination forms, familiarize oneself with the American Medical Association/Health Care Financing Administration Documentation Guidelines for Evaluation and Management Services, and take routine exams and screening exams. Physicians are expected to be aware of the medical records and have copies of additional tests. National societies and consultants are the most reliable source of information on coding.

The article focuses on eye codes, their definitions, examination requirements and ambiguities. The new patient codes 92002 and 92004 are presented together with established patient codes 92012 and 92014. The narrative descriptions in Current Procedural Terminology (CPT) are explained including intermediate, comprehensive, and special ophthalmological services. Requirements for intermediate and comprehensive examinations are cited as well as the lack of medical necessity and initiation of diagnostic or treatment programs in Medicare denials of services.

The article focuses on web sites that offer information for ophthalmic ambulatory surgical centers (ASCs) in the U.S. which include the web sites of the Centers for Medicare and Medicaid Services (CMS) and The Ophthalmic Mutual Insurance Co.

The article discusses Medicare issues in relation to ophthalmic ambulatory surgery center (ASC) coding/compliance, including examples of inducement, compliance infringements, and errors. In cases where patients are scheduled for surgery for functional upper eyelid blepharoplasty and ectropion repair of both lower eyelids, operative notes reveal that the performance of bilateral lower eyelid blepharoplasties would be considered Medicare fraud as there is intent.

The article discusses problems related to ambulatory surgical center (ASC) coding and reimbursement modifier in the U.S. It mentions that the modifier and coding changes are based on Medicare guidelines. According to the author, physicians and ASC based the codes that they follow on the "Current Procedural Terminilogy" book.

The article provides a logical methodology for coding in the practice of ophthalmology. Guidelines are provided for physicians faced with the dilemma of choosing between evaluation and management (E/M) and eye coding. A chart showing the main codes available for coding office encounters in a non-facility setting is provided. According to the author, requirements for eye code examination vary among Medicare contractors.

The article discusses concepts about Medicare audit and how physicians must deal with it as its number and pace continue to increase in the U.S. Audits conducted by Centers for Medicare and Medicaid Services have various types including prepayment audits based on National Correct Coding Initiative and post-payment audits. According to the author, physicians are easy targets of audits because of their role in the provision of complex documentation. Causes of audits for ophthalmologic practice are also discussed.

The article highlights the findings of the Ocular Tracking Resistance in U.S. Today (TRUST). It reveals that methicillin-resistant staphylococcus aureus (MRSA) is a common isolate, with more than half of the Staphylococcus aureus isolates demonstrating resistance to methicillin. Findings also show that trimethoprim is still effective against MRSA organisms, and that fluroquinolone is the most consistently active agent against all pathogens tested in Ocular TRUST.

The article explains the Current Procedural Terminology (CPT) codes for blepharoplasty and ptosis surgery bundles under the National Correct Coding Initiative (NCCI) issued by the U.S. Centers for Medicare and Medicaid Services (CMS). The aim of the NCCI is to help CMS reduce fraud and abuse in surgical procedures. Ophthalmologists will be billed for the lowest paying code if blepharoplasty and external approach blepharoptosis repair are billed together. Coding tips to ensure optimal oculoplastic reimbursement are offered.

The article discusses factors in increasing revenue in a glaucoma practice. Two sets of codes in the Current Procedural Technology (CPT) of the American Medical Assocation (AMA) can be used for patients who remain in the office for a period of time. A list of tips in the use of the CPT codes is presented. The author shares an example of the use of CPT where a patient is evaluated for a painful red eye after being examined by an outside physician.