10
Continued on Page 3 Vol. 25 Issue 1 January/February 2013 Inside This Issue A Resource Worth Recommending—IPAT ND State Board of Optometry Appointment NDOA’s 2013 Continuing Educational Meeting Agenda New Members of the NDOA 2013 Coding Changes in Eyecare Optometrists Rank Near Top of CNNMoney’s List of Best Jobs in America Understanding Changes to AOA Membership Categories & Dues Payment Schedule Northern Sights Newsleer President’s Message ~ Dr. Taya Patzman codes on a daily basis, which include corneal foreign body removal, punctual plugs, and epilation. This bill is clearly intended to restrict our scope of practice. This bill, if introduced by the Medical Board, aims at controlling our profession, which is already controlled by our own regulatory board, the North Dakota Board of Optometry. This is a problem for all practicing optometrists in our state. So the question is, what are we going to do about it? I was originally going to write a column about what benefits each member of the NDOA has access to. It appears that I have seen firsthand, in this past week, why I am a member of the NDOA and AOA. When Nancy was informed of this H appy Holidays! 2012 seemed to pass by in a flash and it’s hard to believe that we are already looking to gear up for our 2013 legislative session. It is unfortunate, that it appears we are in for an unexpected battle this year. The Medical Association is proposing to introduce two bills—a definition of surgery and a transparency bill. The surgical bill is most concerning to our scope of practice. The bill is intended to define surgery in a laundry list sort of way, which exempts MD’s, DO’s, Podiatrists, Dentists, Nurse Practitioners, and Physician Assistants. So we have to ask—who is this bill targeting? As we all know, medical physicians have been doing surgery for over a hundred years in North Dakota, without any confusion and the need for a definition in the law. What does this mean for optometry? By not adding optometry to the list of health care providers, this bill is clearly discriminatory against optometry, with the primary intent of limiting the scope of care that North Dakota citizens can receive from optometrists. Optometrists bill surgical North Dakota Optometric Association 921 South 9th Street, Ste. 120 Bismarck, ND 58504 Phone: 701-258-6766 Fax: 701-258-9005 E-mail: [email protected] Website: www.ndeyecare.com 2013 NDOA OFFICERS Dr. Taya Patzman President 1830 East Century Ave. Ste. 1 Bismarck, ND 58503 701-222-1140 [email protected] Dr. Paul Dunderland President Elect PO Box 169 Bottineau, ND 58318 701-228-2219 [email protected] Dr. Blaine Burdick Vice President PO Box 888 Devils Lake, ND 58301 701-662-2817 [email protected] Dr. Amy DuBois Secretary/Treasurer 3232 13th Ave. South Fargo, ND 58103 701-280-3000 [email protected] Dr. Todd Metzger Past President 1702 South University Drive Fargo, ND 58103 701-364-3256 [email protected] Nancy Kopp Executive Director

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Page 1: Northern Sights NewsletterA3AD1AE4-B4C6... · Optometrist Wanted: Optometrist position available at Dakota Eye Care, P.C., in Williston, ND. Excellent earning potential. For more

Continued on Page 3

Vol. 25 Issue 1 January/February 2013

Inside This Issue A Resource Worth

Recommending—IPAT

ND State Board of Optometry

Appointment

NDOA’s 2013 Continuing

Educational Meeting Agenda

New Members of the NDOA

2013 Coding Changes in Eyecare

Optometrists Rank Near Top of

CNNMoney’s List of Best Jobs

in America

Understanding Changes to AOA

Membership Categories & Dues

Payment Schedule

Northern Sights Newsletter

President’s Message ~ Dr. Taya Patzman

codes on a daily basis, which include

corneal foreign body removal,

punctual plugs, and epilation. This bill

is clearly intended to restrict our scope

of practice. This bill, if introduced by

the Medical Board, aims at controlling

our profession, which is already

controlled by our own regulatory

board, the North Dakota Board of

Optometry. This is a problem for all

practicing optometrists in our state.

So the question is, what are we going

to do about it? I was originally going

to write a column about what benefits

each member of the NDOA has access

to. It appears that I have seen

firsthand, in this past week, why I am

a member of the NDOA and AOA.

