American Academy of Ophthalmic Executives Web Site: www.aao.org/aaoesite/
Original URL:

 

bullet Coding Bulletin Archive

2010 | 2009 | 2008 | 2007 

The Coding Bulletin empowers the entire coding team with the most current information on rules and regulations for proper coding and documentation. Physicians, administrators, billers, coders, office managers, and other ophthalmic medical personnel are integral components of every coding team. Read the Coding Bulletin for reliable ophthalmic coding tips in order to receive appropriate reimbursement.

The Coding Bulletin is a AAOE member benefit (AAOE member login required). Need help remembering your login information?



2010  
July 2010 • Sue’s View:  Modifier -25 Revisited
• Correct Coding Initiative Edits – Version 16.2 Effective July 1, 2010
• Ask the Expert — The Ophthalmic Coding Coach
  > Coding for pars plana vitrectomy, lensectomy, membrane peel, air fluid gas exchange, external cryopexy to left eye for traumatic dislocated lens and traumatic macular hole
  > Excision of lesions payable per lesion or eye?
  > Coding for AC washout
• Coding Tips for the Young Ophthalmologist and Staff who are New to Practice
  > Inside Information on Successful Coding
• Medicare Updates:
  > Notice of New Interest Rate for Medicare Overpayments and Underpayments (Part A and B)
June 2010 • Sue’s View: PQRI Update: Decide Now: Claims vs. Registry Reporting
• PECOS Update: The Letter is in the Mail
• Ask the Expert
  > Coding for upper and lower canaliculi
  > Retinal detachment and subsequent repair with vitrectomy
  > Nasolacrimal duct and CCI edits
  > Modifiers and retinal detachment repair
• Coding Tips for the Young Ophthalmologist and Staff who are New to Practice
  > Duplicate Claims
May 2010 • Sue’s View: Understanding the Correct Coding Initiative (CCI)
• PQRI Update
• Coding Tips for the Young Ophthalmologist and Staff who are New to Practice
• What Constitutes a “New” Patient?
• Ask the Expert 
  > Refraction 
  > Bundling edits 
  > Dispensing and charging for prescription medication 
  > Improper use of ABN 
  > Rights of physicians who have opted out of Medicare
April 2010 • Sue’s View: Documenting the Past, Family, and Social History
• And the Winner is: Kathy Shirley, COT, OCS
• Ask the Expert: Signature Requirements Revisited
• Correct Coding Initiative Edits Version 16.1 Effective April 1, 2010
• Coding Tips for the Young Ophthalmologist and Staff who are New to Practice
March 2010 • Sue’s View – The Review of Systems (ROS)
• And the Winner Is: Blanche L. Mindlin
• Ask the Expert: Corneal Transplant, Cataract Extraction
• Coding Tips for the Young Ophthalmologist and Staff who are New to Practice
• PQRI Registry Reporting Now Available
• Medicare Updates:
  > CMS Answers Questions on Physician Consultation Changes
  > PECOS Enrollment Delay and Confusion
February 2010  • Sue’s View – Components of the Chief Complaint. Your Participation Requested
• Consultation Reference Guide
• Ask The Expert -  Appropriateness of Billing Finance and Other Charges
• New Feature: Coding Tips for the Young Ophthalmologist and Staff who are New to Practice
• Medicare Updates:
  > National Provider Identification (NPI) Numbers Available
  > Guidelines for Billing Services Performed While Awaiting Enrollment
January 2010 • Sue’s View: Coding Competencies – Coding Mistakes You Should Never Make
• What’s Up with Consult Coding
• 2010 PQRI Implementation Guide and Webinar Play-Back Available
• ICD-10 Information Available
• Correct Coding Initiative 16.0
• Ask the Expert: Intravitreal Injections and Anesthetic
• CMS Updates:
  >January is National Glaucoma Awareness Month
  >Coding for Ozurdex Dexamethasone Intravitreal Implant
  >Unprocessable Claims Detailed
• Answers to Coding Competencies Self Assesment
 

