Blog
Billing for Optometry Services in Nursing Facilities
- By: Maureen Carland
- On: 02/26/2026 11:05:05
- In: Quality/Regulatory
In a report, the Office of Inspector General found that Medicare improperly paid optometrists for high-level evaluation and management (E/M) services at nursing facilities. These E/M services aren't usually billed by optometrists and don't meet Medicare requirements.
Optometrists visit nursing facilities to provide services like:
- Eye exams for residents with diabetes and those at high risk for glaucoma
- Diagnostic tests and treatment for residents with age-related macular degeneration
Learn how to bill correctly for optometry services at nursing facilities:
- Medicare Vision Services (PDF) booklet
- Items & Services Not Covered Under Medicare booklet
- Medicare Preventive Services educational tool
Staff contact: mcarland[at]mehca.org