Bonus #54: 992XX vs 920XX - Assign Value Appropriately

9 Key Metrics: https://eyecodeeducation.ck.page/262f3cef1d

Comprehensive Optometry Simplified Community: https://www.eyecodeeducation.com/bundles/comprehensive-optometry-simplified

In this episode, Dr. Kyle Klute and Dr. Wolfe discuss the updates and changes in the Evaluation and Management coding systems. The conversation focuses on the challenges optometrists face in coding and insurance audits. The importance of metrics and documentation for coding is highlighted, emphasizing the need for accurate and comprehensive charting. The discussion also addresses the lack of a definitive way to assign codes, emphasizing the role of documentation in determining code levels. Solutions to these challenges include education, self-study, and auditing. The episode concludes with an action plan for reviewing billing and coding practices and the availability of guidance and support.

Takeaways

• Optometrists face challenges in coding and insurance audits, requiring accurate and comprehensive charting.
• Metrics and documentation play a crucial role in coding, ensuring appropriate code assignment.
• There is no definitive way to assign codes, as it depends on the documentation and medical necessity.
• Solutions to coding challenges include education, self-study, and auditing.
• Undervaluing acute care can lead to undervaluing chronic care, impacting practice revenue.
• Reviewing billing and coding practices and seeking guidance and support can help improve coding accuracy.