GDX/OCT Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Jeffrey P. Restuccio – Optimizing Compliance and Maximizing Revenue
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