Testing for PQRI Readiness

If you are planning to participate in the voluntary Physician Quality Reporting Initiative (PQRI), you should test your billing system to ensure transmission of the quality data code to your Medicare carrier. Prior to July...
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Modifier – GY and Refractions

It is well known in the ophthalmic world that Medicare does not cover refractions. They are noncovered by statute. Statutory exclusions from the Medicare program do not require an Advance Beneficiary Notice (ABN). They...
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CMS Ruling for Toric IOLs

The Centers for Medicare and Medicaid Services (CMS) published Ruling No. CMS-1536-R allowing beneficiaries to choose implantation of an intraocular lens that corrects pre-existing astigmatism at the time of cataract surgery. The January 22,...
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2007 Medicare Deductible Increase

The Medicare Part B deductible changes for the third year in a row. The 2007 Medicare deductible increases to $131 beginning January 1, 2007. The Medicare Modernization Act stipulates that the Part B deductible...
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