MyopiaProgression.com · Teaching guide
VISUAL GUIDE 2 / 3
Three checks have to stay separate
1 · CLINICAL RECORDWhat was needed and performed?
Accurate findings, indication and work.
2 · CURRENT CODE DEFINITIONDoes the service meet the definition?
Check date, instructions and documentation requirements.
3 · PATIENT’S PAYER POLICYIs this benefit covered under these conditions?
Check exclusions, network, limits and authorization.
A valid code is not a payment guarantee.
Reconcile the processed claim with the actual policy and record.
