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tci Medicare Compliance & Reimbursement - 2010 Issue 3

PART B CODING COACH: Ensure Your Fair Share of Routine Exam Reimbursement by Playing by Medicare Rules

Ophthalmologists take note: No complaint may mean no coverage. Often, ophthalmologists don't take full advantage of the Medicare market since many patients need only routine, non-covered services, such as refractions and routine check-ups. But wait: You can serve the Medicare patients in your area and get paid if you follow these three simple rules from our experts:Rule 1: Don't Overlook Covered Chief Complaints Of course your ophthalmologist can't -- and doesn't -- manufacture patient complaints. But it is appropriate to ask patients follow-up questions to extract an accurate and complete history which may glean relevant information -- and potentially...

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