RevolutionEHR Insights ™

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Doc/Coding tips

Medical Decision Making
Posted: June 15, 2018

It’s undoubtedly not a surprise to know that each encounter you provide involves some degree of medical decision making.  From ...  read more

Auto-Coding and the Evaluation and Management Series Codes
Posted: June 14, 2018

To properly code an encounter from the evaluation and management series (those 99xxx office visit codes), three components of an ...  read more

Can You Perform an Office Visit and/or Special Testing During a Surgical Global Period?
Posted: June 5, 2018

It’s not uncommon for a patient to present to the office for a visit during a surgical global period.  An ...  read more

Can you perform an OCT and fundus photos at the same visit?
Posted: June 5, 2018

There are definitely a lot of opinions on this one so it’s often best to rely on what you can ...  read more

Don’t Forget Your Care Plans
Posted: June 5, 2018

It’s been said before that a good story has five elements: the characters, setting, plot, conflict, and resolution. That last ...  read more

Coding for Refractions
Posted: June 5, 2018

Refractions are not included in the general ophthalmological service codes (92002, 92012, 92004, 92014) or the evaluation and management series ...  read more

Minor Surgical Procedures Include the Office Visit
Posted: June 5, 2018

A very common scenario is many optometric practices is a patient presenting with right eye discomfort and notes getting something ...  read more

Using “Set Primary” to Connect the Dots
Posted: June 5, 2018

Just like a story has an introduction, middle, and end, the medical record for a given encounter should show a ...  read more

It All Starts with the Reason for Visit
Posted: June 5, 2018

It’s been said that the reason for visit (RFV) “drives the bus” for an encounter.  That is to say that ...  read more

New vs. Established Patients
Posted: June 5, 2018

For coding purposes, a new patient is one that hasn’t been seen by you or any other OD in the ...  read more

Requirements of The General Ophthalmological Services
Posted: June 5, 2018

The general ophthalmological services, or “eye codes” as their often referred to, consist of 92002, 92012, 92004, and 92014.  They’re ...  read more

The Importance of Data Agreement within the Medical Record
Posted: June 5, 2018

3rd party audits will often explore specific parts of the medical record looking for disagreements in documentation.  As an example ...  read more

Enhancing Efficiency and Compliance Through the Dx/CPI Reason for Visit Component
Posted: June 5, 2018

3rd parties have certain expectations when it comes to medical records and one of the fundamental ones is that each ...  read more

The Four Rs of the Interpretation and Report
Posted: June 5, 2018

Remember that most of the special tests ODs order requires an interpretation and report (I&R) per CPT guidelines.  Without an ...  read more

Make Sure the Review of Systems Makes Sense for the Care Being Provided
Posted: June 5, 2018

It’s important to be sure that the level of the review of systems (ROS) makes sense when considered alongside the ...  read more

The Importance of Specificity
Posted: June 5, 2018

While frequently used by many providers, non-descriptive terminology within the medical record can create challenges in an audit.  Consider a ...  read more

The Power of The Signature
Posted: June 5, 2018

The importance of signing encounters can be easy to overlook but shouldn’t be.  A doctor’s signature at the conclusion of ...  read more

Glasses after Cataract Surgery (DME Glasses Claims)
Posted: March 13, 2018

Only one pair of glasses is allowed per surgery. If each eye is done individually, you are allowed to ...  read more

Billing and Coding Tips for Cataract Co-Management
Posted: March 9, 2018


Make sure your diagnosis matches the surgeon’s diagnosis
Make sure your CPT code matches the surgeon’s: 66984 for regular ...  read more

Locum Tenens Documentation in RevolutionEHR
Posted: March 9, 2018

The theory of coding for a locum tenens scenario is surprisingly easy. Assuming the locum is replacing a doctor who ...  read more

Error 4 Explanation
Posted: July 19, 2016

This error is generated by having more than 4 diagnosis codes on 1 line item on the invoice. The error ...  read more

Electronic Claims Setup
Posted: May 12, 2015

Are you looking for information on setting up electronic claim submission in RevolutionEHR? This document will guide you through setup ...  read more

What is the best way to handle billing patients who have both medical and vision insurance? As the provider, can I choose to bill medical insurance because the reimbursement is higher?
Posted: November 27, 2013

This is as much a PR question as a requirement question.  If your patient has a vision benefit, and you ...  read more

When submitting claims electronically, where should I input the correct information in RevolutionEHR for a cataract post op claim?
Posted: August 21, 2013

The action of double clicking on any line item on the invoice opens the Invoice Item Detail window and will ...  read more

'Routine' Eye Exams?
Posted: December 10, 2012

Q:  I am in the process of setting up my appt types and templates.  I am curious why with your ...  read more

How often can you bill for Pachymetry on a Glaucoma patient?
Posted: January 7, 2011

Pachymetry is a once in a lifetime benefit for glaucoma diagnoses. The only way Medicare would pay for additional pachymetries ...  read more

What is the proper usage of 'S Codes'?
Posted: January 15, 2010

They are defined as routine ophthalmological examination, including refraction. They are HCPCS codes, not CPT codes, all of which makes ...  read more

Can you bill a refraction with a medical diagnosis?
Posted: January 15, 2010

The diagnosis code should match the service and in the case of 92015, it is far more common to use ...  read more

When can you use consultation codes?
Posted: January 14, 2010

Medicare no longer reimburses for consultation codes and you'll see most other 3rd parties follow suit. In the rare case ...  read more





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Updates Prior to 2018