When Nancy was informed of this

H appy

Holidays!

2012 seemed to

pass by in a flash

and it’s hard to

believe that we are

already looking to

gear up for our

2013 legislative session. It is

unfortunate, that it appears we are in

for an unexpected battle this year. The

Medical Association is proposing to

introduce two bills—a definition of

surgery and a transparency bill.

The surgical bill is most concerning to

our scope of practice. The bill is

intended to define surgery in a laundry

list sort of way, which exempts MD’s,

DO’s, Podiatrists, Dentists, Nurse

Practitioners, and Physician Assistants.

So we have to ask—who is this bill

targeting? As we all know, medical

physicians have been doing surgery for

over a hundred years in North Dakota,

without any confusion and the need for

a definition in the law.

What does this mean for optometry?

By not adding optometry to the list of

health care providers, this bill is

clearly discriminatory against

optometry, with the primary intent of

limiting the scope of care that North

Dakota citizens can receive from

optometrists. Optometrists bill surgical

North Dakota Optometric Association

921 South 9th Street, Ste. 120 Bismarck, ND 58504

Phone: 701-258-6766 Fax: 701-258-9005

E-mail: [email protected] Website: www.ndeyecare.com

2013 NDOA OFFICERS

Dr. Taya Patzman President

1830 East Century Ave. Ste. 1 Bismarck, ND 58503

701-222-1140 [email protected]

Dr. Paul Dunderland President Elect

PO Box 169 Bottineau, ND 58318

701-228-2219 [email protected]

Dr. Blaine Burdick Vice President PO Box 888

Devils Lake, ND 58301 701-662-2817

[email protected]

Dr. Amy DuBois Secretary/Treasurer

3232 13th Ave. South Fargo, ND 58103

701-280-3000 [email protected]

Dr. Todd Metzger Past President

1702 South University Drive Fargo, ND 58103

701-364-3256 [email protected]

Nancy Kopp Executive Director

Page 2: Northern Sights NewsletterA3AD1AE4-B4C6... · Optometrist Wanted: Optometrist position available at Dakota Eye Care, P.C., in Williston, ND. Excellent earning potential. For more
Page 3: Northern Sights NewsletterA3AD1AE4-B4C6... · Optometrist Wanted: Optometrist position available at Dakota Eye Care, P.C., in Williston, ND. Excellent earning potential. For more

President’s Message Continued . . .

Northern Sights January/February 2013 Page 3

D o your patients with varying degrees of vision loss,

express the desire to read a book, identify the bills in

their wallet, or navigate a computer more easily? Do you

wish you had more concrete answers for them? The

Interagency Program for Assistive Technology (IPAT), a

non-profit organization with 20 years of experience in

connecting North Dakotan’s to assistive technology (AT)

devices and services may be your answer.

IPAT serves all people with disabilities, including those

experiencing the effects of aging. IPAT provides four

core AT services to help people discover and get the AT

they need to do what they want to do, even when abilities

change. These services include: AT demonstration

centers, introducing people with disabilities to the range

of AT devices that offer a different way of doing things;

an equipment rental program, allowing people to try

devices before they buy them; AT4ALL, an equipment re

-use program, connecting people to used devices; and

Pedaling for Possibilities, an AT funding program

helping people to purchase devices.

A great place for anyone to start learning about AT

options is at one of IPAT’s demonstration centers. They

are located in Fargo and Bismarck, and are open to the

public Monday through Friday from 9-5. All are invited

to call 800-895-4728 and set up a time to explore the

variety of vision devices available at no charge. The

Centers have equipment ranging from iPads with vision

apps that magnify, identify currency, or colors; to a

selection of electronic magnification systems, over-size

phone keypads with auditory feedback, and computer

access options to include text-to-speech, and screen

reading software.

Next time a patient asks how they can do something in

light of their vision loss, suggest they contact IPAT, and

stay up to date on AT for vision loss by reading IPAT’s

blog at www.ndipat.org.

