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

May 11: The Top 12 EMR Mistakes most Eyecare Clinics Make

This Webinar is specifically for Eyecare.  Most managers and providers are under the mistaken notion that their coding and compliance concerns are over once they’ve purchased a certified EMR system.

Nothing could be further from the truth.
In this Webinar we will discuss more than 12 issues that both include and are caused by EMR use. Trust me, your EMR vendor is not going to discourage you from up-coding–that helps pay for the system. And copying information from a previous visit is a time-saver–but is it compliant? This 50-minute Webinar will be held at noon, Central Time, Thursday May 11, and includes:

  1. CC/Presenting Problem
  2.  Mood and Affect/ A+OX3
  3.  Review of Systems (ROS)
  4.  The Problem with Problem Lists
  5.  Identical Exams
  6.  Two additional exam elements specifically for children.
  7.  Medical Decision Making (MDM)
  8.  Pull-down lists for Assessment/Impression
  9.  Medical Necessity (both definitions)
  10.  Matching diagnosis with CPT codes
  11.  Time: Only one Time
  12.  Medicine Section codes 920×2 and 920×4
  13.  Payment versus compliance

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.

Click here for a list of all available EyeCare Coding and Billing Webinars.

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: Jan 26 2017 – HIPAA for Optometry and Ophthalmology Clinic

Join us on Jan 26 2017 for our noon, 50-minute Webinar on HIPAA for the Eyecare office. All Webinars are recorded so you can watch this anytime.

  1. Know how to be compliant with HIPAA regulations in 2017.
  2. Patient privacy protection.
  3. How to avoid incidents, audits, and investigations by HHS.
  4.  How to be prepared for enforcement actions
  5. Risk Analysis and Risk Mitigation planning and execution
  6. Handling Patient Access of PHI properly
  7. Being ready for hacking, Ransomware and responding properly if you’re hit.
  8. How to manage portable devices, e-mail, texting, and encryption in a variety of circumstances.
  9. What is the the HITECH Act?
  10. New rules on the horizon: expected changes to Accounting of Disclosures and 42 CFR Part 2

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!

Oct 20 Webinar: Billing Compliance versus Coding compliance

We will offer two webinars in October. The fifty-minute Webinar is Thursday, October 20, 2016, and is great for intermediate to advanced coders and billers. Ideally it should be viewed by both the coding and billing staff. This webinar will review:

  1. Who can audit you
  2. Billing Compliance and revenue
  3. What is a pure coder?
  4. Reporting small procedures with an office visit
  5. Linking a refraction exam to a medical diagnosis
  6. Carrier tips
  7. Carrier-Specific Rules
  8. Red flags: coding versus billing
  9. Key revenue concepts
  10. Medical necessity
  11. Case study
  12. Billing compliance outline
  13. Resources for additional information.
  14. Your questions

This Webinar is $49 or buy a block of 4 for $99; it is included with the Site License (all Webinars and ICD-10 updates for a full year) for only $499. All Webinars are recorded so you can watch anytime and as often as you like.

Click here to order.

September 15: New ICD-10 changes for Eyecare

This 50-minute webinar was recorded on Sep 15 and is now available immediately. It is only $49. The fee is per clinic. You can watch it anytime and as many times as you want. This Webinar will be specific to ophthalmology and optometry (Eyecare).

It has been four years since the last regular annual update to the ICD-9-CM and ICD-10 code sets. On October 1, 2016 ICD-10 will include over 1,900 new codes including four significant changes to Eyecare codes as well as 800 newly released 2017 ICD-10 injury codes. We will cover not only codes directly related to Eyecare as well as those peripherally related. Making even a small mistake can lead to significant denials and revenue losses for your practice.

  1. New ICD-10 codes for 2017
  2. Formal ICD-10 coding training
  3. When two codes are required and not just one.
  4. Changes to open-angle glaucoma codes.
  5. Changes to diabetic retinopathy codes
  6. Changes to macular degeneration codes.
  7. Changes to central and branch retinal vein occlusions
  8. Disease specificity
  9. Exceptions and “Gotchas”
  10. Coding accidents and injuries

Be prepared. Don’t let the insurance companies deny your claims and reduce your income. If your coders and providers have not had comprehensive ICD-10 coding training (at least six hours) you will not be able to fix this in just one or two hours after Oct. 1. It takes training, periodic audits, reviews and continued training and monitoring.

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.

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.

April 21Webinar: Understanding Medicare Advantage and Eyecare

This 50-minute webinar will be held on Thursday, April 21, at noon central time. 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. Overview of the Medicare Advantage (Part-C) program
  2. How is it the same as Part-B?
  3. How is it different from Part-B?
  4. Who are the specific vendors?
  5. What is a “carrier-specific” rule?
  6. How can I get paid the first time, every time?
  7. How do I appeal?
  8. Specific Eyecare CPT codes
  9. And of course Your Questions

If you have any questions please be sure to send them to me beforehand: jeff@eyecodingforum.com

Click here to Order.