Yes, but you need to watch what diagnostic testing they are linking to these
exams. And how often you are billing tests such as Perimetry. Depending on
your carrier, it does make a difference.
A recent article in Ophthalmology Management highlighted JUST this dilemnia.
How much time and energy private physicians are spending on billing and coding,
the high turn over rate in these departments ( burnout) Their solution was to
vendor out their billing to an ophthalmic billing service expert in these
things and the cost savings and stress relief were immediately beneficial
Denice Barsness, CRA, COMT, CDOS, FOPS
CPMC Dept of Ophthalmology/ The Eye Institute
Ophthalmic Diagnostic Services
711 Van Ness Avenue Suite 250
San Francisco CA 94109
415-600-5781
FAX 415-558-7011
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On ;
Behalf Of Lori Guerette
Sent: Wednesday, January 02, 2019 9:33 AM
To: optimal@xxxxxxxxxxxxx
Subject: [**External**] [optimal] Re: From Denice in SF Billing and Coding
Questions.
WARNING: This email originated outside of the Sutter Health email system!
DO NOT CLICK links if the sender is unknown and never provide your User ID or
Password.
Not a simple answer. And it would be nice to just have an office manager,
never mind someone trained in billing.
This is a small practice, just two docs and a DO, and I’m the only certified
staff for medical.
It doesn’t matter the complexity of the exam, all billed as new 92004 or
existing 92014 comprehensive or 92012 intermediate. The dx is broken down to
ICD10 levels.
Ah well,
Thanks,
Lori
May you find your marbles,
And recall the carefree joy of childhood
On Jan 2, 2019, at 11:53 AM, CPMC Ophthalmic Diagnostic Center
<cpmceyelab@xxxxxxxxxxxxxxxx<mailto:cpmceyelab@xxxxxxxxxxxxxxxx>> wrote:
Your office should have a billing supervisor and/or a vendor that would know
the gazillion nuances of billing.
· Are you billing TC/PC or Global?
· How you are billing the exam in the context of a private office will
be different than in a Medicare Part B ancillary setting ( hospital,
institution, etc. )
· It’s not so much the diagnosis, as the CPT code. There are multiples
where you cannot bill for both on the same day.
· Proper ICD.10 coding is imperative. While the CPT code may be
legitimate, it must be paired with the proper ICD.10 for payment.
· How you pair different diagnostic tests on same day will also be a
factor.
· The region from which you are billing/coding from will be a factor.
For instance, rules for California might not be the rules for Oklahoma. You
would need to know which guidelines your local carriers are following.
· As you can see, what appears to be a simple question can lead to a
quagmire….
· Hope this helps. A technician / imager with billing and coding
expertise becomes that much more valuable to the practice. There are many on
line courses and resources with which to self-teach oneself.
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Services
