Results 1 to 10 of 10

Thread: Eye Med audit looking at 2017 orders...

  1. #1
    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
    Join Date
    Dec 2004
    Location
    At a position without dimension...
    Occupation
    Dispensing Optician
    Posts
    5,300

    Eye Med audit looking at 2017 orders...

    Anyone else being asked for paperwork from jobs ordered through Eye Med using private labs from many months or even a year or more ago?

    We wonder if an outside agent is working with Essilor to chase possible revenue from past orders.

    Your experiences?

  2. #2
    Master OptiBoarder rbaker's Avatar
    Join Date
    May 2000
    Location
    Gold Hill, OR
    Occupation
    Other Optical Manufacturer or Vendor
    Posts
    4,401
    Uncle Fester - When you are dealing with the boys from Federal Hill in Providence you have no choice but to comply, if you know whats good for you. When you sleep with the eye care Mafia you give up all your rights and liberty to run your business in the manner that you see fit. These thugs stand between you and your vendors.

  3. #3
    Manuf. Lens Surface Treatments
    Join Date
    Aug 2002
    Location
    in Naples FL for the Winter months
    Occupation
    Other Optical Manufacturer or Vendor
    Posts
    23,240

    Redhot Jumper When you sleep with the eye care Mafia .................................

    Quote Originally Posted by rbaker View Post

    Uncle Fester - When you are dealing with the boys from Federal Hill in Providence you have no choice but to comply, if you know whats good for you. When you sleep with the eye care Mafia you give up all your rights and liberty to run your business in the manner that you see fit. These thugs stand between you and your vendors.


    ..........................interesting, a totally new subject on OptiBoard. Sleeping with the Eyecare Mafia and its consequences.

  4. #4
    OptiBoard Professional Excel-Lentes's Avatar
    Join Date
    Oct 2001
    Location
    Hartford, CT
    Occupation
    Dispensing Optician
    Posts
    254
    Hi,

    I just got audited for 4 claims as far back as 2017. 3 of them were frame only orders and one for contact lenses. They are probably nosing around gathering data to further squeeze profits from providers. Anyone else get these audits recently??

  5. #5
    Master OptiBoarder OptiBoard Silver Supporter
    Join Date
    Jan 2007
    Location
    Massachusetts
    Occupation
    Dispensing Optician
    Posts
    1,428
    I've been audited fall 2018.

  6. #6
    OptiBoard Novice
    Join Date
    Mar 2014
    Location
    USA
    Occupation
    Dispensing Optician
    Posts
    4
    Audited at the first of this year. 3 frame only orders, 2 from 2017 and 1 from 2018

    Was wondering the same thing.

  7. #7
    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
    Join Date
    Dec 2004
    Location
    At a position without dimension...
    Occupation
    Dispensing Optician
    Posts
    5,300
    Two of our audited frames only were from walk-ins that we billed EM for a frame only and they now say we lack a doctor signed prescription (no matter how old) so they are demanding the money they paid us for the frames back.

  8. #8
    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
    Join Date
    Dec 2004
    Location
    At a position without dimension...
    Occupation
    Dispensing Optician
    Posts
    5,300
    "Unlimited" eye wear authorization has been processed through Vision Web using our local EM lab.

    Numbers all match up.

    Bill from lab is under our account to us not EM

    Is this done or is EM going to bill us as well?

    I'm saying it is- back office is convinced we will be further billed.

    If so then should we just ignore EM's site and bill with their numbers as a private pay?

    (Dick- I have no say in what managed care we take and yes- we all hate EM)

  9. #9
    Master OptiBoarder OptiBoard Silver Supporter
    Join Date
    Jan 2007
    Location
    Massachusetts
    Occupation
    Dispensing Optician
    Posts
    1,428
    Quote Originally Posted by Uncle Fester View Post
    Two of our audited frames only were from walk-ins that we billed EM for a frame only and they now say we lack a doctor signed prescription (no matter how old) so they are demanding the money they paid us for the frames back.

    Yep. Happened to me twice...

  10. #10
    OptiBoard Apprentice
    Join Date
    Aug 2016
    Location
    new york
    Occupation
    Dispensing Optician
    Posts
    12
    I received a notice from E M , 1/15/2019 that I owned them money back for 6 exams that we did in 12/2016. We were authorized and they paid us. Meanwhile business was sold 1/2017. I wrote back business sold, corporation closed, no assets, etc. etc. Never heard from them again. I think EM is on a fishing expedition , or someone in house , or outside consultant is trying to justify their salary or fees....
    Happy to have sold out and just work part time.

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Eye Med contract changes...
    By Uncle Fester in forum General Optics and Eyecare Discussion Forum
    Replies: 14
    Last Post: 11-23-2016, 12:11 PM
  2. OM to vsp/eye med... How do you submit?
    By Slim in forum General Optics and Eyecare Discussion Forum
    Replies: 4
    Last Post: 02-20-2015, 06:52 PM
  3. Billing codes for eye med?
    By golfnut in forum General Optics and Eyecare Discussion Forum
    Replies: 0
    Last Post: 11-13-2013, 08:30 PM
  4. Eye Med
    By just eyes in forum General Optics and Eyecare Discussion Forum
    Replies: 15
    Last Post: 01-03-2008, 02:18 AM
  5. Any Experiences with Eye Med?
    By specman in forum General Optics and Eyecare Discussion Forum
    Replies: 31
    Last Post: 04-16-2007, 06:16 AM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •