11
Sep
09

surety bond…again

The following is taken from the latest guidance, which is now posted on the NSC website.

Hopefully this will put this issue to rest, although I doubt it.  It would appear that the best strategy is to refuse to fill Medicare prescriptions for patients who are not examined at your practice.  For the vast majority of ADG&A’s clients this should represent a very small number of customers.

An optometrist or ophthalmologist who dispenses eyeglasses can qualify for the physician exemption if the glasses are furnished only to his/her own patients as part of his/her own service. For purposes of this exemption, a “patient” is someone who, for instance, receives an eye exam or other diagnostic test from the physician prior to receiving the glasses. The term “patient” does not include, however, a person who walks into the physician’s office with a prescription for glasses that was issued by another physician and simply receives the glasses without any sort of examination or test being furnished.
The same general principle applies to an enrolled optical center owned by an optometrist or ophthalmologist. The center can only qualify for the physician exemption only if: (1) the shop and the physician’s practice are under/within the same TIN and business structure (e.g., part of the same corporation), and (2) the glasses are furnished only to the optometrist/ophthalmologist’s own patients as part of his/her own service. The term “patient,” again, would not include a person who enters the optical center with a prescription for glasses that was issued by another physician and simply receives the glasses without any sort of examination or test being performed by the optical center.


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About Arthur De Gennaro


My friends call me Art. Welcome to my blog. In this space you’ll find information and comments on the ophthalmology world, the optical industry, the hearing industry and medical practice management. My intent is to provide information you can use to improve your business and your own performance. Please visit often and feel free to join the discussions by leaving comments.

You can learn more about me and my consulting company, Arthur De Gennaro & Associates, LLC by visiting my web site www.adegennaro.com

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