Ophthalmologists responsible for over $22 million in improper payments, CERT auditors say


Ophthalmologists frequently struggle with the question of whether to report eye care codes or E/M codes when treating patients, but new data suggests that more thought should go into E/M code selection when physicians go that route. Did you know ophthalmologists were among the 10 specialties with the highest improper payment rates for office visits during 2017?

Medicare Report: With 6.8 percent of the claims reviewed in this category classified as improper payments, ophthalmologists were responsible for over $22 million in improper payments for office visits alone!

More scrutiny in sight -- Can your E/M claims sail through in 2018?

You’ve also got tricky E/M coding intricacies to navigate, such as how do you code for locum tenens claims?

But you can stay clear of these problems with a few simple tips and advice! Download this free quick-start whitepaper to tighten up your office visit claims, avoid kickback allegations, and get practical solutions to your eye care coding and reimbursement challenges.

Inside you’ll find:

  • CMS: Ophthalmologists Among Specialties With Highest Error Rates for Office Visits
  • Optometrists Not Immune to CMS’ Error Calculations
  • Avoid This Ophthalmologist's Fate — Know How to Spot Inducements
  • Reader Question: Modifier Q6 Is Your Key to Locum Tenens Pay
  • You Be the Coder: CMS: Don't Text Physician Orders
  • And more!


Sign up to download your complimentary copy of this quick-start whitepaper to ensure your practice isn’t classified as billing and coding improperly.