AE March/April 2018 Vol 27 No 2 - 54

ASOA PROFESSIONAL // FOCUS ON A PRACTICE

OHIO VALLEY EYE PHYSICIANS & SURGEONS, PLLC,
ON OPERATING A PRACTICE IN TWO STATES
Patricia J. Kennedy, COMT, COE, CPC, CPMA

M
Sandra G. Barrett, AAS, COE, CPSS
Practice Administrator

FAST FACTS
Ohio Valley Eye Physicians &
Surgeons, PLLC
dba George, Strickler & Lazer,
The Eye MDs, PLLC
Administrator: Sandra G.
Barrett, AAS, COE, CPSS
Clinic locations: Parkersburg,
W.Va. (main office); Marietta,
Ohio
Location of ASC: Belpre, Ohio
- First free-standing ASC in
southeast Ohio
Size: 3 MDs (all surgeons,) 1 OD
with another being credentialed,
1 doctor of audiology, 4 CRNAs,
approximately 36 FTEs.
Services: Comprehensive
eyecare, cataract surgery,
refractive surgery, glaucoma,
blepharoplasty, aesthetics, hearing
assessment and aid fitting.
Web: www.theeyemds.com

54

AE // Mar/Apr 18

anaging all the aspects
of running an office
can be challenging
even in the most
straightforward
circumstances. If a
practice has facilities in
more than one state, the complexity quickly increases. Ohio Valley
Eye Physicians & Surgeons, PLLC,
has the leadership and teamwork
needed to meet the two-state challenge. Its two clinics are only a few
miles apart but straddle state lines.

hours worked in each state must be
calculated separately. The tax withholdings are determined as usual,
but the workers' compensation and
unemployment insurance have to be
reported to Ohio.

AE: What Medicare administrative
contractor (MAC) do you have and
what are the challenges?
SG: West Virginia is Palmetto, and
Ohio is CGS Administrators. There
are several policy differences. For
example, the West Virginia cataract
surgery local coverage determination does not have a minimum
best-corrected visual acuity, but the
one for Ohio does. To avoid confusion, we always use the strictest
criteria for both offices. Also, all
providers require licensing and credentialing in both states-not just
for Medicare, but all insurances.

AE: What about billing issues?
SG: The billing department does
an awesome job paying attention
to the details to get claims properly paid. For example, consider a
patient who has Medicare primary and Blue Cross Blue Shield
secondary and receives services in
both states: the patient is seen in
the West Virginia clinic but has
surgery at the Ohio ASC. Highmark Blue Cross Blue Shield is
the contractor in West Virginia,
and Anthem Blue Cross is the
contractor in Ohio. In the practice
management system, the patient
appears to have four insurances.
The billers should be sure the
office visit is billed to Palmetto
and Highmark, but the surgery is
billed to CGS and Anthem. They
also must be sure Medicare doesn't
appear as a tertiary insurance on
the claim for the fellow state. AE

AE: What other challenges do you
encounter?
SG: Payroll is complicated. The
payroll, income, and city tax rates
differ in each state. You must pay
attention to the state where the
income was made. If a staff member
lives in West Virginia, but works in
both West Virginia and Ohio, the

Patricia J. Kennedy,
COMT, COE, CPC,
CPMA (800-720-9667;
pkennedy@bsmconsulting.com), is a senior
consultant for Rose and Associates,
a division of BSM Consulting in
Seattle, Wash.


