Your FAQ Guide to VSP Audits and Profits
by Craig S. Steinberg, OD, JD
Vision Service Plan (VSP) is an important third party payer for many optometry practices, especially in California. With what seems to be ever increasing frequency, VSP has been auditing practices for strict compliance
with their rules and procedures. Practices (doctors) found to not be in compliance typically face substantial restitution demands, often in excess of $100,000, and in some cases termination of the doctor’s Network Provider Agreement. Non-compliance can be from anything, ranging from over-billing, billing for services not supported by your documentation, to VSP not approving of your business model or business practices (e.g. determining you are not in complete control of your dispensary, for instance).
For the past several years I’ve been representing