Excellence in Optometric Education

Excellence in Optometric Education
CHANGE is Coming: Compliance & Coding John A. McGreal Jr., O.D. Missouri Eye Associates McGreal Educational Institute Excellence in Optometric Education

John A. McGreal Jr., O.D. McGreal Educational Institute
Missouri Eye Associates 11710 Old Ballas Rd. St. Louis, MO FAX JAM

2014 Compliance Issues HIPAA Privacy & Security regulations change
Medicare Updates for 2014 RAC Audits CERT Audits OIG Workplan ICD-10 conversion Healthcare Reform Basics Affordable Care Act Implementation JAM

Medicare Part B Deductible
Deductible (Medicare Part B) Will remain same as last year - $ thereafter increase by annual percentage increase in Part B expenditure JAM

Health Insurance Portability and Accountability Act of 1996
President Clinton & USAG J. Reno #2 priority: prosecution of health care fraud $104 Million: Appropriations to HHS $70 Million: OIG $47 Million: FBI fraud investigation unit Criminal offenses expanded $10,000 fine / line item violation suspension of payment and participation from program Yielded $23 return on every $1 spent in 1997 JAM

Medicare – Just Give Me The Numbers
Longevity Revolution First year of Baby Boomers hitting 65 years of age 10,000/day turn 65 years of age An individual turns 60 years of age every 8 seconds If you live until age 65, average life expectancy is age 84 47, 672,971 Medicare beneficiaries in US 15% of total population Cataract surgery is the most common surgical procedure in US in Medicare beneficiaries Also boasts best outcomes Lowest complication rate JAM

Medicare – Distribution by Age (2004)
% % % % % JAM

AOA Optometric Practice Profiles 2005
VSP – 21% Other vision plans – 8% Medicare – 19.1% (fastest growing share of revenues) Medicare HMOs – 3% Medicaid – 7% HMOs (private sector) – 8% Out of pocket – 35% Respondents - 90% self-employed, 47% solo, 24% group, 86% male, mean years in practice 24.2 years JAM

INTRODUCTION CMS CPT ICD Medicare Major Medical E/M Coding (99XXX)
Eye Coding (92XXX) Special Ophthalmic Codes JAM

E/M GUIDELINES New/Established Patient Chief Complaint
History of Present Illness Family History Past History Social History New additions level of education, sexual history, marital status/living arrangements Review of Systems Time JAM

E/M DESCRIPTORS History * Examination* Medical Decision Making*
Counseling Coordination of Care Nature of the Presenting Problem Time JAM

CATEGORIES OF SERVICE Office Visits (E/M Codes)
New Estab Office Visits (Eye Codes) New Estab Consultations (E/M Codes) ELIMINATED for Medicare, Medicaid, Tricare and Medicare Advantage HMOs and when any of these are secondary payors Can still be used for other commercial plans JAM

SELECTING AN E/M LEVEL Identify Category of Service
Identify Extent of History Taking Identify Extent of Examination Identify Complexity of Medical Decision Making Review E/M Descriptors JAM

E/M CODING - OFFICE VISITS
New Patient (3 of 3) PFH / PFE / SDM / 10 EFH / DFE / SDM / 20 DH / DE / LDM / 30 CH / CE / MDM / 45 CD /CE / HDM / 60 JAM

E/M Coding - Office Visits
Established Patient (2 of 3) Minimal / 5 PFH / PFE / SDM / 10 EFH / EFE / LDM / 15 DH / DE / MDM / 25 CH / CE / HDM / 40 JAM

DOCUMENTATION OF HISTORY
Problem Focused History (PFH) CC / 1-3 HPI Expanded Problem Focused History (EPF) CC / 1-3 HPI / Ocular ROS Detailed History (DH) CC / 4 HPI / Ocular ROS / ROS-2 / 1 OF 3 PFSH Comprehensive History (CH) CC / 4 HPI / Ocular ROS / ROS-10 / 3 OF 3 PFSH (NEW) OR 2 OF 3 PFSH (ESTAB) JAM

Eye Examination Documentation
VA / CVF / Pupils & Iris / Adnexa Bulbar & Palp Conjunctiva EOM SLE: Cornea / Lens /AC IOP / Optic Nerve / Posterior Segment Neurologic: Orientation (Time / Place / Person) Psychiatric: Mood & Affect (Depression /Anxiety /Agitation) JAM

