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FIRST TOPIC

  • CoSource Diagnostics is the leader in ultrasound testing services in Ophthalmology with a concentration toward early detection of stroke and other anomalies. ​

  • Our Mission:​

“Promote and facilitate Quality of Life diagnostic resources that support our clients and their patients every day!”

How to Bill for a TCD..

How to bill for Transcranial Doppler

TCD CRITERIA

TCD CRITERIA

  • Previous HX of CVA or TIA
  • Known blockages/stenosis/carotid stenting
  • BRVO/BRAO
  • CRVO/CRAO
  • Retinal Ischemia
  • Retinal Neovasculization
  • Wet AMD with CNV
  • Diplopia
  • Amaurosis Fugax
  • Heart Disease/AFIB/Pacemaker
  • Loss of vision
  • Sudden Blurry vision
  • Visual Field defect in both hemispheres
  • Diabetes Type 1 or 2
  • Diabetic Retinopathy
  • Hypertensive Retinopathy
  • HTN or High Cholesterol with another Systemic or Ocular TCD Criteria
  • Glaucoma
  • POAG/Low tension/Chronic open angle/Glaucoma suspect

PATIENT INFO

SECTION A

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SECTION B

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Superbill

Billing Do's

Do...

  • Confirm that all order sheets are properly filled out​

  • Sort the Medicare’s and Privates so that they are not confused and billed without the correct modifiers (TC for Medicare).​

  • Bill the tests for the proper amounts of $400 per CPT code​

  • It is important to add the Section A codes to your billing system. It is likely that you already have all Section B codes.

  • Make sure section A codes are billed first, before section B codes.​

  • Provide CoSource with reports on collections and receivables by date of service (give us a better picture of what the average collection is).

Billing Don'ts

Don'ts...

  • Do not bill Medicare Globally, always use a TC modifier for Medicare.​

  • Do not bill the exam without a Section A code, must have Section A and Section B code.​

  • Do not bill with the OD’s NPI attached

General Paygrid

Paygrid

Questions?

Contact :

Dave Sandoval: Dave@CoSourceDiagnostics.com

Orlinda Hernandez: Orlinda@CoSourceDiagnostics.com

Brooke Gruttadauria: Brooke@CoSourceDiagnostics.com

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