Top Ten Percent of Eyecare Providers

After teaching coding, billing, and documentation for nearly 20 years, and auditing over 10,000 medical charts, and teaching over 300 live classes on Eyecare, I have come to an interesting conclusion.

My services and instruction appeal most to the top ten-percent of coders, billings, providers, and management. That is who is attending my live seminars and attending my Webinars.

My goal, over the next 12 months, is to find these “top ten percenters” and focus on them. Most all transactions can be handled remotely and through Webinars. It’s roughly 1600 Eyecare practices and this service is a a personalized, custom, high-end product. You don’t have to be in the top ten percent today–you just have to want to get there! I’ve had many clinics attend my seminars or a Webinar and they bill very little medical insurance and have never had any formal training so regardless of where you are now, do you want to someday be in the top ten-percent? Here is an overview of the service:

1 Mini audit service (2 per year) $500
2 Eyecare Compliance Plan $299
3 Maximizing Revenue Course $218
4 ICD-10 Training $265
5 Minimum of 4 Webinars $200
6 Basic ICD-9 to ICD-10 conversion $500
7 All Webinars (36) $1,750
8 12 More Webinars $600
9 Access to other ten-percenters priceless
10 Available for Q and A: priceless
Total value per year: $4,332

This service is the Site License on Steroids. Currently my price-point for the service is $2,000 per year but that may change. The site license offering will increase later in 2015 so that would be an appropriate price. How do you know if you want to be in the top ten-percent? Here is a short list:

1 Establish Baseline audit and training
2 Establish a coding compliance plan
3 Values training and education as an investment with a quantifiable ROI.
4 Agreeable to improving documentation across the board
5 Excited about maximizing medical patients
6 More procedures and tests.
7 Want to work smarter not harder
8 Want greatest income per patient
9 Providers and management involved in all aspects of practice
10 Higher level office visits
11 Focus on audit-proofing clinic
12 Implement education and marketing programs recommended by

If you currently have any other EyeCodingForum subscription, you can upgrade to the Top Ten-Percent Program and I will rebate any amount you have spent in 2015 toward it. Contact me and I will send you a custom discount code.

Jeffrey Restuccio, CPC, CPC-H, MBA
(901) 517-1705

May 28 Webinar: Creating a new ICD-10 fee ticket

This webinar will explore challenges, options, and strategies for creating a new fee ticket for ICD-10.

The May 28 Webinar is outlined below:

  1. A typical ICD-9 fee ticket
  2. Circling all the unspecific codes
  3. Two fee tickets (short and long)
  4. Policy question: minimal coding or correct coding?
  5. A single doctor office
  6. Multiple doctors
  7. Searching ICD-10 codes by description or crosswalk
  8. The Legend approach and format to cheat sheets (about 1/3 of the webinar will be dedicated to this concept).
  9. Omitting unspecified eye codes
  10. Preview of coding from the manual.
  11. Your Questions

With the increase in codes, this is not a trivial task and there are a multitude of decisions you will need to make concerning how you select codes with ICD-10. The majority of this information is not in my current live or online ICD-10 training but will be included in the Site License (All Training) option. The time to work on how you select codes is now. Do not delay.

Click here to Order any EyeCodingForum Product
Jeffrey Restuccio, CPC, CPC-H, MBA
(901) 517-1705

How to Get started with ICD-10 training for ophthalmology and optometry TODAY

With our recorded, video training, you can train all your doctors (up to 10), and your staff for one low, discounted price. You can watch the videos anytime and as often as you want until Oct 1 2015. My lives seminars are per student; this is per clinic so it’s a great deal at any price. To get started:

Go to our Order Form page. On the form select either:

  1. The ICD-10 Training Course
  2. Combined ICD-10 plus the coding and billing course.
  3. Site License option (special introductory price) which includes all recorded training: ICD-10, billing, plus over 35 recorded webinars. This is a phenomenal  offer so lock in this reduced price now.

Need testimonials? Click here.
Need an outline? Click here.
Need to see some examples? Click here.

After you purchase the course you will set up a User ID and password. Enter those on the subscription page and you should see a menu with all your training options and links. Click on the subscription link(s) on the left and enjoy the videos.

I have taught this class live over 100 times, I have 15-20 years experience as a coding instructor, and I’ve audited over 10,000 records. I specialize in eyecare. The course is nearly 400 slides and covers about 100 diseases. No other course, and some are twice the price, comes close.

If you have any problems contact me at or call me at (901) 517-1705. Be specific exactly what the problem is. Most problems are best fixed through emails but the links above should solve 95% of problems.



