He welcomes comments or questions on the topic of this months column. Request a Demo 14 Day Free Trial . Here is an example from the American Academy of Ophthalmology.7. Q:Are the new E/M rules truly de-emphasizing the history and exam? Join the most knowledgeable coding experts in ophthalmology for professional coding education vital to your success. We've created a series of Optometry Clinical Cheat Sheets for our readers to help make things a bit easier. The AAPC CPC (American Academy of Professional Coders Certified Professional Coder) exam consists of 150 multiple-choice questions. Researching codes can take time. ICD-10 Compliance Date: October 1, 2015. View PDF. The following table lists some online resources, references, and tutorials to help you continue practicing all three languages. However, the responsibility of the practitioner to understand how both medical decision making and time are used to calculate exam codes is critical. Medicare payer information includes references to Internet Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery. Features of CPT Coding Essentials for Ophthalmology 2021 PDF: A subset of specialty-specific CPT (R) codes chosen by experts based on utilization, denial risk and complexity. Is that true? The final product does NOT have a watermark. Each CPT code includes its official description and lay description, coding tip, Medicare edits, and . This reference guide breaks down the topical allergy medications by class, concentration, dosage, mechanism of action, contraindications, bottle sizes, and much more. Quickly identify new, revised, and add-on procedure codes, making your coding process quick and efficient. The Coders' Specialty Guide 2022: Ophthalmology/ Optometry makes coding quick and easy. A:Yes. Second, if it goes through, the changes will be followed by all of your other payers. 77 28 Amendments or delayed entries must also be signed and dated by the author upon entry. Question:A 53-year-old new patient with type 1 diabetes presented to the clinic with Will payment cuts impede patient access to sight-saving procedures? Each has been redefined in significant ways. In 2021 this will always be following the 2 out of 3 rule. Q:How likely is it that implementation would be delayed? Consolidate the coding process with the Coding Companion, your one-stop coding resource developed exclusively for urology/nephrology. Second, if it goes through, the changes will be followed by all of your other payers. A: In 2021, E/M exam code 99201 is being deleted, but it's of little consequence since eye doctors almost never use this code anyway. Build Python Web Apps with Flask - Introduction to SQL and Databases for Back-End Web Apps Download the series for easy reference to conversion tables, medication guides, and more. Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a preventive medicine service, or other medical service or procedure. If the eye code pays better than the E/M code that you can also code for, then stay with it. The table below details the requirements for the 2 more commonly used exam levels for eye care providers. If I still get better payment on the Eye code, are the rules for using them changing? CPT Coding Guidelines, Introduction, Instructions for Use of the CPT Codebook Initial and Subsequent Services Some categories apply to both new and established patients (eg, hospital inpatient or observation care). ICD-10-CM 2022 goes into effect Oct. 1, 2021. See Downloadable PDFs below for details. 2023 Eyes On Eyecare. The Current Procedural Terminology (CPT) code range for Ophthalmology Services and Procedures 92002-92499 is a medical code set maintained by the American Medical Association. Download the Free Cheat Sheet. Page Measurements: 8.5 11 Number of pages: 1 Colors: Blues & Greens This is no longer the case in the new system. Of course, there are also important liability concerns in terms of each of these areas and you shouldnt lose sight of thatthey cant be ignored. Avoid Rejections, Denials, and Fines. 2021 E&M Coding Tool TIME Activities Time Spent (MINUTES) Include ALL minutes clinician spent on patient on DOS Pre-Visit Reviewing notes, results, correspondence, reports (Note sources, dates) Other: Visit History from patient and others (Note sources) History, examination, discussion, counseling, education, planning Ordering, referrals . Under no circumstances shall EyesOnEyecare or CovalentCareers be responsible for damages arising from use of this information. View PDF. These Optometry Clinical Cheat Sheets are perfect for: In these Optometry Clinical Cheat Sheets, you will find: This reference guide will break down most of the major artificial tear options (roughly 60 products) by active ingredient, preservative, manufacturer, and formulation. 