Webinar Bundle – Beginner

This group of six 50-minute Webinars is suitable for a beginner to intermediate coder/biller in an optometrist or ophthalmologist office. The list price for all six Webinars is $294 ($49 each). For a limited time only, the price is $125. That is nearly six hours of training, a per-clinic fee (not per person) plus you can watch anytime and multiple times.

  1. June 2014 Top Documentation Errors
  2. April 2014 Coding and Documentation for Office Visits (992xx and 920xx)
  3. Mar 2014: 35 key concepts every EyeCare professional should know.
  4. Jul 18, 2013: Eyecare Diagnostic Procedures Review
  5. March 2013: Medical Necessity. Linking ICD-9 codes to office visits and procedures
  6. NOV 2012: Optometry Coding and Billing Basics with specific Examples.

Click on this link to Order EyeCodingForum Services.

It is the top option.

Trizetto Introduction to ICD-10 Coding for Eyecare

The 55-minute webinar, conducted by Jeffrey Restuccio, CPC, CPC-H, MBA, (author and narrator of the EyeCodingForum content) is now posted to the Trizetto website. It is free to review.

http://www.gatewayedi.com/icd10/webinars/icd-10-webinar-for-eyecare-professionals/

The EyeCodingForum offers a 6-hour (plus) training program for ICD-10. It is recorded video format and can be viewed anytime, multiple times, until Oct 1 2014.

Click the link below to order the EyeCodingForum six-hour version of the ICD-10 coding for Eyecare.

http://www.eyecodingforum.com/amember/signup.php

 

 

 

GEMS on Steroids by the EyeCodingForum

With the looming deadline of October 1 2014 for ICD-10 implementation, there will be hundreds teaching ICD-10 and offering ICD-9 to ICD-10 conversion services. How do you determine who is qualified? How do you distinguish someone who is knowledgeable about ICD-10 coding? And lastly how do you determine is truly knowledgeable about your specialty and can discuss the diseases and diseases on more than a superficial level?

Most advise to use the GEMS (General Equivalency Mapping) tool to crosswalk ICD-9 to the correct ICD-10 codes. Some organizations are charging $2500 for this GEMS conversion. The GEMS conversion files are available on the Medicare website but it requires knowledge of database design and manipulation to actually make this work. Plus, as you will see there is a lot of information that is missing from GEMS.

Below is the list of the top 27 ICD-9 codes from a typical Eyecare clinic used in our example. The complete EyeCodingForum ICD-9 to ICD-10 service is explained here. I call the service. Send us your list of ICD-9 codes for a free analysis. The complete analysis is 21 pages and you can download it for free at this link GEMS on Steroids by the EyeCodingForum Dec 1 2013.

Rank

ICD-9

Description

1

36721

Regular Astigmatism

2

3671

Myopia

3

3674

Presbyopia

4

3670

Hypermetropia

5

36616

Senile nuclear sclerosis

6

36504

Ocular hypertension

7

36615

Cortical senile cataract

9

36511

Primary open angle glaucoma

9

36511

Primary open angle glaucoma

9

36511

Primary open angle glaucoma

9

36511

Primary open angle glaucoma

9

36511

Primary open angle glaucoma

10

37300

Blepharitis unspecified

11

2245

Benign neoplasm of retina

12

37200

Acute conjunctivitis unspecified

13

37272

Conjunctival hemorrhage

14

37311

Hordeolum externum

16

25000

Diabetes mellitus without complication type II or unspecified   type not stated as uncontrolled

17

36614

Posterior subcapsular polar senile cataract

19

37515

Tear film insufficiency unspecified

20

36250

Macular degeneration (senile) of retina unspecified

21

36257

Drusen (degenerative) of retina

22

36500

Preglaucoma unspecified

23

36502

Anatomical narrow angle borderline glaucoma

24

36510

Open-angle glaucoma unspecified

24

36510

Open-angle glaucoma unspecified

24

36510

Open-angle glaucoma unspecified

24

36510

Open-angle glaucoma unspecified

24

36510

Open-angle glaucoma unspecified

27

37210

Chronic conjunctivitis unspecified

 

2014 Live Cross Country Seminars for ICD-10 training for ophthalmology and optometry

Click Here for additional Cross Country live seminar documents (for those who have attended a live seminar). This link is password-protected.

