Navigate the coding and billing issues that affect your practice.

CMS’ 2022 Medicare PFS decreases conversion factor, sets new policy goals

The final rule includes a list of updated payment policies, quality measures adjustments and telehealth changes for the 2022 calendar year. How AOA’s input shaped rulemaking and what it means for doctors.

CMS releases information on Part B claims-based quality measure scoring for 2021

MIPS participants: A CMS system processing error caused rejections of certain quality data codes.

New ICD-10 codes take effect Oct. 1: What they say about social determinants of health

In addition to the new codes for social determinants of patients' health, a new, billable diagnosis code was created to report encounters for immunizations.

If it sounds too good to be true, it probably is

In assessing new products, consider first what is best for your patients and practice—but also consider reimbursement related to new equipment.

Crack the Codes

The AOA’s Coding Experts offer guidance to support doctors and staff in providing the best possible patient care while ensuring accurate reimbursements are received.
New E/M codes: Is time on your side?

While how time is considered has changed, it is critical to remember that usage of the prolonged service modifier also has changed.

Coding ethically: What to do when a coding decision is made incorrectly

The AOA Ethics and Values Committee releases topical and timely case study on coding abuse and what to do about it once suspected.

4 coding changes now in effect

Given the importance of E/M services in patient care, it’s critical that all doctors of optometry are aware of these changes.

Jan. 1 coding changes—are you ready?

Evaluation and management (E/M) services are incredibly important in patient care, and it’s critical that optometry practices are aware of changes ahead. Meanwhile, the AOA and other leading physician organizations are pushing legislation that would halt Medicare payment cuts resulting from the changes.

Are your coding habits up to snuff? AOA HPI provides benchmark data

Time to review your practice’s billing and coding: Access national benchmark data for optometry practices and join an upcoming webinar to learn more about E/M code changes in 2021.

Appropriate use of modifier 25

Some doctors of optometry are billing claims with modifiers 24 and 25 at a higher rate than other eye care providers.