Medicare can be confusing and, at times, frustrating when applied to the optical dispensary. For the dispensing optician, a thorough understanding of the regulations and requirements of Medicare
-- and correctly applying that knowledge throughout the Medicare patient/recipient encounter -- is an important and crucial responsibility. This course outlines the key Medicare compliance requirements for the participating provider of optical goods. The main areas covered in this course are:
- Eligibility
- Coverage
- Coding
- Modifiers
- Waivers
- Billing
Upon completion of this course, students will have a better understanding of:
- Patient eligibility requirements.
- Covered and non-covered items or products that apply to Medicare recipients.
- Medicare HCPCS V-codes and how to identify the correct code for each item or product supplied.
- The meanings and usage of all pertinent modifiers.
- The various waivers and signature needs relevant to Medicare-required documentation.
- The procedures for billing and filing claims for reimbursement.