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As the administrator of a vision care practice that offers eye surgery, offering complete patient care means offering eyewear kits. Postoperative eyewear kits, such as those for cataracts, provide specialized reading glasses and UV protection to help recovering patients enjoy a higher quality of life. Here, learn how reliably provide—and have insurance reimburse you for—cataract kits and other post-op products to streamline your practice and keep patients happy.

How Do I Navigate The Postoperative Cataract Kit Process?

The Medicare Factor

Cataract patients typically get one eye done at a time and therefore require lenses on a staggered basis. While Medicare doesn’t usually pay for eyewear, the insurance carrier covers most of the cost when it’s for cataract surgery. Patients who supplement Medicare with additional insurance often have the cost of their cataract kits fully covered.

cataract kitsAlthough obtaining reimbursements for eyewear kits has been an issue for some vision care practices, you will receive compensation if you file the proper paperwork and create a National Provider Identifier (NPI) number for your practice. You’ll also need a Provider Transaction Access Number (PTAN) or legacy number to include in your NPI registration to complete your electronic transfer agreement with Medicare and receive reimbursement.

Filing Claims

Once your patient has chosen their frames and filled out the correlating information sheet stating what portion of the cost Medicare pays for and what additional insurance will cover, you must file a claim with your regional Durable Medical Equipment Regional Carrier (DMERC). Include the Other Carrier Name and Address (OCNA) in the filing. You and your staff may want to take training courses in postoperative eyewear kit filings provided by the American Association of Dispensing Ophthalmologists to avoid errors, Medicare rejections, and subsequent delays.

 

Cataract kits are among the products available from PinPoint Optics. The trusted eyewear supplier in Orange, CT, offers a full range of eye protection and care products, including Lasik® kits, reading glasses, eye goggles, and optical tape. Call (203) 874-0448 today with questions or visit the medical specialists online for more about cataract kits. Get the latest kit updates on Facebook

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