Archive for September, 2010

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Ask the Codeheads: Choosing codes for reporting medical and non-medical eye examinations

September 9, 2010

Edited by Chuck Brownlow, O.D., AOA CodingToday and Medical Records consultant

Evaluation and Management (E&M) codes (99201-99215) were introduced for billing office visits in 1992. They are currently used by most health care providers for reporting medical visits. The General Ophthalmological Services (92002, 92012, 92004, 92014) continue to be the codes most commonly used by optometrists and ophthalmologists for reporting eye and vision examinations, in spite of predictions that the E&M codes would replace them.

Many eye doctors favor the E&M codes for reporting medical eye care visits, although the ophthalmological service codes continue to play a major role in reporting eye care visits with and without a medical reason, complaint or presenting problem. It is important to remember that since 1992 the determination of refractive state has not been considered a part of an office visit under either code series. It is a separate service. Refraction has its own code, 92015, and should be reported in addition to the office visit each time it is done. Read the rest of this entry ?

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Medicare 2009 incentive payments due soon

September 9, 2010

 Physicians who qualified for Medicare bonuses under the 2009 Medicare Electronic Prescribing (eRx) Incentive Program will begin receiving payments this month, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

Payments for practitioners who qualified for bonuses under Medicare’s 2009 Physician Quality Reporting Initiative (PQRI) will be issued in October, the agency says.

PQRI 2009 Feedback Reports, outlining how well practitioners did in meeting the initiative’s quality reporting requirements, will be available in November.

Any practitioners who participated in the PQRI last year may request a feedback report by contacting the local Medicare carrier or access the report online using the Authorized Access to the CMS Computer Services (IACS) system (www.cms.gov/IACS).

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ODs, paras, students assist at National Urban League meeting

September 9, 2010

Local optometrists, technicians, and optometry students gathered at the recent three-day meeting of the National Urban League in Washington, D.C., to help educate attendees about the importance of regularly scheduled eye exams.

At a vision screening, supported by Vistakon, Division of Johnson & Johnson Vision Care, Inc., the eye care professionals distributed educational material and conducted vision screenings for 366 patients, referring about half to area optometrists for further evaluation.

The referrals ranged from annual exams for prescription changes, to glaucoma suspect/glaucoma evaluations, and other retinal observations. Read the rest of this entry ?

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Aggressive AOA cost containment brings $1.3 million operating surplus

September 9, 2010

Working hard to overcome an array of financial challenges that plague many businesses and not-for-profit organizations, the AOA ended 2009 with a healthy $1.3 million operating surplus – after entering the year with a sizable deficit, AOA Secretary-Treasurer Ronald L. Hopping, O.D., MPH, reported during his presentation to the AOA House of Delegates at Optometry’s Meeting®.

“This surplus, after the $6 million deficit in 2008, proves that 2009 was an exceptional year of recovery for the organization,” Dr. Hopping told the House of Delegates.

Dr. Hopping credited a concerted cost-containment initiative by the AOA Board and executive staff that reduced association spending. Additionally the AOA has benefited from an upsurge in income from investments. Read the rest of this entry ?

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AOA five-year plan nets early results

September 9, 2010

 The AOA’s first comprehensive five-year financial plan is already yielding results, according to AOA Executive Director Barry J. Barresi, O.D., Ph.D.

Implemented during the association’s 2009-2010 administrative year, the AOA Five-Year Plan for Profitable Growth centers around the development of critical new products and services to add membership value, continued expansion of advocacy efforts, and operations efficiencies to control costs, Dr. Barresi said.

The finanical plan also outlines long-term goals for association membership growth, new revenue streams, and prudent cost containment, Dr. Barresi said. Read the rest of this entry ?

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National Optometry Hall of Fame seeks nominations for 2011 induction in Salt Lake City

September 9, 2010

Nominations for the 2011 National Optometry Hall of Fame are now being accepted.

The National Optometry Hall of Fame highlights the luminaries within the field of optometry—individuals who have made a significant and long-lasting impact on the profession.

The selection criteria include:

  • Nominees should be recognizable through their national stature.
  • Nominees should have had a significant and enduring impact on the profession.
  • A nominee’s full range of contributions should be represented, e.g., professional leadership, academic leadership, research contributions, as well as other areas of significance.
  • Diversity should be considered in the selection process.
  • A balance of historical and current (but very well established) achievements should be considered.
  • Read the rest of this entry ?

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VISION USA providers in strong demand

September 9, 2010

The need for AOA members to volunteer as VISION USA providers continues to grow as demand for services remains at an all-time high.

The need is particularly great in the second half of the year when current providers, who have already reached their agreed-upon number of assignments for the year, are no longer accessible.

Once providers reach their quotas, they are not assigned additional VISION USA patients until the beginning of the new year. Read the rest of this entry ?

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Ladies in Leadership

September 9, 2010

From the collection of the Archives & Museum, Optometry Cares - The AOA Foundation.

Established in 1927, the Women’s Auxiliary to the American Optometric Association was a valuable partner in promoting optometric vision care and educating the public.

Officers for the 1964-65 program year included (seated): Mrs. Richard (Bertha) Whitfield, President; (standing, from left):  Mrs. Howard (Mary Jane) Fields; Mrs. B.B. (Tess) Sullivan; Mrs. Howard (Jeanne) Winton; and Mrs. James (Laverne) Spencer.

During President Whitfield’s term of office, an Auxiliary office was established and the records centralized, membership grew to more than 4,000, and Volunteers for Vision (their contribution to Project Head Start) was started. Read the rest of this entry ?

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CMS issues new NPI requirements for Medicare claims effective next year

September 7, 2010

Effective Jan. 4, 2011, the U.S. Centers for Medicare & Medicaid Services (CMS) will require all health care practitioners who provide services for Medicare patients to have a valid National Provider Identifier (NPI) in their Medicare enrollment records.

Beginning next year, the CMS has ordered Medicare carriers to crosscheck the NPIs on claims against the identifiers in Medicare enrollment records.

When an NPI cannot be found for a practitioner in the Medicare records, claims will be rejected, the agency warns. Read the rest of this entry ?

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Reward staff during Paraoptometric Recognition Week Sept. 12-18

September 3, 2010

Here are some low-cost, no-cost ideas for recognizing staff for their outstanding contributions to your practice during Paraoptometric Recognition Week, Sept. 12-18.

1. Write words of appreciation on the back of your paycheck envelopes. Possibilities may include words such as “Our practice is doing well because of your hard work. Thank you for all you do.”

2. Call a local radio station and dedicate a song to your staff during work hours.  Use the press release in your Paraoptometric Recognition Week kit for the radio station to use as an introduction before the song begins. Read the rest of this entry ?

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