News



New Category III Codes

CPT contains Category III emerging technology codes which allow the collection of data on new services and procedures that would otherwise be treated as unlisted or miscellaneous. Category III codes are probationary –...

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Medicare Physician Fee Schedule Update

CMS transmittal R2708CP released May 17, 2013, provides notification of the July update to the Medicare Physician Fee Schedule (MPFS). Of note for ophthalmologists and optometrists is a change to the bilateral indicator...

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Medicare Re-valuing Vitrectomy Codes

CMS previously conducted a survey of cataract surgery costs, and the result was a significant drop in the allowable for cataract codes.  Now CMS is looking at vitrectomy codes.

Please note this communication from the...

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e-Rx Hardship Exemptions Update

Don’t get caught by a 2% payment reduction in 2014 because you didn’t comply with E-prescribing requirements. You can avoid the penalty by the following:

  1. Submit 10 or more electronic prescriptions by June 30, 2013.
  2. You...
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Medically Unlikely Edits Problem

We have become aware of claim denials beginning with dates of service on April 1, 2013, or later for unilateral procedures done on both eyes on the same date of service based on medically...

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