Special Training Offer: EyeCodingForum Site License for Eyecare

For a limited time, the EyeCodingForum is offering a Site License: this includes all EyeCodingForum recorded training per clinic for up to ten providers, for one year, for only $499. It represents over 50 hours of training specific to optometry and ophthalmology.

The offer includes:

  1. ICD-10 training specifically for Eyecare (6 hours)
  2. Maximizing Revenue through coding, billing and documentation training specifically for Eyecare (6 hours)
  3. Beginner and an advanced Webinar sets; each set contains six, 50-minute, recorded Webinars. These are bundles of the Webinars below.
  4. A total of 35 recorded Webinars and counting — approximately 35 hours of instruction to save you time, improve your revenue, keep you compliant and increase the effectiveness of your office.
  5. new Webinar every month. You can sit in or watch 12 additional Webinars.

Click on the links above for more information. All courses are recorded video with PowerPoint slides and audio narration. They can be watched anytime, paused like a video and watched again during the one-year period.

After the one-year period you will be offered an option to continue with the training at a discount. This is a limited-time offer. The price will increase after this year.

Order the site license here 

On the Order Form scroll to the bottom of the screen to see Subscription Annual All Training It is second from the bottom on the order form.

Please contact us at the email or number below if you have any questions.


SGR bill passes March 26 2015 without any delay in ICD-10!

The final countdown has begun on the Thursday, October 1, 2015 due date for ICD-10!

On March 26, 2015, the U.S. House of Representatives passed key legislation sustaining ICD-10’s mandated October 1, 2015 implementation date. The time for ICD-10 training is now.

The SGR bill, which delayed ICD-10 in 2014, passed without any mention of ICD-10. 2015 is the year! If you have been procrastinating, well, it’s time to get serious about ICD-10.

Every provider should have at minimum, six (6) hours of training and the majority who have attended our live ICD-10 class or taken the online course have indicated that a second viewing would be necessary. That’s 12 hours, not one not two or even four. If the doctors do not document adequately, then correct and compliant ICD-10 coding is not possible.

The specific information is below:

ICD-10 cleared a major hurdle March 26 2015 as the U.S. House of Representatives unanimously voted in favor of bipartisan legislation replacing the Medicare Sustainable Growth Rate (SGR) formula. No ICD-10 reference was included in the bill.

Last year, a surprise rider included in the Protecting Access to Medicare Act of 2014 postponed the code update until at least Oct. 1, 2015. Today’s legislation had no such addition and leaves few, if any, road blocks on the path to implementation.

The healthcare industry has shown keen interest in the implementation of ICD-10. Many view the code update as a necessary step forward in healthcare diagnosis, bringing the outdated ICD-9-CM code up to speed with current procedures and technology. Opponents suggest the Centers for Medicare & Medicaid Services (CMS) is not ready for implementation and will create a backlog of unpaid claims, severely affecting cash flow to healthcare facilities and providers.

ICD-10 laggards now face a stark reality: prepare your facility for the upcoming implementation date or risk having claims unpaid. Six months remain for the healthcare industry to prepare. Although the date is closing in, it is not too late for preparation to begin. “It’s doable, there’s no doubt of that, even if you are just getting started. But resources could be an issue and, as always, the longer you wait to prepare, the higher the costs will go as the date nears,” Buckholtz said. “Practices that were holding off on preparing for ICD-10 implementation will now need to kick it in high gear to get ready in time.”

Find more information about the approved Medicare reform legislation, ICD-10 implementation, and other news about the business of healthcare in our newsroom.

The EyeCodingForum offers online ICD-10 training but the instructor, Jeffrey Restuccio, CPC, CPC-H, MBA is conducting six live classes every month until Oct 1 2015.

Accessing an online training module on the website

After you have purchased online training, click on the link below to access all your training subscriptions on the website.

All EyeCodingForum subscriptions Login Page

Any product is a subscription, whether it is the ICD-10, Coding and Billing training or a Webinar. These are recorded videos.

Go to

Note that will send you to the same link. On the main page the Login link is under “Training” then click on “Login to All Subscriptions.”

The ID and password are case-sensitive. The amember login [to access training] is not the same as your WordPress login if you created a user id and password to post comments on the website.
The training link is below:

After you login you will see all your subscriptions on the left under “Your Subscriptions.”

Click on the link. If you have multiple subscriptions you will see multiple links.

After you click on the link you will be prompted again for your ID and password for security. It is the same one you just entered. After you enter it you should see a screen with all the links for your purchased module.

Contact me with any other questions. If it is not working please be specific exactly where and what is not working.

We will be updating the ICD-10 training periodically until Oct 1 2015. Be sure to check every couple of months for updates.

