OUR BLOGS

Dry-eye claims don't fail because of a bad CPT code they fail because documentation, coverage and claim construction never lined up behind it. This 2026 guide walks optometry billing teams through CPT 68761, 83861 and 83516, where payer rules diverge, the ten places dry-eye revenue quietly leaks, and a self-check framework to catch problems before they become denials.

Michigan now has the highest Medicare Advantage penetration of any state in the CMS report, at 63.7%. Here's what that means and doesn't mean for practices billing Transitional Care Management in 2026, including the CPT 99495/99496 timeline, common denial triggers, and the prior-authorization nuance every billing team should know.