Optometry Coding & Billing Alert
Add Hispanics 65 and Older To Glaucoma Screening Benefit
PDF
Now 4 at-risk groups qualify for G0117 and G0118 To receive the benefit--coded with G0117 (Glaucoma screening for high-risk patients furnished by an optometrist or ophthalmologist) or G0118 (Glaucoma screening for high-risk patient furnished under the direct supervision of an optometrist or ophthalmologist)--the patient must also already be a Medicare beneficiary.
In 2006, you need to ask one more question to determine whether a patient is eligible for Medicare's free glaucoma screening: Is the patient a Hispanic 65 years old or older?
CMS has extended the benefit to that group for services reported on and after Jan. 1, 2006. Medicare reimburses for glaucoma screenings for beneficiaries in high-risk groups. Those eligible for the screening now include:
- People with a family history of glaucoma
- People with diabetes mellitus (250.xx)
- Blacks age 50 and older
- Hispanics age 65 and older.
Learn more: Read glaucoma screening information from the Medicare Web site at http://new.cms.hhs.gov/GlaucomaScreening/.
Optometry Coding & Billing Alert
- Dodge DMERC Denials With Crystal-Clear Refractive Lens Coding
Modifiers KX and EY are the keys to reimbursement--but don't forget GA
When a patient comes [...] - You Be the Expert:
Scanning Laser With E/M Service
Question: I recently received a denial for a scanning laser test performed with an E/M [...] - Fix Errors Before They Derail Your DMERC Claims
Be sure to inform Medicare beneficiaries of the supplier standards
Dispensing vision supplies in your office [...] - News You Can Use:
Add Hispanics 65 and Older To Glaucoma Screening Benefit
Now 4 at-risk groups qualify for G0117 and G0118
In 2006, you need to ask one [...] - 2006 RVU Update:
Hold the Fees for Your 2006 Services at 2005 Levels
Pay-for-performance program is looking a lot less likely
On Feb. 1, the U.S. House of Representatives [...] - Protect Your Consult Reimbursement
Doctors can request consults from others in the same group.
You may have spotless documentation for [...] - OIG Alert:
Reserve Modifier 25 for Separate E/M History, Exam MDM
Only reporting 1 code? Hold the modifiers!
The OIG is encouraging CMS- Part B carriers and [...] - READER QUESTIONS:
Append GY to Refraction Claims
Question: A doctor recently told me that appending modifier GY to the refraction code would [...] - READER QUESTIONS:
Train Staff for Unannounced Audits
Question: I hear so many horror stories about billing offices that fall apart and make [...] - READER QUESTIONS:
Record Medicare Patient's Exact Card Data
Question: We-ve been receiving numerous Medicare claim denials recently, and there doesn't seem to be [...] - READER QUESTIONS:
List Payment Modifiers Before LT and RT
Question: When I append multiple modifiers to a CPT code, is there any rule about [...] - READER QUESTIONS:
Save Calendars to Support Incident-To Claims
Question: What evidence or documentation do we need to prove the supervising physician was in [...]