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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 [...]
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