Google AI can predict heart disease by looking at pictures of the retina

Edward C. Baig, USA TODAY Published 11:00 a.m. ET Feb. 19, 2018 | Updated 11:03 a.m. ET Feb. 19, 2018

I can look into your eyes to see straight to your heart.

It may sound like a sappy sentiment from a Hallmark card. Essentially though, that’s what researchers at Google did in applying artificial intelligence  to predict something deadly serious: the likelihood that a patient will suffer a heart attack or stroke. The researchers made such determinations by examining images of the patient’s retina.

Google, which is presenting its findings Monday in Nature Biomedical Engineering, an online medical journal, says that such a method is as accurate as predicting cardiovascular disease through more invasive measures that involve sticking a needle in a patient’s arm.

Full Article at this link.

Jeffrey Restuccio, CPC, COC

www.EyeCodingForum.com

 

The Ultimate Compendium of Coding, Billing, and Documentation Advice for Ophthalmologists and Optometrists

Coding and Billing Manual for Eyecare: Optometry and Ophthalmology
Official Book Title: The Ultimate Compendium of Coding, Billing, and Documentation Advice for Ophthalmologists and Optometrists.
Available from EyeCodingForum.com
Author: Jeffrey Restuccio, CPC, COC, MBA
Pages: 255       Price: $225      Specialty: Eyecare
Suitable for coders, billers, Providers, and managers. Order Here

The manual is included with the EyeCodingForum.com’s most popular Site License service, 12 months access to over 50 recorded Webinars for only $598 (A $2,500 value!).

Why Do I Care?

  • This book is ideal for both for any level, beginner to advanced. With over 100 pages dedicated to core fundamental coding and billing concepts, it provides the formal background that will put you a step ahead when submitting claims and appealing denials. The advanced break-out tips alone are worth the cost and include tips and advice you will not find anywhere else and answers to questions most neve ask–but can make a big difference.
  • If most of your training is from an Optometrist who learned coding, they you owe it to yourself to experience training from a certified coder who learned Eyecare. The slant and the information is simply different; and especially this manual.
  • You don’t know what you don’t know! You can’t learn the answer if you don’t know the question. And I ask the difficult questions that most other consultants avoid.
  • If you want to be in the top 10% of earners, this book is a “must-have.” Increase the percentage of medical patients and improve your medical claim billing.
  • If you work the front-office, code or bill, increase your value to your employer.
  • Work smarter, not harder–earn more per patient.
  • This book is affordable, convenient and will save Eyecare professionals many hours of aggravation working with medical claims and insurance carriers.
  • It would take weeks to learn this information any other way. How much is your time worth?
  • The medium income for Optometrists is around $100K per year. Top performers earn much more– $187K per year! That difference, $7,260 per month requires knowing how to compliantly and accurately report medical services. This manual will help.
  • Benefit from over twenty years of experience.
  • It provides everything about coding and billing that Optometrists did not learn in Optometry school.
  • Money-Back Guarantee! No questions asked (simply return the manual for a full-refund.)

Manual Sections

  1. The Very Basics
  2. 60 Key Coding Concepts (40 more later)
  3. Office Visits
  4. Diagnostic Procedures and Small Surgical Procedures
  5. Revenue Cycle
  6. ICD-10 (new codes for 2018 and highlights)
  7. More on HCPCS and Modifiers
  8. Optimizing Compliance
  9. Maximizing Revenue
  10. DME-MAC and Post-Cataract Glasses
  11. Additional Information and Index

This manual includes the following break-out tips:

  • 12 claim-form examples for office visits and diagnostic and surgical procedures.
  • 31 Coding Tips (Coding Gold!)
  • 21 Real World Scenarios and Tips
  • 94 Gotchas (exceptions to the rules)
  • 101 Coding and Billing Notes
  • 29 Gray areas (advanced areas where coders disagree)
  • 66 Only Heard Here! (unique tips and scenarios)
  • 75 Common Questions and Answers
  • 70 Why Do I Care notes (what’s in it for me?)
  • 26 Revenue-Enhancing Tip$ !

These break-outs, alone, could make you thousands more per month. They can be reviewed in about two hours.

The manual:

  • Includes 100 key coding, billing, and documentation concepts (every coder, biller, and provider must know.)
  • Includes 125 multiple-choice coding and billing questions with answers to reinforce learning.
  • Includes coding and billing advice for Eyecare by a certified coder and auditor.
  • Updated every year.
  • Additional information with the Table of Contents and sample pages is available on our website.

This manual not provide in-depth information on Ophthalmology surgical procedures or comprehensive ICD-10 training (It does include 2018 updates). Additional ICD-10 video training (10 hours’ worth) is available from the EyeCodingForum.

About the Author: A resident of Memphis, TN, Jeff has over 20 years of experience teaching coding and billing and has conducted over 10,000 chart audits in his career. Since 2007, Jeff has conducted over 365 live seminars on Eyecare (that’s one per day for an entire year!). He has worked with numerous optometry schools and professional Eyecare associations. He is on the advisory board of the Optometry Coding Alert, The Williams Group, and conducts Eyecare Webinars for Audio Educator and the Coding Institute.

