SynergEyes Insight covers compliance, coding, and reimbursement for keratoconus, plus a great video on contact lenses and sports performance.
Insight Newsletter
August 9, 2016
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Keratoconus Compliance, Coding, and Reimbursement 

By John Rumpakis, OD, MBA 

Contact lenses, a fundamental part of virtually every optometric practice, are also a hotbed of frustration for many on the medical coding and reimbursement side of things. Generally, when a practitioner is considering the fitting of a specialty contact lens, it is typically predicated on the presence of a specific medical condition or refractive complication caused by a corneal condition. Some key highlights:
  • Be familiar with the requirements for the appropriate use of the 920XX and 992XX codes for your office visits that get coded in addition to your contact lens services.

  • Keep in mind that the ICD-10 requires the highest level of specificity, stability, and laterality in your diagnosis for keratoconus.

  • Everything you do with the patient after establishing the diagnosis must be based on the medical necessity you specify in the record.

CLICK HERE TO DOWNLOAD WHITEPAPER
More SynergEyes and Industry News
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Do Your Patients Have the Vision to "Go for Gold?" (video)

It’s time for the Summer Olympics, and sports performance is on everyone’s mind. Serious athletes and “weekend warriors” require excellent, stable vision so they can – literally – keep their eye on the ball.

“Most sports require excellent vision,” says Alan Berman, OD. “Athletes are very competitive people, and they will do whatever it takes to get better.”  Hear how the stable vision that Duette provides can help athletes hit it out of the park!

WATCH VIDEO
 
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How to Deliver Better Outcomes to Keratoconus Patients 

Patients who have keratoconus and other corneal irregularities present unique challenges. To be sure: there is no cookie-cutter approach to fitting, nor is there one lens that will work for everyone.

The following strategies have helped doctors achieve great success when fitting patients in these innovative hybrid designs.

READ BLOG ARTICLE
 
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$100 Gift Card Drawing

Tell us about your Duette experience and be entered in a monthly $100 gift card drawing.

CLICK HERE TO ENTER DRAWING
 
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Special 5-For-Sight Pricing Program

Special pricing is available on Duette and Duette Progressive new annual-supply fits - ideal for your astigmatic and presbyopic patients. 

LEARN MORE
 

Medical Necessity Sample Insurance Letter

A medical necessity letter is often needed when submitting claims for a specific medical diagnosis that includes hybrid and other specialty contact lenses.  Download a sample template that may be adapted to each patient's situation. 

DOWNLOAD THE MEDICALLY NECESSARY LETTER SAMPLE