I will be teaching ICD-10 coding for Ophthalmology and Optometry in 2014/2015 in over 60 cities for Cross Country Education (CC).   The EyeCodingForum, separately, offers an expanded version of the ICD-10 training in video format (PowerPoint slides plus narration), which is available today.

At the end of this list are cities already visited. If we have already visited your city, you wish to start today, or we won’t be visiting your city, I recommend the recorded version above. It includes the same information, narration, and discussion. If you wish to attend a live seminar you must contact  Cross Country Education.

Jeffrey Restuccio San Antonio

6/10/2014

Jeffrey Restuccio Austin

6/11/2014

Jeffrey Restuccio Houston

6/12/2014

Jeffrey Restuccio PEORIA Tuesday, June 24, 2014
Jeffrey Restuccio DAVENPORT Wednesday, June 25, 2014
Jeffrey Restuccio MADISON Thursday, June 26, 2014
Jeffrey Restuccio APPLETON Tuesday, July 08, 2014
Jeffrey Restuccio MILWAUKEE Wednesday, July 09, 2014
Jeffrey Restuccio SCHAUMBURG Thursday, July 10, 2014
Instructor City Seminar Date
Jeffrey Restuccio Providence RI Tuesday, July 22, 2014
Jeffrey Restuccio Worcester MA Wednesday, July 23, 2014
Jeffrey Restuccio Hartford CT Thursday, July 24, 2014
Jeffrey Restuccio Portland ME Tuesday, August 05, 2014
Jeffrey Restuccio Manchester NH Wednesday, August 06, 2014
Jeffrey Restuccio Boston MA Thursday, August 07, 2014
Jeffrey Restuccio Asheville NC Tuesday, August 19, 2014
Jeffrey Restuccio Knoxville TN Wednesday, August 20, 2014
Jeffrey Restuccio Nashville TN Thursday, August 21, 2014
Jeffrey Restuccio City TBA Tuesday, September 02, 2014
Jeffrey Restuccio City TBA Wed, September 03, 2014
Jeffrey Restuccio City TBA Thu, September 04, 2014
Jeffrey Restuccio City TBA Tuesday, September 16, 2014
Jeffrey Restuccio City TBA Wed, September 17, 2014
Jeffrey Restuccio City TBA Thursday, September 18, 2014
After Oct 1 2014: Follow-Up Training on ICD-10 Course
Jeffrey Restuccio Tentative Oct 14 15 16
Jeffrey Restuccio Tentative Oct 28 29 30
Jeffrey Restuccio Tentative Nov 4 5 6
Jeffrey Restuccio Tentative Nov 18 19 20
Jeffrey Restuccio Tentative Dec 9 10 11

This live training is separate from the recorded Webinars and ICD-10 training on the EyeCodingForum website. The material is the same but they are separate companies. CC contact information is below;

Cross Country Education
P.O. Box 200
Brentwood, TN 37024
800.397.0180 – Toll Free Phone
615.331.4422 – Local Phone
615.346.5350 – Fax

The live experience is fundamentally different from the recorded version. We will have a class where over half of the participants will be optometrists and ophthalmologists.  My classes are interactive and we expect spirited interaction between the requirements of the coders and billers and the clinical staff. [Click here for more on What's the Difference?]

The live class is a unique opportunity to ask a qualified, certified coder, with over 15 years of experience and a thorough background in Eyecare, virtually any coding and billing question. Due to the high level of interactivity of my live seminars, I will have to remove about 60 minutes of information from the live seminar that is in the recorded version.

In the live seminar we will have the opportunity to discuss the “real world” of selecting and documenting specific ICD-10 codes with your peer group. We will mostly likely discuss well over 100 specific eye diseases and conditions and their related codes. I have spent well over 200 hours preparing this training course. I have trained well over 1,000 certified coders, and taught over 185 coding and billing seminars for Eyecare. There will not be anything quite like this ICD-10 coding training for Ophthalmology and Optometry, anywhere, by anyone.

