Billing and Coding
Coordination of benefits: 3 takeaways for optometric billing practices
Coordination of benefits in eye care is critical to ensure patients maximize the benefits they are owed and can reduce the need for multiple appointments when both medical and vision are billed together. Keep reading for tips from the AOA Third Party Center.
Clearing up modifier confusion
Comparing modifiers -24, -25, -59 and -79.
Payer downcoding: What is it and what should you do about it?
Physicians can take certain steps to avoid payer downcoding. Learn more about standard code sets, how to respond and more.
New noteworthy optometry codes
Changes in coding and reimbursements worth knowing. Meanwhile, with the clock winding down on 2023, the AOA continues to press for Congress to act on reforms that would give doctors of optometry an annual, permanent inflationary Medicare payment tied to the Medicare Economic Index.
Crack the Codes
Modifier -25: How to use it appropriately and avoid costly penalties
The federal government and private payers are heavily scrutinizing the use of modifier -25. When used appropriately, it can help to ensure that patients receive appropriate treatment and that doctors of optometry are reimbursed appropriately for their service. If you believe a claim that includes modifier -25 was inappropriately denied, follow appropriate criteria when appealing.
3 coding questions cracked
Does Medicare allow you to bill fundus photos and an optical coherence tomography on the same day for two different diagnoses? The answer to this question, and more, from the AOA’s experts.
CPT codes deleted in 2023—do you know what codes may be billed to replace them?
The answer to this question, and more, from the AOA’s coding experts.
Why proper documentation is vital
And how to ensure a patient’s medical record is properly documented.
Common coding Qs answered
These are the coding questions your colleagues are asking—and the answers from the AOA’s experts could help you.
