Vision Service Plan (VSP) Audits/Hearings

hearingroomDr. Steinberg regularly represents optometrists and ophthalmologists being audited by third-party payers such as VSP, or, more commonly, appealing the results of targeted audits by VSP's Special Investigations Unit (SIU). VSP audits typically result in either disciplinary orders (e.g. probation or removal from the VSP panel) and/or restitution orders demanding the repayment of tens, and often hundreds of thousands of dollars, plus audit costs of more than $5,000. And, recently, EyeMed has increased it's doctor auditing activity.

 

[If you have been audited you may want to read about VSP's process for determining restitution due, and the problems with the validity of that process. Please click HERE and read the article, VSP Statistics 101.]

 

If you've been audited by VSP and received a Notice of Adverse Action, click here for information you will want to know.

 

VSP's "Fair Hearing Process"gives doctors a right to appeal these orders and have VSP's decision reconsidered by a panel of three VSP doctors, and to be represented by counsel during the appeals process and hearing. Dr. Steinberg handles all aspects of the appeals process and represents doctors at VSP's administrative hearings and during post-hearing legal proceedings challenging these VSP orders. As a VSP doctor himself, and having spent the past ten years representing colleagues from across the United States in VSP hearings, Dr. Steinberg is uniquely experienced and skilled at guiding you through this often confusing, and always intimidating process.

 

Please Click Here to read more about VSP Audits and the VSP Audit Process.