Jeffrey Restuccio, CPC, CPC-H
Eyecare coding and billing consultant
jeff@eyecodingforum.com

Visited Cities are below (Live Seminar will not return in 2014: Recommend online, six-hour ICD-10 Training Course: Recorded ICD-10 training 

 Jeffrey Restuccio Norfolk, VA (US) Tuesday, Feb 18, 2014
 Jeffrey Restuccio Raleigh, NC (US) Wednesday, Feb 19, 2014
 Jeffrey Restuccio Charlotte, NC (US) Thursday, Feb 20, 2014
 J. Restuccio Columbia, SC (US) Tuesday, Jan 28, 2014
 J. Restuccio Savannah, GA (US) Wednesday, Jan 29, 2014
 J. Restuccio Jacksonville, FL (US) Thursday, Jan 30, 2014
Jeffrey Restuccio Wilkes Barre

3/11/2014

Jeffrey Restuccio Harrisburg

3/12/2014

Jeffrey Restuccio Philadelphia

3/13/2014

Jeffrey Restuccio Atlantic City

3/25/2014

Jeffrey Restuccio Edison

3/26/2014

Jeffrey Restuccio Parsippany

3/27/2014


SpeakerHeadCt subform

Speaker Code

Seminar City

Seminar Date

Jeffrey Restuccio Portland

4/8/2014

Jeffrey Restuccio Spokane

4/9/2014

Jeffrey Restuccio Seattle

4/10/2014

Jeffrey Restuccio Salt Lake City

4/22/2014

Jeffrey Restuccio Denver

4/23/2014

Jeffrey Restuccio Billings

4/24/2014

Jeffrey Restuccio Grand Rapids

5/6/2014

Jeffrey Restuccio Ft Wayne

5/7/2014

Jeffrey Restuccio Indianapolis

5/8/2014

Jeffrey Restuccio Columbus

5/20/2014

Jeffrey Restuccio Toledo

5/21/2014

Jeffrey Restuccio Sterling Heights

5/22/2014


ICD-9 to ICD-10 Conversion Service for Eyecare

The EyeCodingForum is now offering an ICD-9 to ICD-10 code conversion service.

Click on this link to Order this service.

I have checked other, competing services and most perform a generic GEMS conversion for about $2500. Understanding all the rules, codes, disease options, and making critical decisions concerning which codes to include and which to exclude is not a trivial task. The EyeCodingForum staff has spent well over 200 hours studying and preparing our ICD-10 for Eyecare training course. Plus we have been teaching medical coding and billing for over 15 years.

The EyeCodingForum service is personalized, customized, and Eyecare specific. This includes the six-hour ICD-10 training for your entire staff. We anticipate and fix any areas of vagueness or uncertainty from your ICD-10 code selection. With the expansion of codes in ICD-10 it is simply impossible to get even a marginally correct list of codes on even two pages. Decisions have to be made. The first question is do you want to code to the highest level of specificity and properly report codes using ICD-10 guidelines? If the answer is yes, we can help.

Send us a list of either your top 200 codes or the codes from your current fee ticket in a either text or Excel spreadsheet format. We provide multiple options:

  1. A customized ICD-10 code list with approximately 150 codes (3 columns of 50) per page.
  2. One or two page option (can be any length)
  3. Your list of codes and names
  4. Updated disease or condition descriptions
  5. Fix any current ICD-9 errors
  6. Fix all vague descriptions/unspecific ICD-9 codes
  7. Optional removal of unspecific diseases, eye or eyelid codes.
  8. Add in required or missing diseases/codes
  9. Expand to all relevant ICD-10 codes
  10. Options for listing laterality, eyelid codes, occurrence codes, and glaucoma stage codes.
  11. Options for listing diabetes codes (well over 100)
  12. Option for printing wildcards and a 6th & 7th digit legend.
  13. Up to 4 hours of conference calls/webinars with the doctors and staff.
  14. Audit of up to 20 encounters for documentation errors/improvements.
  15. Options for proper injury coding: sequela (late effects), injury (S and T codes), Place of Injury (W and Y codes).
  16. Hundreds of alternative, common names for conditions not found in the ICD-10 manual.
  17. Expert advice on codes that do not have an ICD-10  crosswalk.
  18. One year of EyeCodingForum Webinars (2014) including at least ½ dozen on specific ICD-10 issues.
  19. The complete, six-hour, ICD-10 coding for Eyecare online (recorded) course (worth $225)
  20. Over one-hundred medical subterms of lesser-known diseases defined.
  21. Access to the EyeCodingForum expert staff.
  22. Peace of Mind. Take advantage of our expertise and economies of scale. We will perform hundreds of conversions in the next 12 months. We can do it faster, better, and less expensively than you could do it yourself. We go to all the bother and reinvent the wheel?

Our introductory fee for the custom conversion service above is $1200. The $500 option is a  conversion of your current ICD-9 codes to ICD-10 plus a list of additional codes I would recommend. It does not include the other services and the iterative consulting portion above.

