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HIPAA 5010 System Errors Reported

AMA recommends practices file complaints about HIPAA 5010 non-compliance on the AMA website. The CMS complaint form is available on the AMA website as well.

View the claim rejections related to the 5010 transition [XLS 39K] document from the AMA.

Guidelines for Billing Medicare Beneficiaries When Using the Femtosecond Laser
The American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery have developed joint guidelines for billing Medicare and beneficiaries when using the femtosecond (FS) laser. The guidance outlines instances when billing for use of the FS laser is or is not clearly permissible. It is important to note that the guidelines are subject to modification based on new regulations issued by the Centers for Medicare and Medicaid Services or its contractors. These guidelines only apply to the Medicare fee-for-service program. Additional guidance should be sought directly from the carriers for coverage determinations under Medicare Part C or through commercial carriers. The guidelines were developed with input from legal counsel and ophthalmology experts.

New ABN Mandatory Use Date: Jan. 1, 2012
The latest version of the ABN (with the release date of 3/2011 printed in the lower left hand corner) is now available for immediate use. All ABNs with the release date of March 2008 that are used after Jan. 1, 2012 will be considered invalid. 

Payment in Peril — Why Your Practice Must Act Now to Save Your Financial Bottom Line: Several critical practice management and reimbursement issues face ophthalmology practices now and over the next nine months. Deadlines are rapidly approaching for meeting new HIPAA 5010 standards and e-prescribing and quality reporting thresholds.

American Glaucoma Society (AGS) Teaching Tool for New ICD-9 Codes for Glaucoma 

Distinguish Between Pterygium with Graft, Conjunctival Graft, Autograft and Amniotic Membrane Transplant (Excerpt from the May/June 2011 Coding Bulletin)

Recovery Audit Contractors (RAC) Information [PDF 115K]

ICD-10 Readiness: Get tools and information to help you with the transition from ICD-9 to ICD-10, visit www.aao.org/icd10.

Notice of New Interest Rate


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ICD-9 for Ophthalmology Online Subscription

NEW! Due to popular demand, AAOE developed this online diagnosis selection resource with alphabetical and tabular indices. This new online format lets you access codes from your computer and easily search it by code or keyword. Plus, this new electronic format enables AAOE coding experts to update the information semi-annually. A subscription gives you access to the content and all updates for 12 months from the date of purchase.

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