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Optometry Billing & Coding MasterClass: Practical Strategies for Revenue Success
Introduction & Foundations of Optometric Billing
Introduction: Course overview, billing mindset, and introduction to key concepts. (2:09)
Basics - 92 Codes: Detailed review of CPT 92002/92004 exam codes and billing fundamentals. (8:22)
99- Codes MDM Overview: Medical decision making (MDM) principles for 99-series evaluation codes. (7:39)
99- Problems List: How to document and code problem lists properly for billing (11:08)
99- Glaucoma Examples: Coding examples specific to glaucoma care and management (16:05)
99- Retina Examples: Coding examples focused on retinal conditions and treatments (7:45)
S- Codes: Overview of supplemental codes (S-codes) and when to use them (3:44)
Diagnostic Testing & Procedures
Special Testing Part 1: Introduction to special testing and coding guidelines for common diagnostic procedure (12:27)
Special Testing Part 2: Advanced special testing techniques and billing strategies (12:02)
Interpretation and Reports: Best practices for coding interpretations and generating reports for medical necessity (11:16)
Modifiers: How to apply CPT and HCPCS modifiers to maximize reimbursement (17:31)
Procedures Part 1: Review of common optometric procedures and corresponding billing codes (13:40)
Procedures Part 2: Coding of Foreign Body Removals & Therapeutic Contact Lens Application (11:07)
Specialized Protocols & Condition Management
Comanagement: Workflows for comanaged patients with ophthalmology or other specialties (15:00)
Special Protocol AMD: Coding and documentation protocols for Age-related Macular Degeneration (11:06)
Special Protocol DR: Best billing practices for Diabetic Retinopathy management (7:58)
Special Protocol Plaquenil: Coding considerations for Plaquenil toxicity screening and monitoring (6:50)
Special Protocol Glaucoma: In-depth glaucoma billing protocol review for compliance and reimbursement (16:31)
Special Protocol Dry Eye: Documentation and billing for dry eye evaluation and treatment services (13:38)
Administrative & Compliance Essentials
Practice Management Considerations: Navigating Medical eye care & Vision discount plans (7:37)
BONUS: Medical vs. Vision Case Examples: Real-life situations & practical tips (19:48)
Screening Photos: Proper use and coding of photos and imaging for screening purposes (5:31)
Audits: Preparation strategies for audits and how to avoid common pitfalls (4:11)
B&C Metrics: Key performance indicators (KPIs) to track and improve billing and coding efficiency (6:44)
Billing/Coding Case Examples
Simple Case Examples 1-5: Real-world coding examples and explanations (11:09)
Simple Case Examples 6-10: Additional step-by-step coding guidance (12:59)
Complex Case Examples 1-5: Difficult patient case scenarios with coding challenges and solutions (11:51)
Complex Case Examples 6-10: Advanced complex cases with detailed billing strategy (16:16)
B&C Pearls & Mastery Mindset
Refraction: Coding specifics related to refraction and related services (5:15)
ABN (Advance Beneficiary Notice): When and how to use ABNs correctly to protect your practice and inform patients (5:12)
After Hours Services Billing: Guidelines for billing extended hours, urgent care, and after-hours patient services (7:58)
Miscellaneous Definitions and Clarifications: Clarifying terms, codes, and common misunderstandings in billing (13:34)
B&C Philosophy & Mindset: Billing and coding mindset for success — thinking like a coder and auditor (1:55)
Conclusion: Course wrap-up, final tips, and next steps for continued billing mastery (2:08)
S- Codes: Overview of supplemental codes (S-codes) and when to use them
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