Heads-up surgical systems have introduced a new way of approaching visualization in the retinal operating room—one that prioritizes both patient outcomes and surgeon well-being. As these systems become more widely adopted, they may reshape how retina specialists interact with surgical anatomy, train the next generation of surgeons, and think about integrating digital tools into ophthalmic care.
The Ophthalmic ASC's co-medical editor discusses the challenges of obtaining reimbursement for these life-changing procedures and urges the ophthalmic community to launch a concerted effort to fix the problem.
Ensuring appropriate documentation for all diagnostic tests is essential for compliance, reimbursement, and patient care. The Centers for Medicare and Medicaid Services (CMS) has clear guidelines for medical necessity, appropriate ordering, and proper documentation. Diagnostic tests include lab work, imaging, and all other tests necessary for diagnosis. Whether you’re a physician, biller, or practice administrator, understanding the documentation requirements can help prevent claim denials and audits.
Matthew Hanna, Vice Chair Pathology Informatics at University of Pittsburgh Medical Center (UPMC), on modernizing workflows, managing change, and rising to challenges.