Author: Healio ophthalmology

Corneal astigmatism commonly overestimated, underestimated

Four diagnostic devices overestimated with-the-rule astigmatism and underestimated against-the-rule astigmatism in cataract surgery, according to a study.The prospective study included 41 eyes of 41 patients. Preoperatively, 17 patients had with-the-rule astigmatism with a corneal steep meridian at 60° to 120°, and 24 patients had against-the-rule astigmatism with a corneal steep meridian at 0° to 30° or 150° to 180°.Investigators used five devices to measure corneal astigmatism before cataract surgery and 3 weeks postoperatively. Toric IOL alignment was recorded at the slit lamp during surgery and 3 weeks after surgery.

Glaucoma filtration device assigned Category I CPT code

Starting in January, a new Category I Current Procedural Terminology code will be used with the Ex-Press glaucoma filtration device, according to a press release from Alcon.The American Medical Association assigned CPT code 66183 to the device with the description, “insertion of anterior segment aqueous drainage device, without extraocular reservoir; external approach.”

Improvements made to FDA medical device recall databases

Improvements to public databases are expected to increase and improve access to safety information on marketed medical devices, according to a press release from the U.S. Food and Drug Administration’s Center for Devices and Radiological Health.The 510(k) and premarket approval databases will now feature a Center for Devices and Radiological Health recalls hyperlink at the bottom of a record if there are recalls associated with that medical device.

Medicare SGR reform gains ground, but payment plan still undecided

The American Medical Association praised what it called “strong bipartisan votes” by two Congressional committees to replace the current Medicare Sustainable Growth Rate (SGR) formula and end the “annual cycle of draconian Medicare physician payment cuts and short-term patches” on physician reimbursement.The House Ways and Means and Senate Finance committees both passed versions of the bill on Thursday, including what an AMA statement calls a plan to “consolidate and restructure existing quality improvement incentive programs to reduce the administrative and financial burden on physicians.”Action by the full House and Senate (Read more...)

Katena acquires IOP Ophthalmics

IOP Ophthalmics has been acquired by Katena, according to a press release.Katena manufactures ophthalmic surgical instruments and related ophthalmic products, with sales in more than 110 countries, while IOP Ophthalmics develops, commercializes and distributes specialty ophthalmic surgical devices and biologics.

BLOG: ‘Tis the season

Not the holiday season, the heating season! If you live north of the Mason-Dixon Line and you take care of dry eye patients, you just got very busy. Why? Because furnaces all across North America went on sometime last month, and your patients have been slowly dehumidifying the air in their homes and workplaces. With that comes the “dry eye season,” as predictable in many areas as ragweed in the fall and corneal abrasions on Dec. 26.

BLOG: Testing for Sjögren’s

In some circles, there’s a persistent knock on our specialty: We are somehow not “real” doctors. You’ve heard this, I’m sure. Admit it: It hurts your feelings. I mean, c’mon, we went through the same 4 years of med school and 4 years of residency as our dermatology colleagues, and nobody talks about them that way. It’s just not fair.Some of this stems from our ability as a specialty to function outside of most of the rest of medicine.

BLOG: Putting patients’ interests first solves a lot of problems

Last week in Connecticut, a federal judge placed an injunction on United Healthcare hours before the insurance organization dropped thousands of doctors from its Medicare Advantage plans. UHC, after unilaterally altering its physician contracts without consenting with the contracted physicians, sought to drop about 2,200 participating physicians, according to an article recently published on healio.com/ophthalmology. Two separate medical societies in Connecticut successfully petitioned the court for this injunction in the interest of maintaining patients’ access to care and requiring the payer to modify its contracts “the right way.”

Live updates on Thursday: Senate committee considers Medicare physician payment reforms

Reforming Medicare doctors’ pay takes center stage Thursday as the Senate Finance Committee meets in executive session to consider a broad bipartisan framework for reform.Without Congressional action, current law requires a nearly 24% reduction in physician payments next year.The new approach, revised by the House Ways and Means Committee and the Senate Finance Committee earlier this month, would repeal the current sustained growth rate (SGR) formula for determining updates to the Medicare physician fee schedule.

Federal audit reveals EHR ‘cut-and-paste’ fraud vulnerabilities

A federal audit released today concluded that a lack of tight controls over electronic health records makes it easier to commit fraud.The Department of Health and Human Services’ Office of Inspector General (OIG) said some EHR documentation features can result in “poor data quality or fraud.”Auditors administered an online questionnaire to 864 hospitals and conducted onsite structured interviews with hospital staff, including a demonstration of EHR technology at eight hospitals. Their goal was to determine how hospitals that received EHR Medicare incentive payments had implemented fraud safeguards recommended by RTI (Read more...)