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I conduct medical record reviews (chart reviews) for an External Quality Review Organization. Their Encounter Data Validation task requires providers to submit records and my job is to check and make sure the coding/documentation for the encounter matches the claim that was sent to the MCO. Vision exams seem to be a challenge for me. Most of all the reviews I've done have V codes for the purchase of glasses/frames, and the type of glasses/lenses. However, there is no documentation/proof of purchase of said glasses. I just need to know if the proof of purchase needs to be included with the encounter documentation. So far, ALL reviews I have done have the V codes for glasses/frames purchase (V2020, V2100, V2101, etc.), but no proof of purchase documentation. Is this something that doesn't need documentation?
Thank you in advance for your help and assistance!
Suzanne
Thank you in advance for your help and assistance!
Suzanne