0000080232 00000 n Determining if there is a separate E/M is often a judgement call. Selecting an E/M Code Using the 2021 Medical Decision -Making Table . x|6>{*]Irm%Y%Y-ci J1SE8%! Of these codes, there are 53 new codes, 14 deleted codes, and 5 revised code descriptions for eye-related discharges and patient encounters occurring from October 1, 2020, through September 30, 2021. Cosmetic Blepharoplasty, Dont Let Dry Eye Dollars Fall Through the Cracks, Peruse 3 Pointers for Precise MDM Data Counting, Follow This Advice to Fortify Your Medical Records, Dont Count on Separate Pay for Schirmers Testing, Bill Patients Desiring Deluxe Frames the Difference, Focus on These 5 MPFS Final Rule Takeaways, Sharpen Your Risk Adjustment Coding Skills in 4 Easy Steps, Get the Scoop on Changes to Medicare Benefits for 2023, Establish This Rule for New Patient Encounters, Understand Why You Shouldnt Report 67255 With 66180, Eliminate Uncertainty When Deciding Unspecified vs. Other, Differentiate Between QHPs and Staff for Definitive Documentation. Critical optics equations are included along with a table of ophthalmic lens properties. 1 rule in coding is identifying the payer. Download the ophthalmic module to accurately code tests and segment surgical procedures of the anterior chamber. Newest member of Cascadia Eye, an OD/MD group practice in Washington. Among the important changes for this 992xx exam code series is that using the history and the exam for the purposes of choosing a code are minimized, although they will remain important to documenting the reason for visits and for liability protection. 3. Additionally, if you use inpatient hospital exam codes, those are staying the same for 2021, although they are slated for significant changes in 2022 or later. 0000008452 00000 n 0000015962 00000 n Get up to speed in minutes, quickly refer to things you've learned, and learn keyboard shortcuts. E&M Coding Cheat Sheet For The Trailblazer MDM Method. ), Any combination of 3 from the following: Review of prior external note(s) from each unique source (review of previous chart note) Review of the result(s) of each unique test (review of topography, OCT, HVF) Ordering of each unique test (topo, OCT, HVF) Assessment requiring an independent historian(s) (spouse, child, parent, etc.) Dont delete, but instead, clearly identify all original content. Also included in this tip sheet is a letter template that can be customized and Jaypee Gold Mini Standard Atlas Orthodontics PDF Free Download: Tara v shanbhag Pharmacology For Medical Graduates PDF 4th Edition Free Download:2022, A subset of specialty-specific CPT(R) codes chosen by experts based on utilization, denial risk and complexity, Official AMA coding guidelines pertinent to the specialty and not available in any other specialty codebooks in, Official code-specific CPT(R) parenthetical instructions, Plain English descriptors that clarify for the reader the details of the service represented by the CPT(R) code, National Correct Coding Initiative (CCI) edits to identify bundled and separately billable codes, Facility and non-facility relative value units (RVUs) including global surgery days, physician work and practice, malpractice and total expenses as well as those modifiers that can affect relative values, Additional chapters on terminology and anatomy, HCPCS codes, CPT(R) modifiers and ICD-10-CM coding and documentation practices. 2021 will bring changes in medical exam coding. Download the cheat sheets here! We hope these cheat sheets help you throughout your optometric journey, whether you are a student studying for boards, a new grad preparing for your first job, or a seasoned veteran who just needs a quick refresher every once in a while! 65855 Trabeculoplasty by laser surgery, one or more sessions. In this short video, Ravi Goel, MD presents a cataract surgery documentation checklist to prepare practices for Medicare's Target, Probe and Educate (TPE) audits. The AMA's CPT Panel and Medicare have instituted new rules for how we select the level of service for E/M that are vastly different from prior to Jan. 1. We should see the Final Rule and payment announcement around the first of December. Top examples of . Two of See if you can zero in on the best-suited codes for each scenario. A delay is very improbable. Details affecting code selection and modifiers are always manually editable. The author uses his reference card as a reminder of what must be documented to support a level-4 code . Do you work in the eyecare industry? Outlook Calendar for Windows. This is a digital PDF product. Back to our glaucoma suspect. Those are codes 99202 to 99205 and 99212 to 99215. Evaluation and management services. Quickly identify new, revised, and add-on procedure codes, making your coding process quick and efficient. Whether commercial or federal, each payer can and does have its own rules. It will be rare that you do so little during an exam that you only qualify