Medicaid & Replacement Glasses

It might be surprising, but Medicaid in most states only covers repairing or replacing glasses for patients 20 and under. If an adult aged 21 or older comes in needing repairs, they must pay out of pocket if they have no other insurance. We sometimes see offices try billing Medicaid for replacement glasses on older patients, only to get a denial and ask us what to do. Read on for more.

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ICD-10 Updates: Are Your Codes Specific Enough?

ICD-10 has been in use since October 1, 2015, but thanks to a code freeze put in place to allow providers time to adjust to the new format, the majority of codes had been set since 2011. That all changed last fall when the first update to ICD-10 was released on October 1, 2016. Read on to see what you should be doing.

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Should you bill routine vision or medical insurance?

Should you bill routine vision or medical insurance?

One of the more challenging decisions eye care professionals face is when a patient has both medical and vision plan insurance. It can be confusing and difficult to decide which one to bill, especially when patients want to be part of the decision and are concerned with what they will have to pay. However, there are many circumstances where you can bill vision and/or medical.

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