Wiki Documentation requirements to support a Manifest Refraction

[Linda Atherton]

Hi everyone: I am wondering if anyone has information on documentation requirements to support the coding of a Manifest Refraction. Some of my optometrists have changed how they are documenting their Manifest Refractions. To stating: Manifest refraction same as lens prescription" or "Refraction: Manifest then they have the spectacle prescription documented." I'm in the middle of formal audits and stumbled on these 3 optometrists who have completely changed how the document their Manifest Refractions. Thank you in advance for any help and information!

 

[Cheezum51]

In general, the refractions are non covered services by most insurers so whatever the ODs are using to document the MR shouldn't be a factor in your audits. As long as they have the final RX they want to prescribe for a patient and it's readily apparent to anyone who looks at the file, that should be sufficient.

Tom Cheezum, OD, CPC, COPC

 

[Linda Atherton]

Thank you.