A Resource Worth Recommending – IPAT By: Peggy Shireley, IPAT ATP

potential legislation, a flurry of activity began. It

started with e-mails amongst the Board members. It

quickly expanded to input from Dr. Dori Carlson,

which blossomed to e-mails and responses from AOA

staff and Board members promptly. We are once again

reminded, that even though we are a small state, we are

not in this alone. We have received consultation from

several AOA Board members and staff, as to the

direction we need to take to fight this bill. I am

confident that we can do it and perhaps potentially turn

this unexpected fight into a win for the optometrists of

North Dakota, by giving us the opportunity to put the

non invasive surgical privileges into our statute and

paving the way for future legislation, if the profession

so desires.

To be successful, we need to band together and be

active in our association. The way we will do this, is by

educating our legislators as to what we do as Doctors

of Optometry. We will be forming a legislative

committee, so if anyone is interested, please contact

me. If this bill is introduced, we will have to provide

testimony in committee meetings and defend our

profession, as only we, can do best. If there ever was a

time to get involved, it’s now!

Help Wanted

Optometrist Wanted: Optometrist position available at

Dakota Eye Care, P.C., in Williston, ND. Excellent earning

potential. For more information, contact Dr. Amanda Lee at

701-577-2020 or by email at [email protected].

Job Seekers

Leslie Hellebush—Graduating from Pacific in 2013

146 2nd Street SE, Garrison, ND 58540,

701-368-9286 [email protected]

Rikson Zollinger—Graduating from SCO in 2013

1838 Cherry Creek Dr., Southaven, MS, 38671

701-367-7548 [email protected]

Page 4: Northern Sights NewsletterA3AD1AE4-B4C6... · Optometrist Wanted: Optometrist position available at Dakota Eye Care, P.C., in Williston, ND. Excellent earning potential. For more

From The Desk Of Your Executive Director ~ Nancy Kopp

Northern Sights January/February 2013 Page 4

ND State Board of

Optometry Appointment

T he NDOA is asked by the Governor’s Office, to

make recommendations, as to candidates to serve on

the ND State Board of Optometry. The current State

Board OD members are: Dr. Jeffery Yunker of Grand

Forks, Dr. Jill Martinson-Redekopp of Minot, Dr.

Kyle Krein of Devils Lake, Dr. Kevin Melicher of

Fargo and Dr. Tamera Mathison of Jamestown. Dr.

Alan King of Dickinson, serves as Executive Director.

Traditionally, the NDOA has forwarded at least two

names to the Governor. Dr. Kyle Krein’s term expires

on June 30, 2013. Dr. Krein has indicated he is not

interested in serving another 5 year term.

If any NDOA member is interested for nomination to

serve, please contact the NDOA office by February

21, 2013. The members in attendance at the March

Membership Meeting will vote on the

recommendations to the Governor.

“Looking Forward”

A nother year has come and

gone. 2012 was again a year of

change, on a state and national

level. The November elections

revealed just a few surprises. Your

NDOA-PAC did contribute to 64

legislative and congressional

candidates. Of the 64, 57

candidates were elected! As we cannot afford to

contribute to all campaigns, your NDOA-PAC

Committee chose to support, for the most part, the

incumbents who were optometry friendly in the past

and challengers we thought may be electable. In some

cases, we even straddled the fence. Contributions were

made to both party affiliations. Thank you to those that

contributed to the NDOA-PAC. It gives us the

opportunity to show optometry’s interest, as a

regulated profession.

Change is difficult at any age. As we enter a New

Year, I hope that one of your resolutions was, as an

optometrist, to be a member of the NDOA team and

how you will help us shape this organization moving

forward. Has the NDOA, perhaps become complacent

in the past decade? While not necessarily a bad thing to

have a feeling of quiet pleasure, pleased with your

profession’s advantages or accomplishments, often

without awareness of concern for some defect/

problem/potential danger . . . in other words, satisfied?

This upcoming Legislative Session, as well as

Obamacare, sadly, just might change how we all take

care of business and most importantly, your patients.

