“Step” therapy – Ophthalmic Professional

How it may impact your patients and your practice

It is now fairly common for an insurance plan to have significantly different coverages for different but similar medications, such as intravitreal injections. It’s hard for us to know what the exact benefit is in advance — while one patient can have a low (or no) co-pay another patient has a high co-pay for the same medicine.

This article was published in Ophthalmic Professional’s Coding column, and written by Corcoran’s Senior Consultant, Paul Larson, MBA, MMSC, COMT, COE, CPC, CPMA. To view the entire article in Ophthalmic Professional, click on the link below:

https://www.ophthalmicprofessional.com/issues/2019/july-august-2019/coding