Understanding CPT Code 92137

As retinal imaging technology continues to advance, optical coherence tomography angiography (OCT‑A) has become an new tool for diagnosing and monitoring retinal vascular disease. Recognizing this shift, the American Medical Association introduced CPT code 92137 in...

TriZetto Breach Response

Many of you have received notice from Trizetto regarding a breach at their corporate level.  While these breaches of patient information are unfortunate, cybercriminals are crafty and viciously attacking all aspects of healthcare.  Trizetto has taken all the...

NCCI Update on OCT

National Correct Coding Initiative Policy On Bundling Comprehensive Ophthalmological Evaluation (920X4) and Computerized Ophthalmic Diagnostic Imaging of the Retina, including OCT Angiography (92137) John Rumpakis, OD, MBA President & CEO, Practice Performance...

Remote Workers in Eyecare

Remote, offshore, virtual…The New World of Staffing Do you know the legal ins and outs of remote staffing? To start, let’s attempt to define the various categories of folks who do not work within the four walls of your office. All these different staffing positions...
How to Respond to Audit Requests

How to Respond to Audit Requests

Audits are on the rise in a major way.  Some payers, particularly Medicare Advantage Plans under Humana and BCBS, are targeting vision care submissions made through the vision plan they are subcontracting with for routine care.  In many cases, this is EyeMed.  You may...