As I have sent out an alert on a couple of legislative

issues optometry may have to face in our own

backyard, backed by medicine, are a Health Care

Professional Transparency Act and Definition of

Surgery. I have not yet seen a filed copy of either bill,

but the conversations are taking place and we are

trying to offer meaningful amendments already. We all

must come together, to protect all that has been

provided for your Optometric Practice Act, as you

know and are comfortable with. I will be sending out a

list of your district legislators and sincerely hope that

each and every one of you, will take the time to make

contact, with your legislators by phone, e-mail or in

person, on legislative issues that are very important to

you and your practice. Don’t be afraid of telling them

how optometry plays an integral role in the delivery of

primary eye care in North Dakota. I and your Board do

what we can to serve as your “watchdogs”, but only

you, collectively, can make the difference.

As a reminder, 2013 brings some deadlines for you to

voluntarily become ABO certified. April 30th is the

last day to apply to become an Active Candidate under

phase in rules and June 30th is the last day to submit

post graduate requirements (150 points) for verification

under phase-in rules. The last examination under the

phase in rules is January 2014. Based on the survey

results, the NDOA will not be offering a review course.

Visit www.americanboardofoptometry.org for more

information, costs and requirements.

NDOA Continuing Education events scheduled for

2013 are March 21-22 in Bismarck (including Annual

Carrot Cake Day at the Capitol), July 12, Annual Golf

Outing at Hawktree in Bismarck and September 29-

October 1, Annual Congress in Fargo. You would be

pressed to find better quality speakers and topics at

other conferences, all of which you have more travel

expenses. If you don’t find what you're looking for on

the NDOA agendas, tell us! We’re always willing to try

new ideas.

The fun, games and cherished moments of the holidays

are part of the recent past. I’m ready to get down to

what I enjoy too, and that is representing you, your

profession and your patients. Will you join me?

“Happy New Year”!

Page 5: Northern Sights NewsletterA3AD1AE4-B4C6... · Optometrist Wanted: Optometrist position available at Dakota Eye Care, P.C., in Williston, ND. Excellent earning potential. For more

Dr. Nicole Collins

Bergstrom Eye & Laser Clinic

2601 South University Dr.

Fargo, ND 58103

Phone: 701-235-5200

Fax: 701-237-0927

E-mail: nicolecollinsod@

gmail.com

Welcome New Members of the NDOA!

Dr. Ashley Benz

TLC Laser Eye Center

3003 32nd Ave. SW, Ste. 8

Fargo, ND 58103

Phone: 701-293-8101

Fax: 701-293-7998

E-mail: ashley.benz@

tlcvision.com

Dr. Jaime Hoenke

US Vision

2800 S Columbia Rd. Ste. 3

Grand Forks, ND 58201

Phone: 701-746-4810

Fax: 701-746-9260

E-mail: jaime.hoenke@

pacificu.edu

Dr. Kari Burgard

Trinity Regional Eyecare

1321 West Dakota Parkway

Williston, ND 58801

Phone: 701-572-7641

Fax: 701-572-7710

E-mail: karijburgard@

gmail.com

Dr. Adam Motacek

Lifetime Vision Source

300 2nd Ave. NE, Ste. 102

Jamestown, ND 58401

Phone: 701-252-2020

Fax: 701-251-2801

E-mail: ajmotacek@

gmail.com

Dr. Tracie Teig Malsom

Sears Optical

3902 13th Ave. South

West Fargo, ND 58078

Phone: 701-235-0280

E-mail: tteig@

yahoo.com

Dr. Cynthia Roles

Trinity Regional Eyecare

1321 West Dakota Parkway

Williston, ND 58801

Phone: 701-572-7641

Fax: 701-572-7710

E-mail: cynthia.roles@

trinityhealth.org

Dr. Matthew Sanders

Bagan Strinden Vision

4344 20th Ave. SW

Fargo, ND 58103

Phone: 701-293-8242

Fax: 701-293-0909

E-mail: mattsanders@

pacificu.edu

Dr. Brittany Schauer

Vision Source—Mandan

107 6th Ave. NW

Mandan, ND 58554

Phone: 701-663-0313

Fax: 701-663-1604

E-mail: bbecker@

pacificu.edu

REGISTRATION FORM

ON REVERSE SIDE

Friday, March 22, 2013

7:30—8:00 A.M.

Breakfast

8:00—10:00 A.M.