Contact Information:
Jeffrey Restuccio, CPC, COC, MBA
EyeCodingForum.com
eyecodingforum@gmail.com | ritecode@gmail.com
http://www.eyecodingforum.com
(901) 517-1705

August 24 EyeCodingForum Webinar: Medicare for Eyecare

This noon, Central Time, 50-minute Webinar will focus on everything related to Medicare for both optometry and ophthalmology. Click here to order EyeCodingForum Services.  It will be recorded so you can view it anytime. It is an update to our July 2014 Webinar. Medicare is your most important insurance carrier. This is a valuable investment of an hour of your time. We will discuss:

  1. Common diagnostic procedures
  2. The Basics (LCDs, E & M Guidelines, Incident-To Rules)
  3. How to work with Medicare
  4. How Medicare Advantage is different.
  5. Why Medicare is not just one, single agency (jurisdictions)
  6. Co-Management
  7. Understand carrier-specific rules
  8. Office visits (both E & M and 920xx codes)
  9. Documentation requirements
  10. How to  appeal denied claims
  11. Improving your ICD-10 coding.

Nationally, about 75 to 85% of Medicare rules and guidelines are the same. However, there are 12 Jurisdictions in the United States and each one has slightly different rules. Our goal will be to provide both a sound foundation and provide new information from all of them and help you get paid correctly, the first time.

The Webinar is $49.00 for one, $149 for purchase a block of 4 or only $499 for access to the entire EyeCodingForum Training Library of over 40 Webinars (Site License). Click here for a list of all available EyeCare Coding and Billing Webinars.

Jeffrey Restuccio, CPC, COC, MBA
EyeCodingForum.com
(901) 517-1705

Apr 20 2017: Understanding How Medical Necessity impacts E & M level

This is an intermediate to advanced Webinar and we’ve also included the 50-minute, Scoring MDM for E & M visits Webinar at no additional cost. So it’s a two-for-one and essential for those wishing to optimize their compliance and maximize their revenue. If you’re the best provider in your area and see older, sicker patients, don’t miss this Webinar.

This definition of Medical Necessity is different from the billing version ! The official document explaining Medical Necessity from Medicare is from 2015, therefore this will be new information for most coders, billers, and especially providers. For maximum benefit you should already know:

  1. How to document, score and report office visits
  2. How to document and score Medical Decision Making (MDM) for E & M visits.
  3. The EyeCodingForum Scoring MDM Webinar is included. Please review the recorded video before attending this Webinar.

This 50-minute Webinar will be held at noon, Central Time, April 20. It will be recorded so you can watch anytime as often as you like.

Not understanding Medical Necessity could cause you to either make or lose thousands per year–particularly if you see older, sicker patients. It is especially important to ophthalmologists and retinal doctors. There are very few Webinars on this topic–even fewer good ones. It requires for the coder to have an in-depth knowledge of your speciality disease states and their severity. Medical Necessity creates a huge gray area concerning high level code selection. In this webinar we will cover:

  1. Medical Decision Making (MDM)
  2. MDM Scoring System
  3. Why is Medical Necessity More important than MDM?
  4. The two definitions of Medical Necessity
  5. CPT version
  6. The AMA Perspective
  7. Medicare Guidelines
  8. Ways to determine Medical Necessity
  9. The Problem with Problem Lists
  10. The concept of Peer Review
  11. The concept of the 50/50 Rule (of auditing)
  12. Gray Areas

Click on this link to Order EyeCodingForum Services. This Webinar is $49 or buy a block of 4 for $149; or purchase the Site License (over 40 Webinars plus the next 12 Webinars for a full year) for only $499. All Webinars are recorded so you can watch anytime and as often as you like. They are streaming video.

www.EyeCodingForum.com
Jeffrey Restuccio, CPC, COC, MBA

Webinar Bundle: Other Topics for ophthalmology and optometry

This is for the veteran coder and billers who want to learn about peripheral topics. Whether you’ve worked in optometry and ophthalmology for 10 or 20 years I am sure you will learn something new. We had so many good topics I settled on 9 plus the 35 Concepts and Newbie coding and billing course for Eyecare included  with all Bundles.

  1. March 2014 Over 35 key concepts every provider, coder, and biller must know
  2. Nov 2016: Analyzing financial ratios for your Eyecare clinic
  3. DEC 13 2012: Marketing to medical patients-
  4. APRIL 2015: Other places of service
  5. Nov 2015 Meaningful use
  6. Aug 2016 : DME-MAC: Billing and Coding for post-cataract glasses
  7. MARCH 2015: Documenting for PQRS and Interpretation and Report
  8. Jan 26 2017: HIPAA for Eyecare [Jan 26 Webinar]
  9. Mar 2016 Everything not in the CPT or ICD-10 manual
  10. Feb 27 2014: Screening and non-eye diseases EyeCodingForum Webinar-
  11. Oct 2016: Basics of coding, billing, and insurance

All recorded videos are by clinic for up to 10 providers. They can be watched as often as you like. Every year older modules will be updated. They are about 50 minutes each and can be paused and rewound like any video. They are streaming Webinars on the WebEx server. After you purchase the Bundle you will see a link in your subscription area with the list above.