for level 2. The simple rule of thumb to remember is that if over-the-counter meds are recommended for treatment, the complexity is low while the use of prescription meds for treatment is considered moderate complexity. Join us for a webinar on May 12 at 7 pm (CT) to review the hottest topics in retina documentation and coding. Antonio is passionate about digital media, marketing, and advertising and in his free time still practices optometry in Pittsburgh,Pennsylvania. Look to the blepharoptosis repair codes when the fix involves muscle modification. Both AMA (CPT) and Medicare support the change. The AMA and Medicare support it. Member Price: $45.00. You always need to ensure that the code you select reflects that the services provided are medically reasonable and necessary before you finalize the visit. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf. The three categories for determining MDM levelnumber of problems, amount and/or complexity of data, and table of riskwill remain. Its impossible to delve deeply into the many changes in a short article, but under the current rules, coding for a new patient is different than an established patient. W3Schools: Reference guides for HTML, CSS, and JavaScript. Risk cannot be determined by an EHR-suggested coding function, because providing care to a patient involves clinical and human nuances that computer functions cannot yet capture. Eyes On Eyecare is currently distributing our 2023 media kit and Eyes On event prospectuses. Here, we're covering the changes in documentation requirements for optometry billing and coding. 0000001597 00000 n REVIEW. 66179 Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft. Ships from United States. The record must provide a reliable means of clearly identifying the original content, the modified content, and the date and author of each modified record. 0000015379 00000 n Question: Our coding team is unsure about whether we can report 66180 and 67255 together. To succeed, you'll need to know how to file an error-free claim . Just make sure your documentation qualifies to meet the standards before submitting a level 5 code. The CMS ICD-10 Ombudsman William Rogers, MD, is available to address ICD-10 related issues at icd10_ombudsman@cms.hhs.gov. Medical decision-making will be the more common method of choosing a code level, except for certain situations (one example is providers who do low-vision examinations). This removes a significant burden off of the billing practitioner to make sure enough information has been documented, even if it may be unnecessary for treating the patient appropriately. Something to keep in your exam room well into your career, Ophthalmic topical allergy medication reference guide, Ophthalmic topical steroid and NSAID reference guide, Ophthalmic topical antibiotic and antiviral drug guide, Normative findings for EOMs and constrictions, Morgans Norms for a basic vision therapy skills work up, Findings for common binocular and accommodative disorders. 4 CMS: Overview of rules & fact sheets, November 26, 2021. Get 20 pages of charts, tables, reference guides, and more. Test takers have 5 hours and 40 minutes to complete the exam. Clearly indicate the date and author of any amendment, correction or delayed entry. A:Yes. This calculation not only includes face to face time with the patient, but also the time it takes to review their chart information. 1 AAPC: The Eyes Have it: Routine vs. Medical Eye Exams, November 2, 2012. Whether goniotomy, inserting stent in conjunction with cataract surgery, or as a stand-alone procedure, repositioning, trimming or removing, Medicare Advantage Plans, Commercial insurance and Medicaid plans often require preauthorization of exams, tests and surgeries. Total time may be used alone to select the appropriate code level for office visit E/M services (99202-99205, 99212-99215). Q:What about the Eye exam codes? Subsequent AMI ICD-10 allows coding of a new MI that occurs during the 4 week "acute period" of the original AMI. All of the major ocular disease normative values are included such as cataract grading, ARMD scales, CSME criteria, expected C:D ratio based on disc diameter, Von Herick angle estimation, Becker-Shaffer angle grading, SUN Working Group of cells and flare, pachymetry, hyphema grading, cycloplegic drop information, and tear film evaluation, exophthalmometry norms, and much more! Visit. 0000019781 00000 n 1 rule in coding is identifying the payer. 