h1

Third Party Center develops much-needed information package outlining proper vision rehabilitation coding

February 26, 2013

Insurance, Vision Therapy, and Neuro-Optometric Rehabilitation, a new information package from the AOA Third Party Center, offers long-sought guidance on proper coding and billing for vision rehabilitative services, according to authors Harvey Richman, O.D., Jason Clopton, O.D., and Richard Soden, O.D.

“Vision therapy (VT) and neuro-rehabilitation today are often used to treat specific diagnosed ocular, visual and visual perceptual conditions. In some cases, vision therapy is the only available and effective treatment option for those conditions,” said Dr. Richman.

Increasingly, treatment may be covered under major medical or vision insurance plans.

However, many practitioners continue to have questions about the proper way to code VT and neuro-rehabilitation on insurance claims, Dr. Richman notes.

“Inability to properly report these services on claims could mean needless claim rejections and, ultimately, that patients do not receive the care they need,” Dr. Richman said.

The comprehensive new 58-page AOA vision therapy coding package provides an overview of the health care coding system and basic advice on the selection of billing codes, with detailed information on the selection of:

  • Examination procedure codes
  • Special testing codes
  • Follow-up examination procedure codes, and
  • Therapy codes.

Extensive information is provided on the documentation necessary to meet coding requirements, and, in particular, the documenting of sensorimotor exams in patient medical records.

A special section focuses on the types of health care providers who are authorized to submit 97000 therapeutic service codes.

The package also provides sample forms and letters to insurance carriers for preauthorization requests, responses to requests for additional information, and responses to denied claims.

Dr. Richman and his coauthors encourage practitioners to appropriately code services for all vision therapy and neuro-rehabilitation patients, even when insurance reimbursement will not sought, as mean of ensuring consistency in patient records and encouraging mastery of coding procedures.

AOA members can access the “Insurance, Vision Therapy, and Neuro-Optometric Rehabilitation” information online at Insurance Vision Therapy and Neuro Optometric Rehabilitation(AOA Approved 1-31-2013) branded_v2.

3 comments

  1. This has been a long time coming. All of the neurological evidence points to neuro-visual rehabilitation as standard of care, yet it has not been recognized for many, many years. This is a step in the right direction. Thanks to all that worked on this and the AOA.


  2. Well done, and congratulations to all involved for a monumental task.


  3. This is a major step forward , thank you for all your great efforts,

    Larry Wallace, O,D. , PhD



Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: