3/21/2018 0 Comments Who's Next? What's Next?by Paul Batson, O.D.
Center Director VisionAmerica of Birmingham Who's next, what's next? This is a pretty simple concept but one that I think can have a large impact on our patient's experience. As I recently sat with my wife in the waiting rooms of doctors offices, radiology clinics and ultimately a hospital surgery suite, I realized that just how applicable this concept really is. Our patients are already a little anxious about being at the doctor's office, yet when you add uncertainty to the mix, the anxiety can begin to increase.
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by Paul Batson, O.D. Center Director VisionAmerica of Birmingham I recently had an opportunity to speak at SECO and share some thoughts on a variety of interesting cases. One of the patients that I presented had Graves' Disease. The point of the case was to share some interesting information about Teprotumumab, a new treatment that is beginning phase three trials and may have the potential to completely eliminate the need for orbital decompression. For the past 15+ years, VisionAmerica has been honored to work alongside the Alabama Optometric Association to host their annual Technician Courses. We've worked hard over the years to develop a program that can provide a wide range of education. From allowing the cross-training of a receptionist for a basic work up to challenging the experienced technician to begin to refract or applanate, our goal is to provide a quality educational opportunity. As you probably know, the program is a three-part course that builds on itself and becomes increasingly advanced. This year's schedule includes: You may have noticed recent denials from Palmetto GBA on your co-managed services and were left scratching your heads! We were too, at first! With the recent transition from Cahaba GBA to Palmetto GBA for our Medicare claims, we are uncovering some distinct differences between the two payers on how they would like claims filed. We sat down with our billing supervisor, Cyndee Coley, to get her thoughts. Here are the main takeaways: One example of the changes we recently discovered relates to how we file claims for services that are co-managed. In the past, the co-managing physician charges were filed with the surgical procedure code and modifier 55 to indicate post-op services only. This hasn't changed, but the new item for us all is that the date of service should match the actual date of surgery and not the date for which post-op services are assumed. Also, you will need to include a notation of the number of post-op days on your claim. The placement of this note depends on your practice management system but the note should correspond to Item 19 of the CMS-1500 claim form. For example, if you assume care at the one-day post-op visit then you are providing 90-day care. If you assume care after the one-week post-op then it will be 83 days (90-7). For full details on this change, CLICK HERE! If you have any questions with regard to Palmetto GBA and need assistance, please give us a call at (205) 943-4600. Our most recent "Get to Know" session was with Dr. Donald McCurdy. We settled in at Dreamland BBQ in downtown Birmingham to discuss life, golf, and all things cataracts. We hope you enjoy this interview! Where are you from? I grew up in Greensboro, North Carolina. After high school I spent a few years in the Navy and then went to undergrad at Chapel Hill (the University of North Carolina). I also went to medical school and did my residency at Chapel Hill. |
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August 2019
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