0000140425 00000 n Copyright 2023. Our ophthalmology team members can help you explore automatic suggested coding and other helpful billing features to determine if ModMed Ophthalmology is the right solution for your practice. Failure to code correctly will ultimately result in denial on both codes and the lowest possible reimbursements. The new way to determine exam code level is by calculating time spent on a patient case. This update brings 159 additions, 25 deletions, and 27 revisions. Unlike many other certification exams, the CPC exam is an open book exam. Most straight forward acute issues will be level 3. endobj Billing and coding are essential to running a thriving ophthalmology practice. CPT 2021 Express Reference Coding Card: Dermatology Amer Assn of Neurological Surgeons For a better understanding of the latest revisions to the CPT code set, rely on the best-selling CPT Changes 2021: An Insider's View. CHICAGO Innovative work to meet the urgent public health need for streamlined reporting and tracking of COVID-19 vaccinations is presented in today's release of the 2022 Current Procedural Terminology (CPT ) code set published by the American Medical Association (AMA). Since the OCT and VF are being billed, only 20 minutes can count. You can still use it in the limited circumstances where it still fits. Features of Coding Companion for Ophthalmology 2021 PDF: ICD-10-CM code icons - NEW - Icons identifying male- and female-only codes, as well as age-related and laterality diagnosis codes. Be prepared! Avoid claim denials and/or audits. This change may make it far more difficult for providers to earn a bonus. The new corneal dystrophies and dystrophy codes add one digit to the end of the codes to specify laterality and represent the patient's condition more accurately. endobj Eyes On Eyecare is currently distributing our 2023 media kit and Eyes On event prospectuses. The new rules also will require healthcare providers to provide uninsured or self-pay patients with good-faith estimates of expected charges for scheduled services. Any less than those values and selection of the level of service is impossible for E/M. Learn how ModMed helps empower practices and patients. Based on the number of diagnoses addressed at the visit and the complexity of those issues, its relatively easy to decide which level your exam meets. ICD-10-CM code iconsNEW Icons identifying male- and female-only codes, as well as age-related and laterality diagnosis codes. If CAD . We have received several requests from physicians, coders and administrators for an "MRA Cheat Sheet" Many have asked for something that is a single page or similar in format to a "charge slip". The No. 7 AAO: E&M or Eye Code: Which to Choose?, January 1, 2015. Complete Ophthalmology coverage for 2023 - CPT, HCPCS, and ICD-10 codes, CCI edits, and more - with searchable archives, 24 CEUs & more . Of course, there are also important liability concerns in terms of each of these areas and you shouldnt lose sight of thatthey cant be ignored. Introduced by Reps. Ami Bera, M.D., D-Calif., and Larry Bucshon, M.D., R-Ind., H.R 8702, the "Holding Providers Harmless from Medicare Cuts During . There are 490 new, 58 deleted, and 47 revised ICD-10-CM codes for fiscal year 2021. Getting familiar with the most frequent payers for your patient population will help you keep track of coding guidelines, which can be important to make sure you dont miss out on reimbursement options. Ophthalmology & Optometry ICD-10-CM Coding for 2021. Hint: Look beyond the codes to the guidelines for all the info you need. BBH,ecxFYCk:3BqBkj:y]OAHbZT"y[[:T!|i}G="3##nBjRo@nfi=:e]|B+CHG._um#YR//26<0m? @}?~lO1B~_j`u /]7px:Nx{ oOCxu7~J+0yvqvC(kIR[e{!J/>?K,r! |Dq~m!y %!Q7!eH s Keh7d9(}1pwxs=,9k"H-HgW9O8Q.GBoh-;V? This Guides & How Tos item by SimplyCertified has 2 favorites from Etsy shoppers. The 2022 Medicare Physician Fee Schedule (MPFS) Final Rule was published on Nov. 19, 2021. Add to Cart. l l :kdwv 1hz" (olplqdwlrq ri o&olqlfdo yljqhwwh ,qlwldo riilfh ylvlw iru d \hdu rog jluo iru ghwhuplqdwlrq ri ylvxdo dfxlw\ dv sduw ri d vxpphu Jc4d0f`gc|Sp?Mx x a`{7o 0 S: Low Low Level 5 exams will be relatively few and far between for many docs, but not absent. Description. Chapter 7: Diseases of the eye and adnexa (H00-H59). Certain commercial payers will limit billing frequency for Eye visit codes, as well as place restrictions on what types of eye diagnosis codes you can use.6 However, E/M codes are usually not subject to such frequency restrictions. If the eye code pays better than the E/M code that you can also code for, then stay with it. 0000002730 00000 n Copyright 1999 2023 GoDaddy Operating Company, LLC. Patients may not understand what their medical and vision insurance will cover. Remember: Timely medical record signoff helps to preserve chart accuracy. Accessed 10/14/2020. 2021-2022 HCC Coding and Documentation Tips with COVID-19 Updates Updated October 2021 COVID-19 Diagnosis Codes Only confirmed diagnosis of coronavirus disease should be coded. A:Some important things to remember are that the average eye practice sees about 80 percent established patients, and only 20 percent are new patients. 