Optimizing Compliance and Maximizing Revenue for Ophthalmology and Optometry – Jeffrey P. Restuccio
- 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
| Manual – Optimizing Compliance (1.66 MB) | 86 Pages | Available after Purchase |
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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