There will be a lower-fee, conversion-only option for single provider optometry clinics.

If you are interested in knowing the current quality of your ICD-9 code list and how many ICD-10 codes it will expand into, please send it, with your contact information, to ecf@eyecodingforum.com in a  spreadsheet format. Be sure to list the ICD-9 codes as text so they do not truncate fifth digits (.00). In addition to your current fee ticket list, be sure to send your top reported ICD-9 codes for a year (generated from your practice management system). There is no fee for this preliminary evaluation.

Thank You

Jeffrey Restuccio
jeff@eyecodingforum.com
www.eyecodingforum.com

 

Is there an ICD-11?

Believe it or not, there is already an update to ICD-10, in beta version, known as ICD-11. I found this trying to determine why does ICD-10 have two separate codes for diplopia and double vision whereas everyone considers these to be synonymous. This is the type of question that keeps me up late at night. Technically one should not document one “double vision” (H53.19) and then report the ICD-10 code for diplopia: H53.2.

You can see an example of ICD-11 below (note how it combines both in one code and references back to H43.2 or diplopia and not double vision):

8D30.3 Diplopia

Parent:  8D30 Visual disturbances     ICD-10 : H53.2
Definition: This is pathologically perceiving double vision of a single object as a result of impaired function of the extraocular muscles.

Inclusions •Double vision

All Index Terms

•Diplopia
•Double vision
•seeing double
•vision; double vision

More information is found at the World Health Organization website:

http://apps.who.int/classifications/icd11/browse/l-m/en#!/http%3A%2F%2Fid.who.int%2Ficd%2Fentity%2F184960545

 

ICD-10 Implementation – Should you dual code?

One of the many challenges facing Eyecare professionals concerning ICD-10 coding is whether to dual-code their encounters or not. In other words, whether it is one day, one week or a month, should the clinic code both ICD-9 and ICD-10 codes for a period before the Oct 1 2014 implementation date?

There are several good reason to do this. The main reason is to practice finding and reporting the new codes. The second reason is to determine if there are problems with either the terminology or ICD-9 to ICD-10 crosswalk. Another reason is based on documentation and whether the providers are providing the level of detail necessary to report the most accurate ICD-10 code.

At the very minimum, a comprehensive documentation-audit should be performed six to three months before the implementation date. This should be organized as follows:

The clinic performs a comprehensive review of all their current ICD-9 codes (fee ticket/cheat sheet/top 50 ICD-9 codes) for specificity and guidelines. Common examples include reporting one code when two are required (e.g., diabetic manifestations, ophthalmic hypertension) and not reporting late effects and E codes for injuries.

All ICD-10 codes relevant to Eyecare should be reviewed by both clinical and the coding and billing staff. Decisions should be made on what level of specificity will be required by the providers per the documentation. Allowing wide variance in documentation standards and reporting specificity is not recommended. The carriers will be auditing for ICD-10 compliance and if the documentation does not reflect what is reporting this will be considered a compliance violation.

Once the clinic agrees on standards, then the providers should implement the new requirements (e.g., documenting right and left for every eye condition, using the term “with hypoglycemia” for diabetic patients).

Audit the documentation for completeness and convert the codes to ICD-1o. This could be dozens or hundreds of codes.

The clinic must decide how codes are selected: lookup program, cheat sheet, fee ticket, abstracted from actual notes by a coder or written on the fee ticket by the provider.

The clinic should determine if they will be using a Legend/Cheat Sheet approach to coding ICD-10. This approach will require both training and practice to reduce the possibility of errors.

While dual-coding for an extended period may not be economically feasible for many clinics, a spot audit of 100 encounters or several days–spaced out over a few months is a wise strategy to determine any gaps or confusion in reporting the new ICD-10 codes.

The EyeCodingForum provides comprehensive training (online, recorded), consulting services, and an ICD-9 to ICD-10 conversion service that goes far beyond GEM one-to-one mapping (crosswalk) of codes. There are numerous “Gotcha’s” and exceptions. Those exceptions, though few will make the difference between a clean claim every time, and many hours wasted on follow-up and lost revenue due to improper ICD-10 coding.

Jeffrey Restuccio, CPC, CPC-H

Eyecare coding consultant

 

Which Recorded Webinars do you Recommend?

