Ophthalmology Reimbursed

Pass-Through Drugs 101: Understanding the Reimbursement, Compliance, and Quality Impact

15 min · 25. juni 2026
episode Pass-Through Drugs 101: Understanding the Reimbursement, Compliance, and Quality Impact cover

Beskrivelse

In Episode 1 of our Summer Series, learn the fundamentals of pass-through status, current ophthalmic examples, coding considerations, financial implications, and how these therapies intersect with MIPS and value-based care. This summer, Ophthalmology Reimbursed is taking a deep dive into one of the most important and often misunderstood areas of ophthalmology reimbursement. Join us for our three-part podcast series:  Beyond the Bundle: Understanding Separate Reimbursement for Drugs, Devices, and Tissues in Ophthalmology As innovation continues to reshape ophthalmic care, practices are navigating increasingly complex reimbursement pathways for drugs, devices, biologics, and tissues that may qualify for separate payment outside traditional bundled reimbursement models. Throughout this series, our consultants will discuss the opportunities, challenges, and compliance considerations surrounding these payment methodologies and how they impact physician practices, ambulatory surgery centers, and hospital outpatient departments.

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Alle episoder

12 Episoder

episode Pass-Through Drugs 101: Understanding the Reimbursement, Compliance, and Quality Impact cover

Pass-Through Drugs 101: Understanding the Reimbursement, Compliance, and Quality Impact

In Episode 1 of our Summer Series, learn the fundamentals of pass-through status, current ophthalmic examples, coding considerations, financial implications, and how these therapies intersect with MIPS and value-based care. This summer, Ophthalmology Reimbursed is taking a deep dive into one of the most important and often misunderstood areas of ophthalmology reimbursement. Join us for our three-part podcast series:  Beyond the Bundle: Understanding Separate Reimbursement for Drugs, Devices, and Tissues in Ophthalmology As innovation continues to reshape ophthalmic care, practices are navigating increasingly complex reimbursement pathways for drugs, devices, biologics, and tissues that may qualify for separate payment outside traditional bundled reimbursement models. Throughout this series, our consultants will discuss the opportunities, challenges, and compliance considerations surrounding these payment methodologies and how they impact physician practices, ambulatory surgery centers, and hospital outpatient departments.

25. juni 202615 min
episode What the 2026 CPT Panel Actions Mean for Ophthalmology cover

What the 2026 CPT Panel Actions Mean for Ophthalmology

The CPT Editorial Panel’s February and May 2026 Summary of Actions offers an early look at where coding and reimbursement are headed, and ophthalmology is clearly part of the conversation. In this episode, our consultants break down the ophthalmology-related proposals, accepted actions, withdrawn items, and emerging Category III codes discussed by the CPT Panel. Topics include adult goniotomy coding changes, intraocular drug delivery implants, subretinal prostheses, intracapsular magnification devices, minimally invasive glaucoma procedures, and evolving crosslinking HCPCS reporting. The discussion also explores why Category III codes matter, how CPT Panel actions influence future reimbursement pathways, and what ophthalmology practices should be watching now to prepare for future operational and documentation changes. Contact us by calling (800) 399-6565 or visiting CorcoranCCG. [https://corcoranccg.com/]

2. juni 202614 min