ICD-10 Coding for Optometry

The EyeCodingForum specializes in ICD-10 coding for optometry and ophthalmology. We provide onsite, live, and recorded training for hundreds of ICD-10 codes specific to eyecare. In particular there will be new coding guidelines for diabetic retinopathies, glaucoma, and injuries. Missing just one code could cost you thousands.

In addition, we provide quick, affordable conversion of all your ICD-9 codes to ICD-10. Just send us your current list of ICD-10 codes in either ASCII or excel format (it must be computer readable).

Contact us now for more information.

Top Ten Misconceptions about ICD-10

As someone who has been teaching ICD-10 to doctors, coders, billers, and managers for over two years, I would like to dispel some of the most common misconceptions.

ICD-10 training will cost me lots of money. Most of the estimates are widely-inflated full absorption cost accounting techniques where they add up every minute you spend reviewing your coding. Most small clinics can learn ICD-10 in 6-12 hours, update their fee ticket, and coding practices for less than a tenth of the $87,000 amount bandied about.

All medical practices need to get a line of credit because most of the insurance companies will not be ready and will deny a majority of their claims. This is another example of selling fear. Most insurance companies are ready now. Firstcoast, the Medicare carrier in Florida, has already updated (Dec. 2014) all Local Coverage Determination’s (LCD’s) to ICD-10. While some small self-funded plans may have some growing pains, if everyone in the clinic is properly trained, this should not be a problem.

ICD-10 is primarily an administrative function. Send the billers and coders to trading so they can take care of everything. This is incorrect. ICD-10 is primarily a documentation issue–that means more specific documentation by the providers. All providers need 6-12 hours of training; most of the training will be basic coding and documentation instruction that they may never have learned in the first place. The goal of ICD-10 is improved documentation and reporting the complete story of the visit.

I don’t have time to write a book! This is the either/or fallacy and asking the provider to document controlled versus uncontrolled diabetes is not asking for a book–it’s good clinical care and documentation. If the providers are currently using a look-up program, fee ticket, or ICD-9 cheat sheet with numerous unspecific codes, then, yes, they will need to improve the accuracy and specificity of their documentation, but this is something that they should have been doing all along. There is a difference between wet and dry age-related macular degeneration (ARMD), internal and external ophthalmoplegia, and myopia and degenerative myopia. Monthly audits and phasing-in improved specificity over a period of months is the best strategy.

ICD-10 is a conspiracy  by the insurance companies to not pay me. Understanding basic coding and billing guidelines and applying them is another task that requires a minimal amount of training. I have been teaching coding and billing for over 20 years and still learn something new every day. All providers need to understand the significance of “carrier-specific” rules and the concept of medical necessity. Some carriers will very likely be more strict with claim edits and deny claims when two codes are required and not just one (secondary glaucoma for example). It will not be consistent, but gathering data to improve healthcare, manage costs, and determine what is most efficient healthcare  is the reason for ICD-10–not to deny your claim.

My practice management software vendor told me they would handle everything and I do not have to go to any training. There are ways you can test this. One is to submit two codes where the second one is an “Excludes 1″ code. Was it rejected? Another is to report codes that require a second code (code also, code additional, code the underlying cause, code first). These guidelines are in the manual and if you don’t use the manual for all your coding it’s easy to miss these. Last, search for PVD or “posterior vitreous detachment”. These terms are not in ICD-9 nor ICD-10. Did your software find them? There are additional codes that do not have a crosswalk. What does your software recommend? Lookup capability does not substitute for proper training in guidelines and documentation.

There are hundreds of new, specific disease codes in ICD-10. Actually, there are less than a dozen new codes in ICD-10 for Eyecare. Yes, that is not a typo. In some specialties, such as infectious diseases, OB/GYN, and orthopedics, there are many new codes, new code combinations, and additional reporting requirements. In Eyecare there is now laterality; you must report most conditions as either right, left, or bilateral eyes. That will increase the number of codes approximately 4X. The other major changes relevant to Eyecare are: diabetes and diabetic retinopathies (now one combination code); glaucoma codes (stage codes and laterality are now one combination code); and accidents (now must be reported as initial, subsequent, or sequela). Most of the specificity is already in ICD-9.

I’ll wait until a month before the implementation date of Oct. 1 2015: Over 95% of an ICD-10 class is reviewing basic coding concepts, guidelines, anatomy and terminology. All of this can be used now. The doctors need to learn and focus on documentation requirements and the concepts. The coders and billers need to learn as much about the diseases as possible so they can effectively translate the doctor’s documentation into accurate codes. The two most common examples are: late effects and reporting both the location and reason for an accident. Most optometrists do not document or report these. A late effect is the subsequent effect from an prior injury or event. The statement “chronic conjunctivitis due to burns to the eye five years prior” requires two codes, not one. One for the chronic conjunctivitis and another to indicate that this is a “late effect.” In ICD-10 a late effect becomes a sequela and is coded with an “S” 7-th digit extension code. Concerning accidents, every patient with a corneal abrasion or foreign body in their eye should be asked where they were when it happened and what were they doing? If they were in a factory and working on a metal-working machine, then two additional codes should always be reported to indicate the location and reason. These concepts have been around for decades. They are nothing new but many clinics are not documenting or reporting them today.

