Ask the Coding Experts, by Doug Morrow, O.D., Harvey Richman, O.D., and Rebecca Wartman, O.D.
AOA's Coding Experts share solutions to your ICD-10 coding conundrums.
I was told the Centers for Medicare and Medicaid Services (CMS) released additional guidance on the first year of ICD-10 implementation. Where can I access that guidance?
The updated guidance is available on the AOA's alerts and recalls page.
CMS indicated they were going to appoint an ICD-10 ombudsman. Who is it?
The ICD-10 ombudsman is William Rogers, M.D. Dr. Rogers is currently the director of the Physicians Regulatory Issues Team at CMS and a practicing physician at Georgetown University Hospital. The purpose of the CMS ombudsman is to help address concerns from health care professionals after ICD-10 implementation. You can submit inquiries to him via email.
How quickly must CMS process claims? What if CMS contractors experience problems with the ICD-10 transition?
Section 1842(c)(2) of the Social Security Act requires Medicare contractors to make payment on not less than 95% of "clean claims" within 30 calendar days. If there are Medicare system issues that interfere with claims processing, CMS and the Medicare Administrative Contractors will post information on how to access advance payments.
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Stay up to date with AOA's 2016 ICD-10 coding bundle, featuring the 2016 AOA Codes for Optometry book, 2016 Express Mapping Card and 2016 AMA CPT Professional Edition, available from AOA Marketplace.
Ask the coding experts
Evaluation and management (E/M) services are incredibly important in patient care, and it’s critical that optometry practices are aware of changes ahead. Meanwhile, the AOA and other leading physician organizations are pushing legislation that would halt Medicare payment cuts resulting from the changes.
Time to review your practice’s billing and coding: Access national benchmark data for optometry practices and join an upcoming webinar to learn more about E/M code changes in 2021.