 TOP

2009  
December 2009 • CMS Announces PQRI Changes for 2010
• E-Prescribing 2010 Incentive Updates Published
• Part B Hospice Modifier –GW
• Timely Claim Filing 
   > Asking for a Claim Reopening for a Medicare Denied Claim Not Filed within the Time Limits
October/November 2009 • Correct Coding Initiative Version 15.3 Now Effective
• Office of Inspector General (OIG) 2010 Target Areas Announced
• CERT Chart Payment Denial Details
September 2009 • Sue’s View – PQRI Report Help Available Soon
• New HCPCS Code for Avastin
• Ask the Expert
  > Bundling of Cataract and Complex Retinal Detachment
  > ICD-9 Code for Limbal Stem Cell Deficiency and Zonular Dehiscence
  > ICD-9 Code for Capsular Distension Syndrome
• Medicare Updates
  > CMS Announces the Release of the Revised CMS-855 Medicare Enrollment  Applications
  > ASC Payment Indicator File Error and Reiteration of CMS Policy Regarding Beneficiary Liability for V2787 and V2788
August 2009 • Sue’s View - Claim Submission - Getting It Right The First Time
• Ask the Expert - ABN Necessary for Every Potentially Non-Covered Visit
• Medicare Updates
  > Proposed 2010 E-Prescribing Incentive: Reporting Simplified
  > Typical Enrollment Processing Days
  > Typical Redetermination Processing Days
  > Corneal Tissue: Claim Submission for Processing, Preserving and Transporting
July 2009 • Correct Coding Initiative Update Version 15.2
• Projected Changes for 2010 - Consult Codes
• No Payment for Surgery on Wrong Site
• Modifier 22 – Does It Have Ophthalmic Application?
June 2009 • Sue’s View: CERT Audits Reveal Common E&M Errors
• Altering Medical Records
• Modifier -79 Are You Using It Correctly?
• PQRI 2007 Re-Run Report Update
• UPIN Registry Discontinued
May 2009 • CMS Signature Requirements for Medical Review
• CERT Will Not Pay Chart Duplication Costs 
• Misuse of Modifier -79
• What’s New with Ambulatory Surgical Centers
• E-Prescribing Clarification
April 2009 • Ask the Expert: CMS responds to Evaluation and Management Questions
• CCI Edits Version 15.1
• Supporting Documentation and Coding Requirements for Postoperative Care: CPT Modifier 55
March 2009

• Sue’s View: On Your Mark, Get Set, Code!
• Appropriate Use of the New Endothelial Keratoplasty Codes
• Modifier JW Update
• Modifier GW Update

February 2009

Get a Clear Picture on Ophthalmology Coding, from A-scans to YAG

January 2009

• Sue’s View: On Your Mark,  Get Set,  Code!
• Ask the Experts: Answers to Web Conference Coding Inquiries
• CMS Updates
   > All 56 Physician Fee Schedules Available in One File
   > 1500 Claim Form Instruction Updated
   > Expanded Benefits Brochure Available
   > PQRI Physicians Named on CMS Web Site
   > Reporting Responsibilities Fact Sheets Revised

 
2008  
November 2008
  • Sue’s View: Academy Identifies Billing Errors that Prevented Successful 2007 PQRI Participation
  • OIG Work Plan for 2009
  • Ask the Expert: Consultations
  • October 2008

    • Sue’s View: Cataract and Vitrectomy Surgery
    • Ask the Expert: Appropriate Tests Prior to Cataract Surgery
    • CCI edits 14.3 Effective Oct. 1, 2008 to Dec. 31, 2008
    • CMS Updates
      > Payment Update for IOLs Implanted in Physician Offices
      > CMS Announces New Recovery Audit Contractors to Identify
    • Improper Medicare Payments

    September 2008

    • Sue’s View: Modifier 59 
    • Ask the Expert: Postoperative Care or Separately Billable?; Tarsorrhapy: Which CPT code is correct?
    • CMS Fact Sheets for Reporting Changes to Your Medicare Enrollment Information