ICD-10 is going to reduce my revenue. You can use ICD-10 to increase the profitability of your practice–particularly in optometry. Increasing the number of medical patients by 10, 25 or 50% will have a significant increase in income per patient. Increasing the suite of diseases you manage and implementing a long-range marketing and education program concerning diabetes, high-risk drugs that can affect the eyes, hypertension, ARMD, glaucoma, and collagen vascular disorders, will reap results in higher level codes, more procedures, and more reference for medical patients. I like to think of ICD-10 training as “spring cleaning” where the doctor, the coder/biller, and the manager learn what each one needs to know to do their job effectively. Most all clinics have errors in their fee ticket, are missing documentation, or use codes improperly; errors that can be fixed in less than 30 minutes with a simple audit. Use ICD-10 to update everything in your clinic. You will be surprised how little time it takes and how much it can improve the bottom line, not decrease it.

The insurance companies don’t need all this detail. Remember, the data you send does not stop at the insurance carrier. It is further analyzed by the World Health Organization (WHO), the Center for Disease Control (CDC) and used worldwide for research to improve healthcare. The data is used to:

  1. Aid in the development of fee schedules and pricing schemes.
  2. Help in managing the utilization review process.
  3. Provide an opportunity for greater measurement of the quality and efficacy of medical care.
  4. Background for research.
  5. Allow additional codes for some categories (infectious diseases) that have run out of room for new codes.

ICD-10 is the “right thing to do.” If any provider, at any time, has said they became a medical professional because they wanted to help people, then that is yet another reason to implement ICD-10. It will help people. The data gathered will be used to fund research and improve healthcare worldwide.

Do not delay your ICD-10 training. Do note that some training is a lot better than others. If possible find specialty training that explains the diseases and conditions for all non-clinical staff. Also, there are numerous exceptions or “gotchas” as I call them. ICD-10 training should include at least a dozen; if not then they have not really  done their homework. The EyeCodingForum has a complete, six-hour  recorded ICD-10 training course for ophthalmology and optometry.

Jeffrey Restuccio, CPC, CPC-H, MBA
Coding Consultant
ICD-10 and Eyecare

Dec 18 Webinar: 2015 Coding Changes for optometry and ophthalmology

This 50-minute Webinar will cover everything and anything that will help you plan properly for 2015. It will save you time and money, condensing about 8-hours worth of research into 50 minutes. It will be recorded so if you cannot attend live, sign up and watch it at your leisure.

This webinar is at a special price–only $25. Competing Webinars cost much more–often $200 or more. I should know. I teach a lot of them for other companies. The usual price is only $49 and the EyeCodingForum offers bundles of 4 or 8 Webinars at $99 and $199 respectively.

Help me keep our costs low and tell your friends.

Topics covered include:

  1. CPT changes
  2. Preparing for ICD-10
  3. OIG Work Plan
  4. Medicare changes
  5. Medicare conversion factor
  6. PQRI program
  7. Auditing
  8. Medicaid
  9. Compliance
  10. Attendee Questions

click here Order menu button to order.

Jeffrey Restuccio, CPC, CPC-H, MBA

Specializing in coding, billing and documentation for Eyecare


Nov 20 Webinar: How to Maximize Revenue through accurate coding

This 50-minute Nov 20, 2014 Webinar is recorded and available anytime on demand. It can be watched multiple times for 180 days. Live presentation is Thursday, at noon, central time.

We will discuss the following:

  1. Why not understanding anatomy and medical terminology can cost you money.
  2. Multiple ways to increase your medical business.
  3. How to use codes 99050 and 99058 to increase revenue.
  4. How to get paid on 92015 even when the patient does not have vision insurance.
  5. How to confidently report level IV visits every time
  6. How to perform screenings for a wide variety of medications and conditions
  7. How to ensure your medical necessity is accurate.
  8. How to use modifiers effectively
  9. Understanding carrier-specific rules
  10. Tips on appeals
  11. Your Questions!

The Webinar is $49.00 or purchase a block of 4 Webinars for only $99. Click on this link to Order EyeCodingForum Services

Jeffrey Restuccio, CPC, CPC-H, MBA
(901) 517-1705