Tip: Stress the importance of medical necessity in the documentation to your ophthalmologist.
When the ophthalmologist decides to place punctal plugs, choosing the procedure code seems easy because you only have one code to choose from. But if you don’t apply the correct modifiers or provide medical necessity in the physician’s documentation, you can kiss your reimbursement goodbye. Follow these three simple steps to guarantee you’ll see payment on each plug placement procedure.
1. Don’t Change Procedure [...]
