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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 ...
***New Glaucoma Codes - THEY ARE REQUIRED!
Robert E Rebello
EyeCOR
As of Oct 1, 2011 new Glaucoma codes went into effect. The majority of Optometrists and Ophthalmologists are unaware or do not have a complete understanding of these new codes. At three Optometry meetings in October, most doctors and their staffs had not heard about these new codes.
We at EyeCOR have put together this article explaining the new codes and their proper usage.
The new Glaucoma codes are “Stage” codes which specify the level or Stage of Glaucoma severity.
The new Stage codes are:
- 365.70 – Unspecified Stage Glaucoma
- 365.71 – Mild or Early Stage Glaucoma
- 365.72 – Moderate Stage Glaucoma
- 365.73 – Severe Stage Glaucoma
- 365.74 – Indeterminate Stage Glaucoma
Use the appropriate Stage code for the patient’s worst eye.
These Stage codes are secondary and coded immediately after the actual Glaucoma ...- Categories:
- Politics
An editorial by Paul Farkas, MS, OD, FAAO, Administrator, ODwire.org
To remain current an organization, corporation, a practice and even an individual must constantly reevaluate their operation. The American Optometric Association (AOA) is an organization that should seriously reconsider their operation.
The AOA was organized in 1898. The structure ...by
Dear Ken:
I read with great interest your latest installment on Board Certification titled
“Board ...by- Categories:
- Practice Management
An excerpt from 222 Secrets of Hiring, Managing and Retaining Great Employees In Healthcare Practices by Bob Levoy O.D. ...by- Categories:
- Clinical
An upcoming issue of Vision Research is highlighting Age-related Macular Degeneration (AMD) research. There is a growing ...by- Categories:
- Practice Management,
- Clinical
Reprinted from Clinical and Experimental Optometry
Has the 'McDonalds' Contact lens resulted in the demise ...
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