EHNOTE

  Cataract surgery audits are becoming increasingly stringent, with meticulous scrutiny on documentation and coding accuracy. Recent trends have shown an alarming 55.12% error rate in patient records, signalling the need for healthcare providers to be vigilant. Missing key details can lead to non-compliance, rejected claims, and potential financial losses. In particular, Targeted Probe and Education (TPE) reviews are zeroing in on the correct use of CPT codes 66984 and 66982. Preparing for these audits requires precise documentation and adherence to specific guidelines. This article will cover the essential requirements for ensuring compliance in cataract surgery audits. 1. Document Every Detail: Patient Records Must Be Comprehensive The cornerstone of a compliant cataract surgery audit is thorough and precise documentation. Every patient’s record should include a  unique complaint and history . This means avoiding general statements and focusing on the individual characterist...

  Cataract surgery audits are becoming more stringent, especially with the inclusion of  Ambulatory Surgical Centers (ASCs)  under the  Targeted Probe and Educate (TPE)  review program. Recent audits by Noridian revealed a 55.12% error rate in medical records, primarily due to missing documentation and failure to justify medical necessity for cataract surgery. These audits not only put pressure on surgeons but also on ASCs to ensure that their documentation is comprehensive and compliant with payer requirements. Understanding the TPE Review Requirements The TPE review focuses on two main CPT codes for cataract surgery: 66984 and 66982. To avoid penalties and ensure compliance, ASCs must maintain meticulous records. The essential documentation requirements include: Chief Complaint and History of Present Illness: Each patient’s records must reflect a unique chief complaint and history, emphasizing the importance of personalized care documentation. Impact on Daily ...

Is Scheduling Chaos Hurting Your Ophthalmology PractScheduling is the backbone of every successful ophthalmology practice, yet it’s one of the most challenging areas to manage efficiently. Recent studies show that 9 out of 10 ophthalmology clinics face some form of scheduling challenge, whether it’s double-booking, no-shows, or long wait times. These issues not only cost you revenue but can also damage your practice’s reputation and erode patient trust. Let’s break down the most common scheduling challenges and explore how an advanced scheduling system can help you overcome them. 1. Double-Booking Disasters: The Hidden Cost of Overlapping Appointments The Problem: Double-booking happens when multiple appointments are scheduled for the same time slot, causing confusion and frustration for both staff and patients. This is often due to manual scheduling errors or outdated scheduling systems that lack real-time availability tracking. When appointments overlap, your practice struggles wi...

Running an efficient ophthalmology practice while ensuring an exceptional patient experience can often be challenging. Managing patient appointments, reducing wait times, and keeping up with administrative tasks are common pain points for healthcare professionals. However, with the right patient scheduling software, you can put an end to scheduling struggles and streamline your entire workflow. Scheduling software has become an essential tool for practices that aim to optimize their operations, integrate electronic medical records (EMR) and electronic health records (EHR), and offer a more seamless patient journey. In this article, we’ll explore how ophthalmology practices can benefit from effective patient scheduling software and highlight how EMR and EHR integration enhances these systems even further. Seamless Appointment Booking for Your Ophthalmology Practice One of the most significant benefits of modern patient scheduling software is the ability to offer  seamless appointmen...