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Optimizing Compliance and Maximizing Revenue for Ophthalmology and Optometry by Jeffrey P. Restuccio,
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Faculty:: Jeffrey P. Restuccio
Duration:: 5 Hours 59 Minutes
Format:: Audio and Video
Copyright:: Oct 12, 2017

Description

Every day eyecare professionals are missing revenue opportunities because they just don’t know the basics or are overly concerned with “red flags” and being audited. This seminar focuses on optimizing coding and documentation compliance first. Only then can you bill every office visit and procedure at the appropriate and highest compliant level without fear. Learn how to work smarter, not harder.

Handouts

Outline

A COMPREHENSIVE LOOK AT CODING FOR EYECARE

CPT coding fundamentals
HCPCS coding – G codes – S codes – V codes
Contrast and comparison of the E & M codes vs. the eye exam codes
The intermediate and comprehensive eye exams
Overview of Evaluation and Management (E & M) guidelines
What services you can and cannot report with the office visit codes
Tips on how to find the very best insurance company and employer in your town
What is your most likely audit?
What your EMR is currently not checking or gathering accurately
How to
- think like an auditor
- manage strict coding compliance and optimal reimbursement
- train the providers and what is required of them

COMMON EYE PROCEDURES COVERED

GDX/OCT Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Co-Management and cataract surgery
Fundus Photography
Visual Field Exam
External ocular photography
Ophthalmic echography and biometry
Coding for dry eye syndrome and punctal plugs
Miscellaneous procedures

NEW AND IMPROVED! ADVANCED ICD-10 CODING

Added, Deleted, and Revised codes for 2018
Degenerative Myopia
Blindness
Low vision,
What does disease specificity really mean?
Formal ICD-10 coding training concepts
When two codes are required and not just one.
Exceptions and “Gotchas”
Keratoconus
Pterygiums
Amblyopia
Glaucoma

CRITICAL TO THE REIMBURSEMENT PROCESS

National Correct Coding Initiative (NCCI) information
Relative Value Units (RVU’s)
Local Coverage Determination (LCD) guidelines
Global Days/Global fees
The Bilateral Surgery Indicator

SURGICAL PROCEDURES PERFORMED IN THE OFFICE

Codes for removal of foreign body
Coding for repairs
Epilation
Punctal Plug insertion
Correct use of Modifiers

Faculty

Jeffrey P. Restuccio, CPC, CPC-H, MBA, Related seminars and products: 1

JEFFREY P. RESTUCCIO, CPC, CPC-H, MBA, is a certified professional coding instructor specializing in Eyecare coding, billing and documentation with over fifteen years of experience. Since 2007, Mr. Restuccio has conducted more than 185 seminars, nationwide, on coding and billing for Eyecare to thousands of Optometrists and Ophthalmologists and their staff. For the past 15 years, he has provided consulting services to local and national health care companies, specializing in coding and reimbursement for physician practices. Mr. Restuccio frequently conducts chart audits, operational assessments, and software selection and implementation of new billing systems. In total, he has audited more than 10,000 medical records.

Besides speaking and consulting, Mr. Restuccio is the principle owner of Ritecode.com, and performs mini-audits and Webinars specifically for Eyecare for EyeCodingforum.com. He is a member of the American Academy of Professional Coders.

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