BC Advantage - 2019 Issue 4

Auditing Ophthalmology and Optometry Exams

If you work in an ophthalmology group, or audit ophthalmology then you are most likely aware of the caveats that exist in this specialty. Ophthalmology and Optometry practitioners can select from either the E/M code set or the Ophthalmologic exam code set. Having this knowledge in your pocket allows you to have a great opening discussion with a practice prior to beginning your audit. In most scenarios, practices decide on the code set they use depending on insurance payer, others may decide, depending on the conditions they are treating. Having this information prior to an audit will reduce the...

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