Medicare Reimbursement for Melbourne Rapid Fields (M&S Technologies)

This monograph describes reimbursement for visual field (VF) testing with M&S Technologies’ Melbourne Rapid Fields (MRF) software program. This web-based software works on multiple platforms (e.g., laptop, iPad) and in different settings (e.g., in-clinic, at-home). For the purpose of a claim for reimbursement, testing is identified in a number of different ways depending on several factors: site of service (office, home), testing paradigm (threshold, non-threshold), and reason for testing (screening, disease management).

Much of the information in this document is taken from official publications of the Medicare program. The reader is encouraged to check with the local Medicare Administrative Contractor (MAC) for additional information and instructions. For other third party payers, we have used the coding concepts contained in CPT and published by the American Medical Association; diagnosis codes are from ICD-10-CM.

Documentation of diagnostic tests, and the medical rationale for them, is key to reimbursement so we describe the required elements in detail. Since economic analyses are a necessary part of any capital budgeting decision, we incorporated Medicare’s payment rates for VFs testing as well as recent Medicare utilization rates.

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