COPE #: 33290-SD

Ocular Manifestations in Autoimmune Disease

Speaker: Dr. Blair Lonsberry

10:00 A.M.—12:00 P.M.

COPE #: 33259-AS

Grand Rounds: A String of Pearls

Speaker: Dr. Nathan Lighthizer

12:00—1:00 P.M.

Lunch/Membership Meeting

1:00—3:00 P.M.

COPE #: 34395-AS

Laser Procedures for the Optometric Physician:

YAG Cap, LPI, ALPI, ALT & SLT

Speaker: Dr. Nathan Lighthizer

3:00—4:00 P.M.

COPE #: 31530-AS

Uveitis: Systemic & Ocular Approaches to Management

Speaker: Dr. Nathan Lighthizer

4:00—5:00 P.M.

COPE #: 31532-PD

ERG, EOG, VER: Electrodiagnostics Alphabet Soup

Speaker: Dr. Nathan Lighthizer

NDOA’s 2013 Legislative & Continuing Educational Meeting

March 21-22, 2013

Radisson Inn—605 East Broadway Ave.—Bismarck, ND

Thursday, March 21, 2013

8:00—11:00 A.M.

NDOA Board of Directors Meeting

11:00 A.M.—1:00 P.M.

“NDOA Carrot Cake Day” at the Capitol

1:30 P.M.

Registration

2:00—4:00 P.M.

COPE #: 28958-SD

Diagnosing & Managing Ocular Urgencies & Emergencies

Speaker: Dr. Blair Lonsberry

4:00—6:00 P.M.

COPE #: 32377-SD

Lab Testing: The Basics

Speaker: Dr. Blair Lonsberry

6:00—7:00 P.M.

COPE #: 35055-OP

Oral Pharmaceuticals in Ocular Surface

Infection & Inflammation

Speaker: Dr. Blair Lonsberry

7:00—8:00 P.M.

Welcome Social/Hospitality

Dinner On Your Own

Northern Sights January/February 2013 Page 5

Page 6: Northern Sights NewsletterA3AD1AE4-B4C6... · Optometrist Wanted: Optometrist position available at Dakota Eye Care, P.C., in Williston, ND. Excellent earning potential. For more

O.D. Registration Form

NDOA’s 2013 Continuing Education Conference March 21-22, 2013

Radisson Inn ~ 605 East Broadway Ave., Bismarck, ND Phone: 701-255-6000

Name: ___________________________________________________ OE Tracker #: ____________________________________ (Please Print Clearly!)

E-Mail: _______________________________________________ Phone: ______________________ Fax: ____________________ Business Address: ____________________________________________________________________________________________

*Please complete a registration form for each Doctor attending!

Please make your room reservations ASAP! Room Block Cut Off Date is February 29.

Reservations can be made by calling the Radisson Inn at

701-255-6000. Be sure you indicate the NDOA room block when

you call for a discount.

EARLY BIRD DEADLINE IS

MARCH 1, 2013!

Return this form with your check or credit card

information to:

North Dakota Optometric Association

921 South 9th Street, Suite 120

Bismarck, ND 58504

Phone: (701) 258-6766 Fax: (701) 258-9005

Total Enclosed

Total Enclosed

Registration Fee (Includes all meals & breaks) EARLY BIRD AFTER 3/1/13 AMOUNT

NDOA/AOA Member $75.00 $100.00

Non-NDOA/AOA Member $150.00 $175.00

EDUCATION NDOA/AOA Member Non-NDOA/AOA Member AMOUNT

3/21 “Diagnosing & Managing Ocular Urgencies . . . . .”

2 Hours Dr. Blair Lonsberry

2 @ $20.00 = $40.00

2 @ $60.00 = $120.00

3/21 “Lab Testing: The Basics”

2 Hours Dr. Blair Lonsberry

2 @ $20.00 = $40.00

2 @ $60.00 = $120.00

3/21 “ Oral Pharmaceuticals in Ocular Surface . . . ”

1 Hour Dr. Blair Lonsberry

1 @ $20.00 = $20.00

1 @ $60.00 = $60.00

3/22 “Ocular Manifestations in Autoimmune Disease”

2 Hours Dr. Blair Lonsberry

2 @ $20.00 = $40.00

2 @ $60.00 = $120.00

3/22 “Grand Rounds—A String of Pearls”

2 Hours Dr. Nathan Lighthizer

2 @ $20.00 = $40.00

2 @ $60.00 = $120.00

3/22 “Laser Procedures for the Optometric Physician . . .”

