Image of Optimizing Compliance and Maximizing Revenue for Ophthalmology and Opt
Digital Seminar

Optimizing Compliance and Maximizing Revenue for Ophthalmology and Optometry


Faculty:
Jeffrey P. Restuccio
Duration:
6 Hours
Format:
Audio and Video
Copyright :
Oct 12, 2017
Product Code:
POS020692
Media Type:
Digital Seminar


Description

Every day eyecare professionals are missing revenue opportunities because they just don’t know the basics or are overly concerned with “red flags” and being audited. This seminar focuses on optimizing coding and documentation compliance first. Only then can you bill every office visit and procedure at the appropriate and highest compliant level without fear. Learn how to work smarter, not harder.

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a  provider of continuing nursing education by the American Nurses Credentialing Center’s  Commission on Accreditation.

Nurses completing these self-study materials will earn 6.0 contact hours. Expires: 10/12/2020.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

Jeffrey P. Restuccio Related seminars and products: 1

CPC, CPC-H, MBA,


JEFFREY P. RESTUCCIO, CPC, CPC-H, MBA, is a certified professional coding instructor specializing in Eyecare coding, billing and documentation with over fifteen years of experience. Since 2007, Mr. Restuccio has conducted more than 185 seminars, nationwide, on coding and billing for Eyecare to thousands of Optometrists and Ophthalmologists and their staff. For the past 15 years, he has provided consulting services to local and national health care companies, specializing in coding and reimbursement for physician practices. Mr. Restuccio frequently conducts chart audits, operational assessments, and software selection and implementation of new billing systems. In total, he has audited more than 10,000 medical records.

Besides speaking and consulting, Mr. Restuccio is the principle owner of Ritecode.com, and performs mini-audits and Webinars specifically for Eyecare for EyeCodingforum.com. He is a member of the American Academy of Professional Coders.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

  • Optometrists
  • Ophthalmologists
  • Compliance Directors
  • Coding and Billing Personnel
  • Medical Records Personnel
  • Office Managers
  • Nurse Practitioners
  • Medical Assistants
  • Revenue cycle staff
  • Reimbursement staff

Objectives

  1. Determine which diagnostic codes are billable, in addition to the Medicare ophthalmology exam codes
  2. Discuss how to avoid failing an audit due to “cloned notes”
  3. Identify the exam items required for a comprehensive eye exam (920x4)
  4. Explain why the majority of eyecare providers document report a 920x2 code when another code is more appropriate.
  5. Examine in-depth how to report common diagnostic procedures accurately and compliantly for optimal reimbursement
  6. Establish and report screenings for Plaquenil, Lupus, and numerous other conditions
  7. Explain why a simple result is not sufficient for the Interpretation and Report
  8. Detect the top coding and documentation errors made by medical professionals

Outline

A COMPREHENSIVE LOOK AT CODING FOR EYECARE

  • CPT coding fundamentals
  • HCPCS coding - G codes - S codes - V codes
  • Contrast and comparison of the E & M codes vs. the eye exam codes
  • The intermediate and comprehensive eye exams
  • Overview of Evaluation and Management (E & M) guidelines
  • What services you can and cannot report with the office visit codes
  • Tips on how to find the very best insurance company and employer in your town
  • What is your most likely audit?
  • What your EMR is currently not checking or gathering accurately
  • How to
    • think like an auditor
    • manage strict coding compliance and optimal reimbursement
    • train the providers and what is required of them

COMMON EYE PROCEDURES COVERED

  • GDX/OCT Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
  • Co-Management and cataract surgery
  • Fundus Photography
  • Visual Field Exam
  • External ocular photography
  • Ophthalmic echography and biometry
  • Coding for dry eye syndrome and punctal plugs
  • Miscellaneous procedures

NEW AND IMPROVED! ADVANCED ICD-10 CODING

  • Added, Deleted, and Revised codes for 2018
  • Degenerative Myopia
  • Blindness
  • Low vision,
  • What does disease specificity really mean?
  • Formal ICD-10 coding training concepts
  • When two codes are required and not just one.
  • Exceptions and "Gotchas"
  • Keratoconus
  • Pterygiums
  • Amblyopia
  • Glaucoma

CRITICAL TO THE REIMBURSEMENT PROCESS

  • National Correct Coding Initiative (NCCI) information
  • Relative Value Units (RVU’s)
  • Local Coverage Determination (LCD) guidelines
  • Global Days/Global fees
  • The Bilateral Surgery Indicator

SURGICAL PROCEDURES PERFORMED IN THE OFFICE

  • Codes for removal of foreign body
  • Coding for repairs
  • Epilation
  • Punctal Plug insertion
  • Correct use of Modifiers

Reviews

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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