Jeffrey Restuccio – PESI – Optimizing Compliance and Maximizing Revenue for Ophthalmology and Optometry

Description

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Jeffrey Restuccio – PESI – Optimizing Compliance and Maximizing Revenue for Ophthalmology and Optometry

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.

Speaker

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.

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 (920×4)
4. Explain why the majority of eyecare providers document report a 920×2 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

Frequently Asked Questions:

1. Innovative Business Model:
   • Embrace the reality of a genuine business! Our approach involves forming a group buy, where we collectively share the costs among members. Using these funds, we purchase sought-after courses from sale pages and make them accessible to individuals facing financial constraints. Despite potential reservations from the authors, our customers appreciate the affordability and accessibility we provide.
2. The Legal Landscape: Yes and No:
   • The legality of our operations falls into a gray area. While we lack explicit approval from the course authors for resale, there’s a technicality at play. When procuring the course, the author didn’t specify any restrictions on resale. This legal nuance presents both an opportunity for us and a boon for those seeking budget-friendly access.
3. Quality Assurance: Unveiling the Real Deal:
   • Delving into the heart of the matter – quality. Acquiring the course directly from the sale page ensures that all documents and materials are identical to those obtained through conventional means. However, our differentiator lies in going beyond personal study; we take an extra step by reselling. It’s important to note that we are not the official course providers, meaning certain premium services aren’t included in our package:
     • No coaching calls or scheduled sessions with the author.
     • No access to the author’s private Facebook group or web portal.
     • No entry to the author’s exclusive membership forum.
     • No direct email support from the author or their team.

   We operate independently, aiming to bridge the affordability gap without the additional services offered by official course channels. Your understanding of our unique approach is greatly appreciated.

Refund is acceptable:

• Firstly, item is not as explained
• Secondly, Item do not work the way it should.
• Thirdly, and most importantly, support extension can not be used.

Thank you for choosing us! We’re so happy that you feel comfortable enough with us to forward your business here.