Click on this link to Order EyeCodingForum Services.

Free Basic and Coding Webinar for Ophthalmology and Optometry

The recorded webinar below is our Oct 2016 Coding and Billing for Newbies presentation. It is 60 minutes and for someone completely new to medical billing and coding.  It is hosted on the Webex server and after you click on the link it will download the free .ARF video player the first time and then stream to your PC or Mac. It can be paused or rewound at any time. It does not download to your computer.

If you desire more comprehensive training please look into our Site License option or affordable Coding and Billing Bundles. Individual Webinars are only $49–a fraction of the cost of competing Webinar companies.

Very basic coding, billing, and insurance video training for Optometry and Ophthalmology module.

Just click on the free training module above, sit back and enjoy!

May 19 Webinar: Winning Carrier Appeals the First Time

This 50-minute webinar will be held noon central time on Thursday,  May 19. It is only $49 and will be recorded so you can watch it anytime. This Webinar will be specific to ophthalmology and optometry (Eyecare). It will include:

  1. Most common reason claims are denied
  2. Top Ten Medicare Part-B reasons
  3. Sample Denial letters
  4. Appeal Steps
  5. Get Organized before you call
  6. Identify the Carrier / Gather the manual or LCD.
  7. Is this a non-covered service?
  8. Is pre-authorization always required?
  9. ICD-10 Linking
  10. NCCI Edit?
  11. Correct Modifier?
  12. Is this a Carrier-Specific Rule?
  13. Is this worth appealing? Can you win?
  14. Contacting the carrier
  15. Appeal as many times (levels) as necessary to get paid.
  16. The art of appealing a denied claim.

This Webinar is included in our Site License or order a bundle of four for a 50 % discount. If you have any questions please be sure to send them to us beforehand: jeff@eyecodingforum.com

Click here to Order.

Mar 24 Everything Not in the CPT or ICD-10 Manual

This webinar is specifically for Eyecare and covers the following:

  1. The PFSRVU database
  2. RVUS
  3. Professional versus Technical component
  4. E & M RVU’s versus 920xx codes
  5. Bilateral surgery modifier
  6. Other surgery flags
  7. NCCI Edits
  8. Global Days
  9. Local Coverage Determination
  10. Medical Necessity
  11. Medicare Modifiers
  12. Eye Exam elements
  13. Other Issues
  14. AHA ICD-10 Coding Guidelines for 2016

Click here to Order. All Webinars are recorded and watched anytime.

Jan 28 Webinar – Coding Compliance for optometry and ophthalmology

This EyeCodingForum Webinar was on ThursdayJanuary 28, noon central time, fifty-minutes. It is now recorded so you can watch it anytime.

This is an updated version and consolidation of numerous Webinars we have conducted in the past. But it is the first one focused entirely on coding compliance for optometry and ophthalmology. In my 20-plus years of consulting this is the one topic most organizations allow to slip through the cracks–plus it is the most difficult to implement internally because you must be strict with the doctors and there is often pushback.

We will cover:

  1. Basic concepts of coding compliance with an emphasis on Eyecare issues.
  2. Specific examples and areas to focus on.
  3. Office visits
  4. Diagnostic tests
  5. Surgical procedures
  6. Performing a weighted-average analysis of top services
  7. The audit/train/audit feedback loop.
  8. The 12 top compliance errors.
  9. Why baseline training for the staff and providers is necessary.
  10. The features of a good coding compliance plan.
  11. A review of an actual coding compliance plan.
  12. Why implementing good compliance measures will take far less time than you think.
  13. The concept of risk assessment and how much risk your clinic wants to assume.
  14. How improving compliance will improve your bottom line.
  15. And of course your questions.

Click Here to Order the Webinar Now.

Each Webinar is $49 or buy a block of 4 for $99; they are included with the Site License (over 44 Webinars and ICD-10 updates for a full year) for only $499. Click here for a list of available Webinars.

 

Maximizing Revenue through Accurate Coding, Billing, Documentation, and Compliance

This Webinar is recorded and if you can watch it anytime, anywhere. If you select just one, this should be it. Note that it does assume a basic knowledge of concepts and guidelines. If you discover you need additional training, select our Beginner Bundle of Webinars (only $125) on our Order Form.

1. Documenting and reporting 920xx codes

2. Documenting and scoring E & M office visits

3. Know how to score MDM.

4. Updating your fee schedule. Understanding RVU’s

5. Understanding medical necessity

6. Medicare Guidelines and Tips

7. Learn how to appeal denied claims.

8. Reporting optimal levels (audit-proofing your clinic)

9. Knowing information not in the CPT manual (e.g., unilateral vs bilateral codes)

10. Work screenings for high-risk drugs

11. Niche markets: psychiatric, neurology, orthopedics, pediatrics

12. How to document the Interpretation and Report for diagnostic tests

13. A little something extra on ICD-10 (Appendix)