If you need the basics in anatomy, CPT, ICD-9/ICD-10, E & M, office visits, diagnostic and minor surgical procedures, purchase the Maximizing Eyecare Revenue Course. If you are going to purchase just one, 4 or 8 Webinars, here is my sorted list with the best listed first. Click on the link for more information on a specific Webinar. You can copy and paste the Webinars listed below.

  1. NOV 2012: Optometry Coding and Billing Basics with specific Examples.
  2. April 2013: Top Errors, Misconceptions and Coding Questions for Eyecare.
  3. March 2013: Medical Necessity. Linking ICD-9 codes to office visits and procedures
  4. Jul 18, 2013: Eyecare Diagnostic Procedures Review
  5. JUL 2012: Winning Optometry Appeals Webinar.
  6. OCT 2012: Eyecare Coding and Billing for Medicare
  7. AUG 2012: How to Audit-Proof your Optometry Practice Webinar
  8. Aug 2013: ICD-10 Introduction
  9. Jun 2013: Answers to the Top Twenty Questions Most Eyecare professionals do not know.
  10. SEP 2012: Analyzing Fee Tickets for errors and lost revenue
  11. May 2013: Online, interactive audit of office visit notes (92014, 99214, 99203 and more).
  12. Oct 2013: ICD-10 Coding for Problems with Contact lenses
  13. DEC 2012: Marketing to medical patients in 2013.
  14. Dec 19, 2013: CPT Updates for Eyecare for 2014
  15. JUN 2012: Carrier-Specific Rules, E codes, Vitamin Therapy, ICD-10 and more.
  16. May 2012: Overview of common vision plans, feedback on 2012 codes, review of ICD-9 codes by CPT, ICD-10 and more.
  17. Sep 2013: Physicians Quality Reporting System (PQRS)
  18. Nov 14, 2013: TBA

 

Oh my gosh! ICD-10 is coming in less than one year. What should I do?

I will make this simple for all Eyecare professionals, including Ophthalmologists and Optometrists:

Best Deal: Order the $299 Bundle: You get the complete, recorded, six-hour, ICD-10 Webinar for Eyecare course plus you get either eight (8) Webinars (either existing recorded or new Webinars) or the complete six-hour, recorded Maximizing Revenue for Eyecare through correct coding, billing and documentation course. The 8 webinars are worth $199 and the Maximizing revenue course is worth $225. It’s a super deal.

Make it simple: Order the $225 complete, recorded, six-hour, ICD-10 Webinar for Eyecare course now and get free updates until Oct 1 2014. You can watch it anytime, more than once and this is a per clinic fee. Watch it once now and then again around three months before implementation.

Not quite sure?: Order the 50-minute Aug 2013 Introduction to ICD-10 Coding for Eyecare course for $49. After you purchase it, you can upgrade to the complete course and I will send you a discount code for your $49.

Can I attend a live Seminar?: Course developer Jeffrey Restuccio, CPC, CPC-H, will be teaching 48 live seminars in 2014 for Cross Country Education. Contact them concerning your preferred dates and cities. We will not be able to visit every city before Oct 1 2014 so call today. Note that the live seminars are completely separate from the EyeCodingForum offer and the fee is per person. The online version is an EyeCodingForum product. The live seminars are provided by Cross Country Education.

Contact:
Cross Country Education
PO Box 200
Brentwood, TN 37024
Toll Free Phone: 800.397.0180
Local Phone: 615.331.4422
Fax: 615.346.5350

Special Offer for ICD-10 training for Ophthalmology and Optometry

This offer is good until Dec 31 2013. The implementation date is Oct 1 2014. Order the package below now for only $299 and receive:

  1. The complete, six hour, recorded ICD-10 Webinar.
  2. Updates for a full year until the implementation date. I expect to update the course at least three times.
  3. Access to a Question/Answer Section of the EyeCodingForum exclusively for those who purchase ICD-10 training from the EyeCodingForum.
  4. Either the complete, six-hour, Maximizing Revenue through coding and billing for Optometry (ophthalmology) course) or
  5. Eight (8) EyeCodingForum webinars, either recorded or future webinars.

This is a very special offer, one will not get from any other professional ICD-10 for Eyecare training organization. Our goal is 500 clinics. That includes both Ophthalmology and Optometry. We will continue to provide special offers, but this is a great opportunity to ensure that you are kept current on all matters related to ICD-10 and Optometry and Ophthalmology.