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Step therapy: Where do we stand? – Retina Specialist

Answers to questions that linger since Medicare Advantage organizations started implementation for anti-VEGF treatments.

In August 2018, the Centers for Medicare and Medicaid Services  announced plans to institute step therapy for some Medicare beneficiaries...
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Global Confusion – Retinal Physician

Billing for a procedure done during the global period of a prior procedure.

Physicians and billers are often confused regarding which modifiers to use when a procedure is performed in the global period...

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New therapy = new code – Ophthalmology Management

New therapies always engender questions about reimbursement — and often, new codes. Dexamethasone ophthalmic insert falls into this category. This article addresses the following questions:
  • What is dexamethasone ophthalmic insert?
  • How is the procedure coded?
  • ...
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