2 Hours Dr. Nathan Lighthizer

2 @ $20.00 = $40.00

2 @ $60.00 = $120.00

3/22 Uveitis: Systemic &Ocular Approaches . . . .”

1 Hour Dr. Nathan Lighthizer

1 @ $20.00 = $20.00

1 @ $60.00 = $60.00

3/22 Uveitis: Systemic &Ocular Approaches . . . .”

1 Hour Dr. Nathan Lighthizer

1 @ $20.00 = $20.00

1 @ $60.00 = $60.00

Total:

For planning purposes, please check below each days events that you will be attending. All events and meal functions

are included in your registration fee, unless noted.

Thursday’s Events Friday’s Events Thursday—NDOA Carrot Cake Day at the Capitol Friday—Breakfast

Thursday—Welcome Social/Hospitality Friday—Lunch

Visa Mastercard

Credit Card Number: _______________________________

Expiration Date: _________ CVV Code_____________

Billing Address:_____________________________________

City, State, Zip:_____________________________________

Cardholders Name:__________________________________ (Please Print)

Cardholders Signature: ______________________________

Page 7: Northern Sights NewsletterA3AD1AE4-B4C6... · Optometrist Wanted: Optometrist position available at Dakota Eye Care, P.C., in Williston, ND. Excellent earning potential. For more

Northern Sights January/February 2013 Page 7

A ll health care providers must be familiar with the two

key references in health care; Current Procedural

Terminology (CPT© American Medical Association), and

International Classification of Diseases, 9th Edition. The

AMA CPT and ICD-9 are the ONLY coding references for

diagnosis codes, visits and procedures that are accepted by

Medicare and Medicaid and the only coding references

required by HIPAA.

The first step in committing all doctors in your practice to

accurate medical records and coding for next year is to be

sure that you have the 2013 edition of CPT. To make

accurate choices of procedure codes you must have the

current Current Procedural Terminology and it must be the

official AMA CPT. Other publishers’ “versions” of CPT are

available, but they may distort the true definitions and

should not be depended upon for accuracy. In daily use in

your practice and definitely during an audit, AMA’s CPT is

what you need.

The following is a summary of key changes in the 2011,

2012 and 2013 editions of CPT:

2011 92135 Retinal imaging, ‘unilateral’, was deleted and

replaced by three new codes, each classified

‘unilateral/bilateral’:

92132 Anterior Segment Imaging

92133 Imaging, Optic Nerve

92134 Imaging, Retina

Note: Medicare’s reimbursement for the each of the new

codes is nearly identical for both eyes to previous reimbursement for 92135 for one eye! It is acceptable to bill

the same, whether the test is done on one eye or both (per recent CPT Assistant © AM A update). No modifier is

required, since there will not be any adjustment to

reimbursement, up or down.

CPT added two codes used primarily by physicians taking

fundus photos of patients with systemic diabetes and sending

them to a remote ‘reading center’ to analyze the presence or

progression of retinal disease.

92227 Remote imaging for the detection of retinal

disease—unilateral or bilateral

Note: Do not report 92227 in conjunction with 92002,

92014, 92133, 92134, 92250, 92228 or with the evaluation

and management of the single organ system, the eye, 99201-99350.

92228 Remote imaging for monitoring and management of

active retinal disease—unilateral or bilateral

Note: Do not report 92228 in conjunction with 92002-

“2013 Coding Changes in Eye Care” Written By: Charles B. Brownlow, OD, FAAO

AMA CPT is available to AOA members at

AMA members’ prices through the

AOA Order Department, 1-800-262-2210.

Continued on Page 8

92014, 92133, 92134, 92250, 92227 or with the evaluation and management of the single organ system, the eye, 99201-

99350)

2012

CPT deleted two eye care codes in 2012 after surveying

providers and finding few, if any, physicians actually doing

either of the procedures. They are 92120—Tonography and

92130—Tonography with water provocation.

