How to submit a HICF to Medicare and NOT get denied?

[beaneek]

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Hi,
I just started my own practice and am now a Medicare provider. I have heard from numerous ODs that Medicare is notorious for constantly denying claims for routine vision as well as for eye-related office visits simply because one little square on the form wasn't checked properly or because all caps weren't used or something picky like that. Does any OD on here have experience with submitting HICFs to Medicare? If so, what have you learned in terms of reasons for denial? What procedural codes are acceptable? 92004? 92015? Do you have to have a medical diagnosis first? (any advice would be helpful....I just don't want to have to keep sending it back to them a million times...)😕

 

[Ben Chudner]

I would suggest posting this question on a forum like ODWire.

 

[optsuker]

Agree with going on ODWire with this question.
Do a search for Dr Tom Miller's guide for billing.
A cheap manual that will answer a lot of your questions.