Medical Optometric Care

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MEDICAL OPTOMETRIC CARE  will give you the absolute best return on investment of any ophthalmic equipment you have in your clinic.  Written by Mike M Sandy, OD and Steve Nelson, OD, this guide is a readiness, resource, and survival guide for medical optometry.  

• In this guide, the authors discuss how to get started, how to enroll, get credentialed, set fees, and understand medical insurance terminology.  The authors also discuss if,  when, and how to outsource to a billing company .
• The guide helps you understand appropriate examination documentation, choosing appropriate examination CPT codes, understanding modifiers, and comparing and contrasting all the different exam codes (Ophthalmological, Evaluation & Management, and S-Codes).
• The guide includes comprehensive service coding for diabetes care, cataract surgery co-management, dry eyes, allergies, Plaquenil use, and glaucoma including templates for patient letters to their primary care physicians you can use and modify.   Example claims are shown with appropriate coding and modifiers.
• The guide outlines full coding and documentation requirements for  the special ophthalmic diagnostic services: fundus photography, OCT, anterior seg photography, visual fields,  extended ophthalmoscopy, gonio, pachymetry,  etc. including sample interpretation and reports.
• THE GUIDE IS FULLY ICD*10 READY.  Seeing the ICD*10 codes listed and used with your normal CPT codes  makes for easier and more comfortable understanding and implementation.
• Three appendices discuss reading and understanding EOBs and remittance advices.  The authors show numerous claims they have submitted in their own practices and the remittance advices they have received for those claims. They post examples of where it went wrong when they received claim rejections.