2 rule is don't apply one payers rules, or perceived rules, to all other payers, A joint position paper from the Academy and the American Society for Cataract and Refractive Surgery on, Find decision trees, quick reference guides and key features of new CCI edits effective Oct 1. at. Antonio Chirumbolo, OD is the Director of Client Services at CovalentCreative. Below are highlights from the 43-page ICD-10-CM Tabular List of Diseases and Injuries 2022 Addenda. The files in the Downloads section below contain information on the ICD-10-CM COVID-19 updates effective with discharges and patient encounters on and after January 1, 2021. Q:If Im not using time, and exam and history are less relevant to coding level, how is the decision-making method used? Heres to more time spent helping our patients and less time staring at our computer screens. Nov. 3, 2021. Also, there are different time standards for new vs. established patients. E/M codes are used across all medical specialties. Updates and details on the topics contained herein may be available from the CMS, the CDC, and other commercial payers. Question:Can I separately report Schirmer's tests and E/M services? Presumptive positive COVID-19 test result should be coded as confirmed. A:In 2021, E/M exam code 99201 is being deleted, but its of little consequence since eye doctors almost never use this code anyway. Dr. Levy described the workgroup's guiding principles as "always coming back to what is clinically important," clarifying codes to reduce the need for auditing, reducing "note bloat," ensuring that payment for E/M services was resource based, and removing "all the things that currently drive us crazy.". A:Yes. Contact us to learn more about available opportunities - spaces are limited. endstream endobj 78 0 obj <>/Metadata 75 0 R/Pages 71 0 R/Type/Catalog/PageLabels 68 0 R>> endobj 79 0 obj <>/ColorSpace<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 80 0 obj <> endobj 81 0 obj [/ICCBased 93 0 R] endobj 82 0 obj <> endobj 83 0 obj <>stream Subscribe to Codify by AAPC and get the code details in a flash. Wednesday, March 15, 2023 | All Eyes On Evaporation, Thursday, April 13, 2023 | All Eyes On Evaporation, Tuesday, April 18, 2023 | All Eyes On Evaporation. 0000007095 00000 n All rights reserved. When a 20/80 distribution is used for new and established patients, respectively, the weighted average for all eye exams increased 3.4% ($116.30 to $120.20). Reel in claim denials and conquer 2022 code changes with: By Mark Wright, OD, FCOVD, and Carole Burns, OD, FCOVD. H|UXawkASgPA44APy All rights reserved. For eye care providers, this category will likely be at a lower level than that of diagnoses and risk. Also, there are different time standards for new vs. established patients. A few simple rules of thumb can help you remember when a code of 99214 might be indicated. We should see the Final Rule and payment announcement around the first of December. will limit billing frequency for Eye visit codes, When using ModMed Ophthalmology, code suggestions are based upon clinical documentation in conjunction with protocols. While there are certain billing and coding situations that are unique issues for ophthalmology as a specialty, practices must also keep general regulatory requirements in mind. Office cheat sheets. On the established-code side, 99211 remains and is unaffected because it's not a doctor-exam code. In 2021 this will always be following the 2 out of 3 rule. %%EOF However, these elements have expanded definitions, added examples, and ambiguous terms removed. The No. Be prepared! The most common way will be to use medical decision making. Any less than those values and selection of the level of service is impossible for E/M. But what happens if a practice were to . A:For medical visits, the proposed rule shows large changes in what doctors will be paid next year. Whether commercial or federal, each payer can and does have its own rules. Studying for clinic. The office and other outpatient E/M codes for established patients changed in line with the revisions to the new patient codes in 2021. Both AMA (CPT) and Medicare support the change. From general science to microbiology, pharmacology, ocular disease, anatomy, and physiology, there is just so much important clinical knowledge you need to cement in your mind at certain points throughout not only your academic career but in your professional career as well. Since the OCT and VF are being billed, only 20 minutes can count. %PDF-1.7 Note: You will have to be signed in to your calendar and may have to enable pop-ups to add events. When calculating this category its important to remember that you cannot count any test interpretations youve done and reported separately. That said, there are situations where making sure the data review category is important. Easily determine fees for your practice and reinforce consistency in the charges. 