What You Don’t Know About E/M Codes in 2022

As one of the nation’s leading integration providers for ophthalmologic practices, there’s one thing we know a great deal about: streamlining processes and helping smart practices generate more ROI for less. 

When it comes to billing options for ophthalmologic practices, the use of eye codes or E&M codes when charging for office visits like comprehensive eye exams can determine just how much revenue is produced. Recent CMS policy changes allow the more comprehensive of these two billing methods, E/M codes, to be used almost exclusively, and current billable rates are substantially higher than eye code alternatives.

So, how do you determine if it’s worth making the switch from the ”quick and easy” eye code billing process to E/M codes? It comes down to just how streamlined and efficient you want your practice to be. 

Leveraging E/M codes gives your staff their time back

While E/M codes have traditionally been criticized for significantly greater documentation requirements that include detailing patient history, a review of systems, and multiple system exams, recent changes have made these requirements substantially less involved, and make the whole process of documenting office visits dramatically easier. 

Not only are E/M codes now just as time-effective as eye codes– the billing rate changes and reduction of time on the E/M code side makes leveraging these far more lucrative than ever before.

E/M codes are more effective than they’ve ever been

2021 changed the game for E&M billing– and they are now not only significantly more profitable than eye codes– they’re also easier to use, and can be used for a wider range of procedures. 

Additionally, the fact that E/M codes adhere to national guidelines (as compared to state-specific guidelines around eye codes) means it’s easier and more time effective to employ these codes as a primary billing strategy for practices that cross state lines.

If efficiency is key, E/M codes make the most sense

No matter where you practice across the nation, E/M codes have become a surefire way for ophthalmologists to quickly and efficiently bill patients. While best practices still do suggest leveraging eye codes for certain procedures, the value of the E/M code as a primary tool for ophthalmology billing is becoming more and more evident.

Have questions about how to make the switch to E/M codes for your practice? Our team of experts is always here to help.

Contact us today to start a conversation!

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