Optometry Medical Billing Services

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• Optometry Medical Billing Services

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Optometry Medical Billing Services
Every Optometrist practice or Doctors of
Optometry face challenges in coding and billing.
Professional coding and billing expertise is
necessary to code and bill primary eye care
claims. Optometry coding and billing is complex
and requires experienced, trained and certified
coders to accurately code the procedures such as
routine eye exam,refractions, ophthalmic
diagnostic imaging, optic nerve, fundus
photography, contact lenses, perimetry testing,
OCB (Optical coherence biometry), fluorescein
angiography, refractive vision exams, binocular
and accommodative tests, retinoscopy, ametropia,
binocular and biocular balance refraction in VL,
stereopsis, convergence, phoria, opthalmoscopy,
pupillary functions, ocular tonometry,
biomicroscopy etc. Medisys Data Solutions brings
years of optometry coding and billing experience
to your practice. Your optometry practice needs
the skills and experience to handle complex
optometry procedures. We at Medisys Data
Solutions are recognized in optometry coding and
billing.
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Optometry Medical Billing Services

• Below Are A Few Steps From Optometry Billing
  Professionals
• Incorrect use of modifier 59 and 25 Optometrists
  should make sure that modifier 25 is used
  appropriately to report a significant separately
  identifiable E/M service by the same physician on
  the day of a procedure. Also, modifier 59 is to
  be used appropriately to report Distinct
  Procedural Service Under certain
  circumstances, the physician may need to indicate
  that a procedure or service was distinct or
  independent from other services performed on the
  same day.
• Coding and billing updates Keeping abreast with
  the coding updates by maintaining ICD 10 CM, PCS,
  HCPCS, CPT code books is imperative. CMS website
  publishes frequent updates to the coding rules
  and guidelines. The AAO (American Academy of
  Optometry) and AOA (American Optometric
  Association) publishes frequent newsletters and
  journals. Frequent reference to CMS websites and
  subscriptions to articles will keep the providers
  updated on optometry coding and billing.
• Quality checks and audits Regular quality checks
  and frequent audits of coding is a must to avoid
  repetition of errors. There needs to be open
  communication between physicians, coders,
  billers. Optometrists need to be educated by
  coders and billers frequently used ICD and CPT
  codes by the practice and denials/rejections.

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Optometry Medical Billing Services

• Upcoding Coders and billers entries in the
  practice management software should match with
  the actual diagnosis and procedure codes done by
  the optometrist. The coders have to be careful
  while coding expensive procedures which are
  unnecessarily billed than what was actually
  performed by the optometrist.