decisionhealth Newsletters, Part B News - 2001 Issue 3 (March)
Established patient E/Ms billed by ophthalmologists take a dive
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Article Overview
This article reviews ophthalmology billing patterns drawn from HCFA claims data and compares changes in service utilization from 1998 to 1999. It is relevant to ophthalmologists, coders, billing staff, and compliance professionals who want a high-level view of how established patient evaluation and management, eye exam, and diagnostic service billing trends were changing during that period. The article also places the specialty’s top billed services in context and highlights broader utilization shifts without providing operational coding guidance.
Why This Topic Matters
Understanding specialty-specific utilization trends helps coding and compliance teams compare their own billing patterns with national patterns and recognize where service mix may be changing over time.
What You Will Learn
- How ophthalmology billing patterns were trending during the late 1990s.
- Which broad categories of ophthalmology services were most commonly billed.
- How HCFA claims data were used to compare utilization across years.
- Which types of services showed notable increases or decreases in use.
Who Should Read This
- Ophthalmologists
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
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