DOCUMENTATION OF EXAMINATION
Problem Focused Exam (PFE) Limited Exam / l - 5 Elements Expanded Problem Focused Exam (EPF) Limited Exam / 6 Elements Detailed Exam (DE) Extended Exam / 9 Elements Comprehensive Exam (CE) Complete Single System Exam All Elements JAM

Medical Decision Making
Straightforward (SF) # Dx / Rx Options - Min / Data - Min / Risk - Min Low Complexity (LC) # Dx / Rx Options - Lim / Data - Lim / Risk - Low Moderate Complexity (MC) # Dx / Rx Options - Mult / Data - Mod / Risk -Mod High Complexity (HC) # Dx / Rx Options - Ext / Data - Ext / Risk - High JAM

Comprehensive Ophthalmological Service 92004 / 92014
Complete system evaluation, Need not be performed at one session Integrated services where med decision making cannot be separated from examination methods Itemization of service components, such as slit lamp examination, keratometry, routine ophthalmoscopy retinoscopy, tonometry, or motor evaluation is not applicable

Comprehensive Ophthalmological Service 92004 / 92014
Includes history, medical observation, external & ophthalmoscopic examinations, gross visual fields, sensorimotor examination Often includes, as indicated: biomicroscopy, examination with cycloplegia or mydriasis and tonometry Always includes initiation of diagnostic and treatment programs

Comprehensive Ophthalmological Service 92004/92014
Always includes initiation of diagnosis and treatment programs includes the prescription of medication, and arranging for special ophthalmological diagnostic or treatment services, consultations, laboratory procedures and radiological services JAM

Intermediate Ophthalmological Service 92002 / 92012
Evaluation of new or existing condition, complicated with a new diagnostic or management problem not necessarily relating to the primary diagnosis Integrated services where med decision making cannot be separated from examination methods Includes history, medical observation, external & adnexal, & other diagnostic procedures as indicated; may include use of mydriasis for ophthalmoscopy JAM

2004 New HCPCS Codes “S” codes are useful for some private insurers Medicare and other federal payers do not recognize them They are useful when CPT does not have a code to accurately describe the service (i.e. LASIK, PTK, PRK, corneal topography) or for invoicing self-pay patients. They specifically describe “routine exams” including refractions and permit a different charge JAM

HCPCS “S” Codes S Routine ophthalmologic exam including refraction; new patient S Routine ophthalmologic exam including refraction; established patient S0625 Digital screening retina JAM

Refraction 92015 Non-covered service Can be billed to beneficiary
failure to do so results in lost revenues Reminders Charge only for “Rx-able” refractions Do not forget to charge for the final refraction when changing spectacles in a post-operative cataract patient JAM

Gonioscopy 92020 Bilateral Requires documentation
describe visible angle structures No limitations to diagnostic groups in most states Fee $ 27.12 JAM

Visual Field 9208x Bilateral Requires Interpretation
separate report form narrative in body of medical record, on date of service Fee (-81) / $ 34.29 Fee (-82) / $ 49.20 Fee (-83) / $ 65.03 JAM

Extended Ophthalmoscopy 92225 / 92226
Unilateral Initial (-225) vs. Subsequent (-226) Implies detailed, extra ophthalmoscopy document fundus lenses used Modifiers RT /LT Requires retinal drawings & interpretation sizes, colors and dimensions carrier specific Fee ($ 27.13) ($ 24.38) JAM

Fundus Photography 92250 Bilateral Not Bundled Requires Interpretation
Fee $ 69.81 JAM

External Ocular Photography 92285
Report for documentation of medical progress Ex.: close-up photography, slit lamp photography, goniophotography, stereo-photography Bilateral Not Bundled Requires Interpretation and report Fee $ 20.79 JAM

Special Anterior Segment Photography 92286
With specular endothelial microscopy and cell count Ex: Konan specular microscope Bilateral Not Bundled Requires Interpretation and report Fee $ 37.95 JAM

iridocyclitis chronic iridocyclitis Fuch’s heterochromic iridocyclitis glaucomatocyclitic crisis lens induced iridocyclitis VKH syndrome essential iris atrophy iridoschisis pigmentary iris degeneration pupillary margin degeneration JAM