http://www.theeyemds.com

Table of Contents for the Digital Edition of AE March/April 2018 Vol 27 No 2

How We Can Successfully Lead
Advanced Administration: Administrator Success Factors—Needing a Tune-Up Is Expected
Advice for New Administrators: Introducing the Administrator Beginners Circle—The Go-To Resource for New Administrators
Business Operations: Some Things to Know About Professional Liability Insurance
Customer Care: Making a Diffi cult Journey A Little Easier
Fast Practice: Breaking Down Practice Cliques
Human Resources: Recruiting Strategies for Ophthalmology—Where to Search for New Physicians
InfoTech: Cloud Computing— Storms or Blue Skies?
Reimbursement: Embracing Change to Thrive in an Evolving Reimbursement World
Technicians: Creating a “Feeder Program” to Staff Your Clinic
Washington Watch: MIPS in 2018—Key Changes for Ophthalmic Practices
Taking Your Practice to the Top
Use Podcasts to Increase Practice Visibility—and Thrive
Trailblazing— How to Implement Career Pathing in Your Practice
Ocular Surface Disease: Reimbursement Considerations for the Evaluation and Management of Dry Eye
Retina: Should Retinal Specialists Be Integrated Into a Multispecialty Practice?
Asked and Answered
ASOA News
Bookshelf: Off Balance On Purpose: Embrace Uncertainty and Create a Life You Love
COE Corner: Preparing for the COE Exam – Keep Your Eye on the Prize
Focus on a Practice: Ohio Valley Eye Physicians & Surgeons, PLLC, on Operating a Practice in Two States
Gamechanger: Karen Bachman, COE, COMT, OCS, ROUB
Advertisers’ Index
Peer to Peer: What’s Your Favorite Technique for Holding a Productive Staff Meeting?
AE March/April 2018 Vol 27 No 2 - Cover1
AE March/April 2018 Vol 27 No 2 - Cover2
AE March/April 2018 Vol 27 No 2 - 1
AE March/April 2018 Vol 27 No 2 - 2
AE March/April 2018 Vol 27 No 2 - 3
AE March/April 2018 Vol 27 No 2 - 4
AE March/April 2018 Vol 27 No 2 - How We Can Successfully Lead
AE March/April 2018 Vol 27 No 2 - Advanced Administration: Administrator Success Factors—Needing a Tune-Up Is Expected
AE March/April 2018 Vol 27 No 2 - 7
AE March/April 2018 Vol 27 No 2 - Advice for New Administrators: Introducing the Administrator Beginners Circle—The Go-To Resource for New Administrators
AE March/April 2018 Vol 27 No 2 - 9
AE March/April 2018 Vol 27 No 2 - Business Operations: Some Things to Know About Professional Liability Insurance
AE March/April 2018 Vol 27 No 2 - 11
AE March/April 2018 Vol 27 No 2 - Customer Care: Making a Diffi cult Journey A Little Easier
AE March/April 2018 Vol 27 No 2 - 13
AE March/April 2018 Vol 27 No 2 - Fast Practice: Breaking Down Practice Cliques
AE March/April 2018 Vol 27 No 2 - 15
AE March/April 2018 Vol 27 No 2 - Human Resources: Recruiting Strategies for Ophthalmology—Where to Search for New Physicians
AE March/April 2018 Vol 27 No 2 - 17
AE March/April 2018 Vol 27 No 2 - InfoTech: Cloud Computing— Storms or Blue Skies?
AE March/April 2018 Vol 27 No 2 - 19
AE March/April 2018 Vol 27 No 2 - Reimbursement: Embracing Change to Thrive in an Evolving Reimbursement World
AE March/April 2018 Vol 27 No 2 - 21
AE March/April 2018 Vol 27 No 2 - Technicians: Creating a “Feeder Program” to Staff Your Clinic
AE March/April 2018 Vol 27 No 2 - 23
AE March/April 2018 Vol 27 No 2 - Washington Watch: MIPS in 2018—Key Changes for Ophthalmic Practices
AE March/April 2018 Vol 27 No 2 - 25
AE March/April 2018 Vol 27 No 2 - Taking Your Practice to the Top
AE March/April 2018 Vol 27 No 2 - 27
AE March/April 2018 Vol 27 No 2 - 28
AE March/April 2018 Vol 27 No 2 - 29
AE March/April 2018 Vol 27 No 2 - 30
AE March/April 2018 Vol 27 No 2 - 31
AE March/April 2018 Vol 27 No 2 - 32
AE March/April 2018 Vol 27 No 2 - 33
AE March/April 2018 Vol 27 No 2 - Use Podcasts to Increase Practice Visibility—and Thrive
AE March/April 2018 Vol 27 No 2 - 35
AE March/April 2018 Vol 27 No 2 - 36
AE March/April 2018 Vol 27 No 2 - 37
