Advanced Search

Ophthalmology and Optometry Coding Alert

Reader Questions:

Secure POD for Glasses After Cataract Surgery

Published on Mon Feb 23, 2009

Question: Our office often provides eyeglasses to patients after cataract surgery. We've been told a DMERC inspector could audit us, and we're not sure what information we need to have on hand to pass an audit. Can you give us a list? Florida Subscriber Answer: A Medicare patient is entitled to one standard pair of glasses after each cataract surgery with an IOL implant. If you have an on-site audit, the DMERC inspector may ask you to produce the following forms for patients who receive post-cataract eyeglasses:  • The new prescription, written after the surgery
 • An assignment of benefits (AOB), usually called a "signature on file," if your office has accepted the assignment
 • An advance beneficiary notice (ABN) if the glasses have any special features such as deluxe frames or progressive addition lenses (PAL)
 • A deluxe frame or deluxe lens form if the patient received either or both
 • Proof of delivery (POD), such as a [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Ophthalmology and Optometry Coding Alert

View All