Miotic Cysts of pupil margin degenerative changes of anterior structures Traumatic cataract cataract in inflammatory disorder cataract in ocular neovascularization corneal edemas folds or rupture in descemet’s membrane 371.50, -.57,-.58, corneal dystrophy JAM

corneal edema due to contact lens aphakia subluxation of lens anterior displacement of lens buphthalmos 906.5 late effect of burn of eye/face 940.2 alkaline burn of cornea/conj 940.3 acid burn of cornea/conj 940.4 other burn of cornea/conj V42.5 cornea replaced by transplant JAM

mechanical complication of prosthetic corneal graft infection/inflammation due to unspecified implant and graft complication of other implant or graft complication of other transplanted organ other postoperative infection cataract fragments in eye following cataract surg V53.1 fitting & adjusting specs or CL after intraocular surgery JAM

Tear Osmolarity Testing 83861
Unilateral Paired or cross walked to code 84081 Applies to TearLab’s Osmolarity Device Novel “Lab-on-a-chip” Point of care, 50nl sample of tear fluid Sample-to-answer in less than 30sec CLIA waiver granted Requires Interpretation & report Fee $23.25 JAM

Computerized Corneal Topography 92025
Bilateral or unilateral Requires interpretation & report No limitations to diagnostic groups in most states Fee $ 37.56 JAM

92025 Corneal Topography ICD-9 Codes that Support Medical Necessity
367.22* Irregular astigmatism Corneal Opacity Unspecified Bullous Keratopathy Hereditary Corneal Dystrophy Unspecified Other Anterior Corneal Dystrophy Endothelial Corneal Dystrophy Keratoconus Unspecified Keratoconus Stable Condition JAM

92025 Corneal Topography ICD-9 Codes that Support Medical Necessity
Keratoconus Acute Hydrops Pterygium Unspecified Mechanical Complication Prosthetic Corneal Graft V42.5 Cornea Replaced by Transplant V45.61* Cataract Extraction Status V45.69* Other States Following Surgery of Eye /Adnexa * must be accompanied by V45.61 or V45.69 *V45.61 must be accompanied by *V45.69 must be accompanied by JAM

Scanning Computerized Ophthalmic Diagnostic Imaging 92132
Unilateral or bilateral Applies to anterior segment evaluations Carl Zeiss / Optical Coherence Tomography (Cirrus) Optovue / (RTVue, iVue) Requires Interpretation & report Fee $ 35.66 JAM

190.0, Malig neoplasm of eyeball, ecept conj, cornea, retina or choroid 190.3 malignant neoplasm of conjunctiva 190.4 Malignant neoplasm of cornea 190.6, Malignant neoplasm of choroid, other sites 224.0 Benign neoplasm of eyeball except conjunctiva, cornea, retina, or choroid 224.3 Benign neoplasm conjunctiva 224.4 Benign neoplasm of cornea 224.6, Benign neoplasm of choroid, other sites Foreign body in anterior chamber (magnetic) Foreign body in anterior chamber JAM

Essential iris atrophy Pigmentary iris degeneration Degeneration of pupillary margin Posterior synechia Anterior synechia Pupillary abnormalities Iridodialysis Recession of chamber angle Plateau iris syndrome Anatomical narrow angle Primary angle closure and other glaucomas JAM

Nuclear sclerosis Corneal ulcers Corneal opacities Corneal edema (includes due to CL) Endothelial dystrophy Pterygium Aphakia Subluxed lens Mechanical complication of corneal graft Mechanical complication of ocular lens prosthesis Infection & Inflammation due to other int prosthetic device implant or graft JAM

Fitting CL for Ocular Surface Disease 92071
Unilateral; Use –RT/-LT or -50 Do not report in conjunction with 92072 Report supply of lens separately with or appropriate supply code Fee $33.65 JAM

Fitting CL for Management Keratoconus 92072
Initial fitting For subsequent fittings, report E/M services or general ophthalmological services Do not report in conjunction with 92071 Report supply of lens separately with or appropriate supply code Unilateral payment; Use –RT/-LT or -50 Fee $126.11 JAM

Serial Tonometry 92100 Bilateral Requires Interpretation & Report
Example: Angle closure glaucoma multiple measurements over time Fee $ 79.89 JAM

