New Decisions Bring Continuing Changes – Review of Ophthalmology

This mid-year update covers a variety of changes from DHHS and CMS that may affect your billing and your practice.

This article answers he following questions:

  • Were changes made to the Medicare Physician Fee Schedule after the president signed the extension to the Middle Class Tax Relief and Job Creation Act of 2011, postponing the planned cuts to physician reimbursement?
  • Is Medicare reimbursing bandage contact lenses with the code 92071 for the fitting of the lens and 99070 for the supply?
  • Were changes made to CPT code 92072 for fitting a contact lens in keratoconus?
  • Did the new drug aflibercept (Eylea) receive its own unique Healthcare Common Procedure Coding System code for physician billing?
  • Are there other new codes of interest to ophthalmologists?
  • Will ICD-10 be implemented on October 1, 2013?
  • Is the Recovery Audit Contractor program continuing to find overpayments?
  • Is CMS continuing to make bonus payments under the PQRS and eRx bonus programs?
  • When will it be necessary to meet the Stage 2 meaningful use requirements for the Health Information Technology bonus program?
  • Did CMS finalize the Quality Measure specifications for ambulatory surgery centers?
  • When are ASCs required to begin reporting these measures?
  • Are there additional quality measures for ASCs beyond the five assigned Level II G codes?
  • What procedures should be “counted” for reporting quality measure number seven?

This article was published in Review of Ophthalmology’s Medicare Q & A column, which is written by Corcoran’s Vice-President, Donna McCune, CCS-P, COE, CPMA. To view the entire article in Review of Ophthalmology, click on the link below:

See page 20.

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