8 0 obj The ICD-10 codes for diagnoses. Its important for physicians to receive proper coding training on a regular basis, as well as notification and training on the annual code updates. 2 These are used to bill professional services such as physician and nonphysician practitioner clinic visits, hospital visits or consultations, and are most commonly found between 99202 and 99499. As you can see, determining the level of complexity for medical decision making can get complicated, but the more you do it, the more intuitive it will become. Find the meaning behind all the changes included in the AMA's CPT 2021 Professional Edition codebook. 0000001480 00000 n There will be a morning session for the Fundamentals course and afternoon session for the general Codequest course. Q:I heard the level 1 exam codes are being deleted. . Eye codes refer to CPT codes that document new and established eye exams, most commonly found between 92002 and 92014.1 Eye codes are used for both routine and medical visits in ophthalmology. Although the Eye codes are all going down, an E/M code is also possible, and often will pay more in 2021 when the patient is established. 0000008147 00000 n Management involves how the patient is treated and the urgency of the treatments. The following is a guide highlighting some of the most critical normative values to help you along your way! Protocols wrap commonly seen diagnoses, treatments and more into a single touch to help providers document quickly. Access from your Country was disabled by the administrator. Eye codes dont have a time option. 8 DukeHealth: Steps to Avoid Overcoding and Undercoding, July 30, 2019. What alternatives are there? Moving to E/M codes from Eye codes in a meaningful way can largely mitigate the potential revenue hit. Therefore, the provider and billing and coding staff must always review the selected or suggested code for accuracy. Studying for the NBEO Boards. Although still pending are the 2022 Official Guidelines for Coding and Reporting, which were not included in the package of new codes. The 2021 eye-related code updates primarily affect the following four ICD-10-CM chapters. Ophthalmology And Optometry Coding Alert - 2023; Volume 26, Number 3. . The Philadelphia Guide: Inpatient Pediatrics 3rd Edition PDF Download: The Washington Manual of Outpatient Internal Medicine 3rd Edition PDF Download: Smiths Recognizable Patterns of Human Malformation 8th Edition PDF Download: McMINNS COLOR ATLAS OF LOWER LIMB ANATOMY PDF 5TH EDITION DOWNLOAD:2023. Media Type: Online. This reference guide breaks down these medications by concentration, bottle sizes, treatment tips and more. For new patients, the weighted average payment increased 1.0% ($150.44 to $151.95). He completed his optometrydegree at the SUNY College of Optometry in 2013. The other way is to use physician time. In 2021, E/M exam code 99201 is being deleted, but its of little consequence since eye doctors almost never use this code anyway. CPT Coding Essentials optimizes both CPT . E/M codes are used across all medical specialties. Subscribe to the ChiroCode Newsletter. New patient E/M codes 99202 to 99205 also go downbut established patient E/M codes 99212 through 99215 are all proposed to rise significantly in payment. Below is a general list of the code ranges for ophthalmology services and procedures in 2022: 92002-92014 - General Ophthalmological Services and Procedures. Optometry is one of the few sub-fields to have its office visit codes. This event will be held at the Meydenbauer Center in Bellevue. Ophthalmologist CPT code list. 0000194480 00000 n American Medical Association. Spiral-bound. startxref Complexity of the medical decision is broken down into three categories: In order to justify using an exam code, two of the three categories must meet the same level of complexity. Theyll map out the latest coding updates, review key competencies, test your knowledge and steer you towards successful solutions for preventing claim denials. 0 Make sure you are capturing all the necessary components by using this, Check your patient out-of-pocket expense document to assure compliance. I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery 1 These changes have been long awaited and will certainly reduce the administrative burden on the average practice by making coding your office encounters much easier and straightforward. Effective January 1, 2021, Evaluation & Management Codes for office visits have changed . As of now, Medicare and many other insurance providers require that doctors satisfy 3 areas of documentation in order to, Under this system, a doctor has to ensure she asks the patient enough questions. The event will feature AAO Coding and Practice Management Executive, Joy Woodke, COE, OSC, OSCR, along with Gayatri Reilly, MD, Retina Group of Washington, and Ankoor Shah, MD, Retina Consultants of Texas.