Pachymetry Bilateral Measurement of central corneal thickness (CCT) proven by Ocular Hypertension Treatment Study (OHTS) to be standard of care in diagnosis and management of glaucoma, glaucoma suspect and ocular hypertension Also billable for keratoconus, corneal transplants, cataracts with corneal dystrophies, guttata, edema Requires Interpretation & Report Fee $ 14.39 JAM

Unilateral or bilateral Applies to glaucoma or optic nerve evaluations Heidelberg / Heidelberg Retinal Topography (HRT, Spectralis) Carl Zeiss / Optical Coherence Tomography (GDX, Stratus, Cirrus) Optovue / (RTVue, iVue) Marco / Retinal Thickness Analyzer (RTA) Requires Interpretation & report Fee $ 44.37 JAM

Scanning Computerized Ophthalmic Diagnostic Imaging - 92133
Hypotony and flat chamber Glaucomatocyclitic crises Glaucoma suspect, OCHTN Open angle glaucoma Primary angle closure glaucoma Steroid induced glaucoma Glauc w chamber anomalies Phakolytic glaucoma Pseudoexfoliation glaucoma Glaucoma assoc w lens disorders JAM

Glaucoma assoc w ocular trauma Visual field defects Acute inflammations of the orbit Papilledemas Foster-Kennedy Optic atrophy Glaucomatous atrophy Drusen Crater like holes of optic disc Coloboma of optic disc JAM

Pseudopapilledema Ischemic optic neuropathies Disorders of optic chiasm assoc w pit neoplasms or inflammatory disorders Disorders of other visual pathways assoc w neoplasms or inflammations Buphthalmos Cong anomalies of optic disc & vasc anomalies JAM

Unilateral or bilateral Applies to retinal evaluations Heidelberg / Heidelberg Retinal Topography (HRT, Spectralis) Carl Zeiss / Optical Coherence Tomography (GDX, Stratus, Cirrus) Optovue / (RTVue, iVue) Marco / Retinal Thickness Analyzer (RTA) Requires Interpretation & report Fee $ 45.35 JAM

190.6, Malignant neoplasm choroid 224.6, Benign neoplasm choroid or other sites Sympathetic uveitis Progressive high (degenerative) myopia Hypotony, flat chamber Retinal detachments Retinoschisis 361.2 Serous retinal detachment Traction detachment Diabetic retinopathy, background to severe NPD JAM

Diabetic macular edema BDR, retinal vasculitis Central or branch retinal artery occlusion Central or branch retinal vein ooclusion Retinal layer separation, hemor detach RPE Macular degeneration, retinal dystrophies involving Bruch's membrane Retinal hemorrhage Retinal exudates and deposits Retinal edema JAM

Focal chorioretinitis Disseminated chorioretinitis chorioretinitis unspecified Angioid streaks Choroidal hemorrhage Choroidal rupture Choroidal detachmts Acute inflammations of orbit Scleral ectasia and other scleral disorders Vitreous degenerations & other disor of vitreous 921.3 Contusion of eyeball JAM

Correction Trichiasis 67820*
Epilation By forceps ICD-9 Trichiasis without entropion Senile entropion Global days - 000 Fee $ 51.75 JAM

Removal of Foreign Body 65205*
External Eye, Conjunctiva superficial scleral, non-perforating ICD-9 FB in cul-de-sac Global days - 000 Fee $ 56.97 JAM

External Eye, Conjunctiva embedded (includes concretions) subconjunctival scleral, non-perforating ICD-9 FB in other sites or combined sites Global days - 000 Fee $ 70.31 JAM

External Eye, Corneal with Slit Lamp ICD-9 930.0 FB in cornea Global days - 000 Fee $ 69.04 JAM

Sensorimotor Examination 92060
Quantitative measurement of ocular deviation document all major fields of gaze Bilateral Requires interpretation and report Fee $65.27 92065 – Orthoptic and / or pleoptic training, with continuing medical direction and evaluation Fee $ 53.98 JAM

Dilation of Lacrimal Puncta 68801*
With or Without Irrigation ICD-9 Epiphora, insufficiency of drainage Chronic Dacryocystitis Stenosis, Lacrimal Punctum Nasolacrimal Duct Obstruction Fee $ JAM