Note: Use the CPT Category 3 code, 0198T, to report ocular

blood flow measurements.

Another code, 92070—Fitting of contact lens for treatment

of disease, including supply of lens, was deleted and

replaced with two new codes, 92071—Fitting of contact lens

for treatment of ocular surface disease (also used for

bandage CL), and 92072—Fitting of contact lens for

management of keratoconus, initial fitting.

Note: According to CPT Assistant (© AMA) “report supply

of lens separately with 99070 or appropriate supply code”

e.g. HCPCS code

2013 Several codes had language changes for 2013, though the

numbers stayed the same. For your reference, we’ve put the

new or additional wording in bold italics and have used

strike through for deleted language:

92015—Determination of refractive state (For

instrument based ocular screening, use 99174)

92132—Scanning computerized ophthalmic diagnostic

imaging, anterior segment, with interpretation and

report, unilateral or bilateral. For specular microscopy

and endothelial cell analysis, use 92286

92286—Anterior segment photography imaging, with

specular microscopy and endothelial cell count analysis

Changes in definitions for 92002, 92012, 92004, 92014

include, “Interpretation and report by the physician or

other qualified health care professional is an integral

part of special ophthalmological services where

indicated…”, and “(For distinguishing between new

and established patients, see Evaluation and

Management guidelines)”

Note: Those guidelines are found at the front of the CPT manual

In the section “Spectacle Services (Including Prosthesis

for Aphakia)”, “When provided by the physician, fitting

of spectacles is separate service when provided by the

physician and is reported as indicated by 92340-

92371…Presence of the physician or other qualified

health care professional is not required.”

Ophthalmic Surgery Code Changes, 2013 Note: Some

of these codes may not be common in optometric

practice, and are provided in the interest of

complete reporting

Page 8: Northern Sights NewsletterA3AD1AE4-B4C6... · Optometrist Wanted: Optometrist position available at Dakota Eye Care, P.C., in Williston, ND. Excellent earning potential. For more

Optometrists Rank Near Top of

CNNMoney’s List of Best Jobs in America

C NNMoney has ranked optometrists No. 12 on its

recently released list of “100 Best Jobs in America”.

The list, which was compiled with the help of

compensation experts, PayScale.com, began with over

9000 job titles, which were whittled down to those

professions that require at least a bachelor’s degree. Some

of the information the experts focused on was good pay (researchers responsible for the list cite the median pay for

an experienced optometrist as $105,000 and top pay as

$149,000), reasonable hours and emergency calls are rare.

Other factors included growth opportunities, stress brought

by the job, flexibility of the profession, overall satisfaction

and how they feel their job affects the world.

This is not the first time optometry has been lauded as a

desirable career choice. Not only did optometry make

Kiplinger’s 13 Best Careers list in 2010, they also made

CNNMoney’s 2010’s list of 100 Best Jobs in America.

2013 Coding Changes

in Eye Care Continued. . . .

Note: No Changes in International Classification of

Diseases for 2013 or 2014! It is also important to note that

there are no changes in ICD-9 codes for 2013, nor will there

be any in 2014. The next change in diagnosis coding will

be the big one, when ICD-10 becomes the ‘law of the land’

on October 1, 2014.

65805, Deleted, replaced with…

65800, Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous,

and in the definition of the code…

67810, Incisional biopsy of eyelid skin including lid

margin, “(for biopsy of skin of the eyelid, see

11100, 11101, 11310, 11313)”

Northern Sights January/February 2013 Page 8

In-Office Preparation for Medical Record Keeping and

Coding, 2013

All doctors and key staff should read the 2013 CPT defini-

tions for your practice’s 20-30 most commonly billed ser-

vices. Clear and thorough knowledge of CPT coding for

2013 is only possible if you have the 2013 AMA CPT. The

only way to avoid embarrassment and expensive audit issues

is to use each CPT code only if the medical record content

of the visit or procedure matches the definition for the code!