AE March/April 2018 Vol 27 No 2 - Trailblazing— How to Implement Career Pathing in Your Practice
AE March/April 2018 Vol 27 No 2 - 39
AE March/April 2018 Vol 27 No 2 - 40
AE March/April 2018 Vol 27 No 2 - 41
AE March/April 2018 Vol 27 No 2 - Ocular Surface Disease: Reimbursement Considerations for the Evaluation and Management of Dry Eye
AE March/April 2018 Vol 27 No 2 - 43
AE March/April 2018 Vol 27 No 2 - Retina: Should Retinal Specialists Be Integrated Into a Multispecialty Practice?
AE March/April 2018 Vol 27 No 2 - 45
AE March/April 2018 Vol 27 No 2 - Asked and Answered
AE March/April 2018 Vol 27 No 2 - 47
AE March/April 2018 Vol 27 No 2 - ASOA News
AE March/April 2018 Vol 27 No 2 - 49
AE March/April 2018 Vol 27 No 2 - Bookshelf: Off Balance On Purpose: Embrace Uncertainty and Create a Life You Love
AE March/April 2018 Vol 27 No 2 - 51
AE March/April 2018 Vol 27 No 2 - COE Corner: Preparing for the COE Exam – Keep Your Eye on the Prize
AE March/April 2018 Vol 27 No 2 - 53
AE March/April 2018 Vol 27 No 2 - Focus on a Practice: Ohio Valley Eye Physicians & Surgeons, PLLC, on Operating a Practice in Two States
AE March/April 2018 Vol 27 No 2 - 55
AE March/April 2018 Vol 27 No 2 - Gamechanger: Karen Bachman, COE, COMT, OCS, ROUB
AE March/April 2018 Vol 27 No 2 - 57
AE March/April 2018 Vol 27 No 2 - Advertisers’ Index
AE March/April 2018 Vol 27 No 2 - 59
AE March/April 2018 Vol 27 No 2 - Peer to Peer: What’s Your Favorite Technique for Holding a Productive Staff Meeting?
AE March/April 2018 Vol 27 No 2 - Cover3
AE March/April 2018 Vol 27 No 2 - Cover4
http://www.nxtbook.com/ygsreprints/ASOA/g107843_ae_julyaug19
http://www.nxtbook.com/ygsreprints/ASOA/g105962_ae_mayjun19
http://www.nxtbook.com/ygsreprints/ASOA/g104576_ae_marapr19
http://www.nxtbook.com/ygsreprints/ASOA/g103212_ae_janfeb19
http://www.nxtbook.com/ygsreprints/ASOA/g99529_ae_novdec18
http://www.nxtbook.com/ygsreprints/ASOA/g97160_ae_septoct18
http://www.nxtbook.com/ygsreprints/ASOA/g96528_ae_julyaugust18
http://www.nxtbook.com/ygsreprints/ASOA/g93925_ae_mayjune18
http://www.nxtbook.com/ygsreprints/ASOA/g92298_ae_marapr18
http://www.nxtbook.com/ygsreprints/ASOA/g89361_ae_janfeb18
http://www.nxtbook.com/ygsreprints/ASOA/g86698_ae_novdec17
http://www.nxtbook.com/ygsreprints/ASOA/g81746_ae_septoct17
http://www.nxtbook.com/ygsreprints/ASOA/g80299_ae_julaug17
http://www.nxtbook.com/ygsreprints/ASOA/g77256_ae_mayjun17
http://www.nxtbook.com/ygsreprints/ASOA/g74401_ae_marapr17
http://www.nxtbook.com/ygsreprints/ASOA/g72340_ae_janfeb17
http://www.nxtbook.com/ygsreprints/ASOA/ae_novdec16
http://www.nxtbook.com/ygsreprints/ASOA/ae_septoct16
http://www.nxtbook.com/ygsreprints/ASOA/ae_julaug16
http://www.nxtbook.com/ygsreprints/ASOA/asoa_mayjune2016
http://www.nxtbook.com/ygsreprints/ASOA/asoa_marapr2016
http://www.nxtbook.com/ygsreprints/ASOA/asoa_janfeb16
http://www.nxtbook.com/ygsreprints/ASOA/ae_novdec15
http://www.nxtbook.com/ygsreprints/ASOA/asoa_sepoct15
http://www.nxtbook.com/ygsreprints/APTA/g52750_apta_25ada
http://www.nxtbook.com/ygsreprints/ASOA/asoa_julyaug2015
http://www.nxtbook.com/ygsreprints/ASOA/asoa_mayjune2015
http://www.nxtbook.com/ygsreprints/ASOA/asoa_marapr2015
http://www.nxtbook.com/ygsreprints/ASOA/asoa_janfeb15
http://www.nxtbook.com/ygsreprints/ASOA/asoa_novdec14
http://www.nxtbook.com/ygsreprints/ASOA/asoa_sepoct14_AE
http://www.nxtbook.com/ygsreprints/ASOA/asoa_julaug14
http://www.nxtbook.com/ygsreprints/ASOA/ASOA_MayJunAE
http://www.nxtbook.com/ygsreprints/ASOA/ASOA_MarAprAE
http://www.nxtbook.com/ygsreprints/ASOA/ASOA_JanFebAE
http://www.nxtbook.com/ygsreprints/ASOA/ASOA_no4eZine
http://www.nxtbook.com/ygsreprints/ASOA/asoa_fall_2013
http://www.nxtbook.com/ygsreprints/ASOA/asoa_no3_ezine
http://www.nxtbook.com/ygsreprints/ASOA/asoa/asoa_summer_2013
http://www.nxtbook.com/ygsreprints/ASOA/ehr_cust_survey_Apr2013
http://www.nxtbook.com/ygsreprints/ASOA/asoa_no2_2013_ezine
http://www.nxtbookMEDIA.com