Punctal Occlusion By Plug 68761
Temporary (collagen) or Permanent (Silicone) Payment is per puncta (modifiers required) E1=left upper E3=right upper E2=left lower E4=right lower Global period - 10 days Supply code-included in procedure code, not separately billable Fee $151.71 JAM

Punctal Occlusion By Plug 68761
ICD-9 Punctate Keratitis Filamentary Keratitis Exposure Keratitis Other forms of Keratitis Unspecified Keratitis Recurrent Corneal Erosion Eyelid Retraction Unspecified Tear Film Insufficiency Sicca Syndrome; use additional systemic manif. code JAM

Modifiers 79 Inside post-operative global period
50 Bilateral Procedure 24 Unrelated Service / Same Doctor 79 Inside Global Period 25 Separate Service / Same Doctor / Same Day 52 Reduced Service / Informational / Not Reduced Fee 54 Surgical Care Only 55 Post-Op Care Only 51 Multiple Procedures RT / LT Right / Left E 1- E4 Identifies Puncta 52 Reduced service JAM

Comanagement of Surgery
Procedures / / $ Global Periods - 90 days Value - up to 20% MD name and NPI Modifiers (-54 on MD claim, -55 on OD claim and RT/LT) Range Dates – from transfer date to end of 90 day global Rules - Medicare Transfer Agreement in MD record Correspondence Legal/Political/Inter-professional Issues JAM

Complicated Cataract Surgery 66982
New CPT code for 2001 / $ Extracapsular cataract extraction with insertion of IOL, complex, requiring devices or techniques not generally used in routine cataract surgery 2-3% of all cataract surgeries involve extraordinary work iris expansion devices, suture support for IOL, posterior capsulorrhexis, small pupil, subluxed lens, Pseudoexfoliation, trauma, Marfan’s, glaucoma, uveitis pediatric population Advanced, white, hard cataract JAM

2012 New ICD-9 Glaucoma Coding
Given great variability of cost of care & resource utilization among glaucoma patients, glaucoma care has been targeted for use of potential value-based modifiers in the future ICD-9 and ICD-10 codes reflect this and will allow stratification of a patient population Developed by the American Glaucoma Society (AGS) workgroup, including Drs. Fellman & Mattox Then enlisted comprehensive ophthalmologists, optometrists, and a few glaucoma specialists to evaluate and test for accuracy using real cases from Dr. J. Stein at University of Michigan JAM

2012 New ICD-9 Codes – Glaucoma Stages
When coding glaucoma subcategories assign an additional code to identify specific stage of glaucoma (365.7) Glaucoma stage, unspecified Mild stage glaucoma Moderate stage glaucoma Severe stage glaucoma Indeterminate stage glaucoma Includes sequencing instructions to code first the glaucoma, by type Report new V19.11 history codes where appropriate JAM

Step One: Code by Type Only the codes listed here require add-on staging codes Open angle glaucoma, unspecified Primary open angle glaucoma Low tension glaucoma Pigmentary glaucoma primary angle closure glaucoma, unspecified Chronic or primary angle closure glaucoma, unsp Steroid induced glaucoma Pseudoexfoliation glaucoma Glaucoma associated with ocular inflammations Glaucoma associated with vascular disorders Glaucoma associated with ocular trauma JAM

Step Two: Add Stage Determine severity of glaucoma in worse eye
Mild (disc abnormalities consistent w glaucoma but no VFD on SAP or Short wave-length doubling perimetry) Moderate stage (Disc abnormalities consistent w glaucoma and VFD in 1 hemifield, not w/in 5 degrees of fix) Severe stage (Disc abnormalities consistent w glaucoma VFDs in both hemifields, and/or loss w/in 5 degrees of fix in at least 1 hemifield) Indeterminate (VFs not performed yet, or patient incapable of VF testing or unreliable or uninterpretable VFs) Unspecified, stage not recorded in chart Compliance requires documentation of stage in medical record JAM

Additional Glaucoma Code Changes
Open angle suspect, Low Risk (1-2 risk factors) Open angle suspect, High Risk (3+ risk factors) Risk factors – family history, race, elevated IOP, disc appearance and thin central corneal thickness Primary angle closure suspect (anatomical suspect, narrow angle) Primary angle closure without glaucoma damage (defined as angle damage such as synechia or high IOP, but w/o optic nerve damage) Chronic angle closure glaucoma (angle damage plus optic nerve damage) JAM