    August 2008
  • Sue’s View: Medicare Advantage Plan Audit Experience
  • Ask the Experts: Correct Coding for Limbal Relaxing Incision; Coding for Pterygium Excision with Amniotic Membrane Transplant
  • Physician Signature Requirements
  • Welcome Kim Ross, OCS, CPC – Academy Coding Specialist
  • July 2008
  • Sue’s View: The Check is in the Mail
  • CCI Version 14.2 Becomes Effective
  • Ask the Expert: Coding bilaterally for 92135; Glaucoma shunt update
  • Test Your Coding Competency – Answers Provided
  • June 2008

  • 2009 PQRI Measure Test Reporting Begins July 1
  • 2007 PQRI Feedback Reports Available Mid July
  • ASC Update: Billing for Drugs and Biologicals
  • May 2008 
  • Sue’s View: Signs and Symptoms of the Best Practices
  • Ophthalmology Work Values Protected
  • Coding for Prolonged Services
  • Test Your Coding Competency
  • April 2008
  • Sue’s View: E&M Reminder for Physicians in Group Practice
  • Correct Coding Initiative Version 14.1 Update
  • New Modifiers for Clinical Research Studies
  • 2007 PQRI Error Report Data
  • March 2008
  • Sue’s View: Special Testing Bundling Issue
  • New Advance Beneficiary Notice
  • Ask the Expert: What Constitutes Complex Cataract Surgery?
  • February 2008
  • Emergency Fee Fix For Complex Retinal Detachment Code
  • Sue’s View: Consultation or Transfer of Care
  • The Importance of Billing the Correct Place of Service
  • Ask The Experts: Anterior Segment Scanning
  • Submit Surgical Cases for Upcoming March Coding Bulletin
  • Dates of Service Extended for PSA Bonus Payment
  • January 2008
  • Common Coding Errors Part Two
  • Eye Code Payment Update Explained
  • Correct Coding Initiative Version 14.0 Update
  • Notice of Interest Rate for Medicare Overpayments and Underpayments
  •  
    2007  
    December 2007
  • Common Coding Errors Part One
  • PQRI Update
  • 2008 Medicare Participation Options
  • Ask the Experts: Coding for Removal of Punctal Plugs
  • November 2007
  • Sue’s View: Responding to Coding Questions
  • Frequently Asked Questions Submitted to coding@aao.org
  • October 2007
  • OIG Work Plan 2008
  • July 2007
  • Sue’s View: PQRI Update
  • Correct Coding Initiative Update
  • Modifier 25 and 57
  • AMA Survey
  • Delay in NPI Registry; Tamper-Resistant Prescription Pad Requirement for Medicaid Prescriptions
  • May 2007
  • Sue’s View: The Status of Three Chronic or Inactive Conditions
  • Ask the Expert: Obtaining Informed Consent
  • Required Modifiers for Use in Billing for Hospice Patients
  • A Quick Guide to Implementing PQRI
  • April 2007
  • Sue’s View: HPI Challenge Winners
  • Coding Challenge: The Status of Three Chronic or Inactive Conditions
  • PQRI, Part Two
  • CCI Version 13.1 Effective April 1
  • Ask the Experts: Coding for ProKera; Microstent in Glaucoma Surgery
  • March 2007
  • Sue’s View: Obtaining an Appropriate Chief Complaint and History of the Present Illness
  • HPI Challenge
  • CMS Error Extends Deadline for Revised Form 1500
  • P4P Report, Part One
  • Evaluation and Management Questions Answered
  • NHIC Reports Necessity of Modifier GY and Refractions
  • February 2007

    • Sue’s View: The Positive Power of Change
    • OIG Work Plan Clarified: YAG Laser Capsulotomy Involved
    • National Carrier Determinations Identified
    • Are You an Ophthalmic Coding Specialist?

    January 2007 • Sue’s View: Be Prepared for an Audit
    • Coding for Corneal Topography
    • New Policy for NTIOLs
    • CCI Version 13.0 Becomes Effective
    • Academy Rebuttal Recalls CCI Edit
    • New CAP Modifier Information
       

     If you would like a Coding Bulletin article from 2006 or earlier, please send an e-mail to bmair@aao.org
     

     


       TOP