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Northern Sights January/February 2013 Page 9

T his past July, at the AOA House of Delegates in

Chicago, there were a number of By-laws amendments

approved that affect members. At NDOA’s annual

membership meeting in October, we addressed these By-law

changes and amended our own policies to align our

membership structure to reflect most of these changes. The

following information outlines these changes, so that you

may better understand how they will shape your

membership dues structure.

Dues Payments Timeline: Keeping Your Membership “In

Good Standing”

First, the AOA House of Delegates approved a strict

timeline for keeping membership “in good standing”.

The NDOA mails annual dues information and invoices to

the membership at the beginning of December for the

upcoming new year, which are due and payable on January

1st.

We prefer that dues be paid in one payment at the beginning

of the year. Both the NDOA and AOA have operating

expenses throughout the year and timely payment of dues

keeps cash flow healthy. However, the NDOA has several

payment options in place to accommodate your needs,

including quarterly and bi-annual payments by check or

automatic payments if using a credit card.

What’s important to point out is, as a result of the AOA By-

laws changes, beginning in 2013, the AOA will require that

25% of dues be paid to the AOA by the end of each quarter

or membership will be terminated.

If you fall behind in your dues payments, your AOA

membership and benefits would be affected. We strongly

suggest that you enroll in our auto-pay program to avoid

losing out on your membership benefits.

For example, beginning in 2013, 25% of dues must be paid

to the NDOA by the end of March, which we will remit to

the AOA. The AOA will terminate membership in May for

anyone who has not paid 25% of their dues obligation.

Likewise, for the 2nd, 3rd and 4th quarters of the year.

Doctors will no longer be able to maintain their membership

if dues are not current. Please be mindful of these new

strictly enforced deadlines.

Membership Classifications

The AOA House of Delegates also approved a series of

changes to eligibility requirements for membership

classifications that allow for the payment of less than full

dues. The following AOA changes are effective in 2013:

Active Membership: Active members pay full dues. The 5-year ascending scale of dues for new licensees remains in

effect with no changes. However, the descending scale of

dues for those age 70 and over has been eliminated. Most of

the members in the descending scale will now be eligible to

apply to be a Life Member and for those who are not

eligible, the NDOA will work with you to determine how to

best maintain your membership and benefits.

Special Class Membership: The AOA Special Class

category has been eliminated. These individuals will become

Active members unless they meet the eligibility

requirements for another membership category. Again, the

NDOA will be reaching out to those in this classification to

find a suitable membership level.

Retired Membership: AOA Retired members previously

had no dues requirements. Retired members may now

choose to receive benefits at a dues obligation of $100 per

year or may choose to be a member in name only with no

benefits and zero dues.

Life Membership: AOA Life membership will now be

granted to those individuals who have been a member for 45

years, regardless of age. There are no dues obligation for life

members. Individuals who qualified for life membership

prior to the effective date of this change will retain their Life

membership. Life members do not have to be retired from

practice to be eligible for this membership class.

Partial Practice Membership: The AOA Partial Practice

membership has been changed to apply to those individuals

who practice 16 or fewer hours per week at 60% of full dues

obligation. Individuals who practice more than 16 hours per

week will no longer be eligible for the AOA’s Partial

Practice membership.

The NDOA, has also changed its Partial Practice dues

structure to match the AOA’s. By 2014, all partial practice

members will pay 60% of full membership dues. All

members affected by this change will be contacted

personally to review your dues status and determine what

options are available to you.

Miscellaneous Changes

The following additional By-laws changes also affect

membership:

All membership categories no longer require a license to

practice.

Changes in membership classification will be limited to

once per year. Those changes effective in the first half of

the year will be retroactive to the beginning of the year,

those in the second half will take affect at the end of the

year. This will make tracking membership easier and

simplify bookkeeping procedures, since each member

will be in only one dues classification for the entire year.

It is very important that you contact the NDOA in

January if you see that you will need to apply for Partial

Practice or a waiver.

Previously, members were required to be a member of

the state in which their primary practice was located,

they may now be a member of the state in which they

work or live.

Understanding Changes to AOA Membership Categories & Dues Payment Schedules

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Bismarck, ND 701-223-7640

Northern Sights January/February 2013 Page 10