Physician Value-Based Payment Modifier
CMS will adjust payment to some physicians based on quality & resource use beginning in 2015 and all physicians by 2017 Now applies only to groups of 100 or more (originally 25) Smaller groups (2-99) remain unaffected until 2017 3% payment penalty to hospitals began in 2012 for re-admission rates higher than national average Heart failure Pneumonia Myocardial infarction JAM

Reduction in Diagnostic Testing
CMS will decrease payment by 20% of technical component of second and subsequent diagnostic tests furnished by same physician (or physicians in same group) to same patient on same day Originally set at 25% A diagnostic service refers to any diagnostic test that has a technical & professional component CMS indicated they will closely monitor practice changes to bypass multiple payment reductions JAM

Reduction in Diagnostic Testing
JAM

HHS Announces HIPAA Audits
The Office of Civil Rights will begin assessments of compliance with HIPAA Privacy & Security rules Focus on providers and business associates Updated HIPAA Rules took effect September 23, 2013 for privacy & security Ensure patients receive electronic copy of PHI, on request Limit use or disclosure of PHI for marketing or fundraising, and advanced authorization required Prohibit sale of PHI for marketing w/o permission JAM

HHS Announces HIPAA Audits
Give patients who pay out of pocket for services the right to instruct doctors not to share information about treatment with insurance company Practitioners must have updated new business associates agreements documenting associates with access to PHI Billing firms, clearinghouses, IT, data storage companies Security changes focus on increased lockdowns of electronic PHI, securing servers Implementation of new Notice of Privacy Practices JAM

New Notice of Privacy Practices (NPP)
Add statement about opt out option for fundraising Add statement about HCP right to restrict PHI in cash pay patients Add individual right to be notified of breach within 60 days, notification of HHS, individual and media Delete statement about reminders, health benefits etc Post new NPP prominently in office Paper copies of new NPP available for established patients to review New NPP given to each new patient JAM

New Business Associates Agreements
New Business associates (BA) definitions and new business associates agreements (BAA) established Liabilities and responsibilities substantially increased HCP not required to have BAA with subcontractors of BA Adds the word “maintains” PHI definition of BA Substantial focus on data storage companies Requires ALL existing agreements be revised JAM

Civil Monetary Penalties (CMPs)
Unknowing violation $100-$50K $1.5M Reasonable cause $1000-$50K $1.5M Willful neglect, corrected $10K-$50K $1.5M Willful neglect, uncorrected $50K $1.5M Adoption of higher civil monetary penalties for violations of privacy or security JAM

New CPT Codes for 2014 99446 – interprofessional telephone/internet assessment and management service including a verbal & written report, 5-10 minutes of review 99447 – consultation as above, minutes 99448 – consultation as above, minutes 99449 – consultation as above, 31 minutes or more 66183 – Insertion of anterior segment aqueous drainage device, w/o extraocular reservoir, external approach JAM

CPT Category III Changes for 2014
0330T – digital interferometry of the lipid layer of tear film for dry eye diagnosis, unilateral or bilateral with interpretation & report Do not report using external ocular photography 0333T – VEP, screening of visual acuity Do not report VEP testing of CNS 0329T – monitoring of IOP for 24 hours, unilateral or bilateral with interpretation & report Do not report serial tonometry 0341T – quantitative pupillometry, unilateral or bilateral with interpretation & report JAM

New 1500 Claim Form for 2014 CMS revised the 1500 form to more adequately support use of ICD-10CM code set Revised form version 02/12 will replace current form which is version 08/05 CMS accepts revised version of form January 6, 2014 CMS will ONLY accept new version after April 1, 2014 Allows ability to indicate use of version 9 or 10 Expands diagnosis code list from 4 to 12! JAM

OIG Audits / Work Plan Ophthalmological services – 92xxx codes
Reviewing claims during 2011 6.8 billion in claims by eye MDs & ODs Focus on 92004/92014, other 92- included E/M Services: Use of modifiers Modifiers -25 July policy statement warning not to use -25 for same day surgery Bilateral intravitreal injections Sequestration – 2% payment reductions across the board in Medicare claims beginning April 1, 2013 Includes a 2% reduction in EHR incentive bonus JAM

