Partner Podcasts

Get ready for a fast-moving, expert-level discussion on the compliance pressures facing ophthalmology practices right now. In this episode, our consultants break down what the government reopening means for held claims, the latest RAC audit topics targeting providers, how TPE reviews are evolving, and the rules behind how often comprehensive versus intermediate eye codes can be billed. Packed with practical guidance and red-flag insights, this episode is a must-listen for any practice focused on staying compliant, reducing denials, and protecting revenue.

2026 may be anything but “business as usual”.

The time to prepare is now. Join one of our live webinars to learn more about the proposed 2026 updates, how they’ll affect your practice and strategies to consider to help offset the decreases in reimbursement.

In our latest episode of Ophthalmology Reimbursed, we talk about pearls from our What’s New in 2026 & How Can You Prepare for the Changes? webinar series that highlight key Medicare updates for ophthalmology practices, including an increase in ASC rates, the introduction of two conversion factors now used in calculating Medicare allowed amounts for physician services and the reduction to practice expense RVUs for many services provided in facilities. These changes reinforce the need for practices to understand payment changes coming and how to prepare for 2026.

Drug billing continues to be a high-risk area for ophthalmology practices. In this episode, Mary Pat Johnson and Rebecca Greenlaw discuss key considerations related to ophthalmology J-codes, including modifier use, dosing accuracy, Medicare reimbursement, and how drug billing decisions can affect performance under MIPS. This practical conversation is designed to help practices reduce audit risk and strengthen compliance.