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Mar 1, 2024 | 
aao.org | Joy Woodke
Savvy Coder Functional Botox Treatments—Quick Tips for Documentation and Coding By Joy Woodke, COE, OCS, OCSR, Academy Director of Coding and Reimbursement How to code for functional treatments.
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Jan 1, 2024 | 
aao.org | Joy Woodke
Savvy Coder New Year, New Codes: Time to Revisit Your Practice’s Internal Resources By Joy Woodke, COE, OCS, OCSR, Academy Director of Coding and Reimbursement Ensure compliance by updating your practice’s internal coding resources. Here’s how to get started.
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Nov 1, 2023 | 
aao.org | Ankoor R. Shah |Joy Woodke
Stay Current on Your MAC’s LCDs
Know your local rules. MACs have the discretion to set their own coverage policies for GA treatments. They can publish this as a local coverage determination (LCD), sometimes accompanied by an explanatory article (LCA). The Academy posts these at aao.org/lcds.
See if your MAC offers weekly updates. Many payers have listservs that provide weekly e-mails notifying you about any updates. Go to your MAC’s website and sign up to receive these emails.
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Oct 1, 2023 | 
aao.org | Joy Woodke
Savvy Coder Nd:YAG Laser Capsulotomy: 5 Tips for Checking Coding and Documentation By Joy Woodke, COE, OCS, OCSR, Academy Director of Coding and Reimbursement Five tips and a checklist.
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Sep 1, 2023 | 
aao.org | Joy Woodke
Download PDF
Do you administer drugs that come in a single-dose container, vial, or package? Since Jan. 1, 2017, your practice should have been using modifier –JW discarded drug not administered to report unused and discarded amounts from single-dose containers. This enabled you to be reimbursed for all the drug in the container, not just the portion that was administered to the patient. But what if there is no wastage?
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May 1, 2023 | 
aao.org | Joy Woodke
Savvy Coder Cataract Comanagement Compliance—CMS Outreach Prompts Internal Reviews By Joy Woodke, COE, OCS, OCSR, Academy Director of Coding and Reimbursement Are you a cataract surgeon whose patients are sometimes comanaged? If so, are your coding and documentation compliant with your payers’ rules?
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May 1, 2023 | 
aao.org | Joy Woodke
Extra Content Cataract Comanagement Compliance—CMS Outreach Prompts Internal Reviews By Joy Woodke, COE, OCS, OCSR, Academy Director of Coding and Reimbursement Are you a cataract surgeon whose patients are sometimes comanaged? If so, are your coding and documentation compliant with your payers’ rules? (June EyeNet, published ahead of print.)
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May 1, 2023 | 
aao.org | Jacob Goodman |Ankoor R. Shah |Joy Woodke
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It is an exciting era in retina. Physicians and patients have become accustomed to anticipating the next big change in clinical interventions—and practices have had to be nimble in keeping up with evolving reimbursement policies. New therapies, including biosimilars and dual inhibitors, have brought new challenges related to reimbursement and step therapy.
Biosimilars.
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Apr 1, 2023 | 
aao.org | Joy Woodke
Download PDF
CMS commissioned a national audit of intravitreal injections. It asked Noridian, which is its national Supplemental Medical Review Contractor (SMRC), to review a sample of claims from 2019. The error rate was 29%.1 The most common problems were as follows.
Problem—no response to the documentation request. When audits occur, does your practice have protocols in place to make sure that you don’t miss the deadline for submitting the requested documentation?
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Mar 1, 2023 | 
aao.org | Joy Woodke
Savvy Coder Three Reasons Why Cataract Practices Failed SMRC Audits—and Three Solutions By Joy Woodke, COE, OCS, OCSR, Academy Director of Coding and Reimbursement Three reasons why cataract practices failed a CMS audit—and three solutions.