OIG Work Plan Rank CPT Services 5 66984 Cat-IOL
Comp eye exam, est pt Interm eye exam, est pt Scanning laser Comp eye exam, new pt Cat-IOL, complicated Anesthesia for proc, eye, lens Visual field, full Fundus photography Treatment of exten or prog retinopathy Blepharoplasty Ophthalmic biometry w IOL power calc JAM

Recovery Audit Contractors RAC
Evaluating RAC performance 2010 & 2011 Completed 3 year demonstration project in 2012 Congress will mandate a nationwide implementation of a permanent RAC program for Medicare part A & B Mandates by Tax Relief & Health Care Act 2006 and Affordable Care Act Tool used include comparative billing reports Shows specific provider billing patterns compared to peers JAM

Top 10 Procedure Codes – Optometry Missouri / Jan-June 2007 / 495 Providers
92014 $1,369,645 99214 $ 634,210 92004 $ 562,906 92012 $ 551,297 99213 $ 541,616 66984 $ 395,125 92250 $ 339,862 92083 $ 277,708 99203 $ 199,510 92135 $ 195,427 JAM

2012 Comprehensive Error Rate Testing (CERT)
There has been a HUGE increase in CERT audits of E/M services since October 2011 From April 2009-May 2010, E/M services accounted for 28 billion in Medicare Part B payments Estimated 8.4% billed incorrectly Providers encouraged to review 1997 E/M Guidelines for compliance JAM

2011 CMS Optometry Probe Results
Prepayment review of 100 services from 100 claims Probe: CPT (random) Results 66% allowed as billed 34% denied 23% No documents submitted 5% Services not documented in medical record 3% Non-covered services 3% Not medically necessary JAM

Code Set Adoption in HIPAA
CPT-4: Current Procedure Terminology CDT: Code on Dental Procedures and Nomenclature ICD-9-CM (Volume 1,2): International Classification of Diseases (Implementation of ICD-10 is October 1, 2015!!) ICD-9-CM (Volume 3): inpatient disease codes NDC: National Drug Code HCPCS: Healthcare Common Procedure Coding System JAM

2014 Medicare Fee Schedule 99201 $ 43.03 99211 $ 19.93
99201 $ $ 19.93 99202 $ $ 43.03 99203 $ $ 71.76 99204 $ $ 99205 $ $ 92002 $ $ 85.66 92004 $ $123.76 JAM

Meaningful Use – Stage 1 Changes 2014
HHS requires all EHR systems to meet both stage 1 and stage 2 MU in order to be certified for use in government incentive programs, even if attempting to meet stage 1 System updates will be required! Stage 1 MU objectives now require participants to provide patients with timely access to their health information online Stage 1 now requires blood pressure & height / weight Stage 2 MU provides functionality to make PHI available securely online, engages patients, increases exchange of PHI between providers JAM

Meaningful Use – Stage 2 Must use computerized Physician order entry (CPOE) Must use online clinical decision support Must use adverse drug interaction warnings on specified number of patients Must use e-prescribing Must provide patient access to PHI via secure websites and Must conduct follow up electronically and answer patient questions electronically EHRs must have secure interconnectivity meeting Nationwide Health Information Network standard Direct Access Technology JAM

Meaningful Use – Stage 3 CMS delays 3rd stage of MU requirements for implementation of EHR system Under new guidelines, Stage 2 MU extended through 2016 Stage 3 requirements begin in 2017 for providers that complete Stage 2 requirements in 2015 and 2016 Until now providers who began MU program by 2012 had until 2014 to meet MU stage 2 Practitioners entering the program in 2014 can still earn a total of $6,000 JAM

Scanning Computerized Ophthalmic Diagnostic Imaging SCODI
92133 considered medically necessary 1 or 2 tests per year and rarely necessary in advanced optic nerve damage 92134 expected no more than one exam per eye every 2 months to manage patients with conditions related to retina disease 1 scan per month allowed if undergoing intravitreal injections of drugs Limitations – following codes would not generally be necessary with SCODI 92250 – fundus photography 92225 – extended ophthalmoscopy 92226 – subsequent ophthalmoscopy 76512 – B-scan JAM

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