Parents Active for Vision Education (P.A.V.E.)

Hello All,

Welcome to our NEW President’s blog.  This blog has been created for you as parents to discuss your child’s situation with other parents.  So many times I am asked about the costs of Vision Therapy, defeating insurance companies, realistic outcomes after treatment, and so on.  My best resources for answering these questions are other parents…..and so many of you have different perspectives that may prove to be very helpful for other parents.   So, this is a way for you to discuss it directly with eachother.  If you have a question, comment, feedback, or advice for other parents, please leave it here.  We would love to hear from all of you.

Looking forward to hearing from you!!

Robert

P.A.V.E. is pleased to announce we are on a record setting pace for helping families this year.  As of May 15, 2008, we have referred over 400 families to Behavioral Optometrists all over the United States.

The predominant question lately seems to revolve around getting insurance companies to pay for Vision Therapy. Below is an excerpt from an email we received recently, followed by my response.

QUESTION: I have 9 year old son, who was diagnosed with convergence problem by an Optometrist in our area. I tried to find out if this treatment would be covered under my health or vision insurance. When I talked with my insurance company they asked me for diagnosis code and treatment code for him. When I gave them this information they told me that it is not covered under my insurance. Is there some thing I can do to fight this out with my insurance company?

ANSWER: The only loop hole I ever discovered is that in some cases, some insurance companies will cover the “specific” codes and deny the codes that tend to be more general. An example would be billing “the flu” (which is usually denied) versus a more specific diagnosis of strep throat (which usually gets covered). You may want to ask your doctor to consider if your child would qualify for a different — and more specific — ICD-9 code given the diagnosis. I am in no way suggesting the doctor manipulate the diagnosis for purposes of insurance billing; rather, sometimes there are codes that are very specific to a diagnosis (as my example above) that will help your case. If you are willing to “play the numbers game” with the insurance company, you may discover the codes they are willing to accept.

Most offices have an “insurance biller” on staff. Talk it over with this person and see what they come up with. As I said, sometimes it’s just a matter of finding the correct billing code.

Robert

I am always fielding questions about the difference between Behavioral Optometrists and Pediatric Opthamologists.  In fact, I spend much of my day “defending” Optometry from the relentless attack on Vision Therapy’s credibility launched by most Opthamologists.  While I personally understand the arguement — and side with Optometry –  it is important to PAVE that you understand the differences as well.

Many folks get overwhelmed trying to compare the “apples and oranges” of vision care.  I found a GREAT website that explains many FAQ’s on why Behavioral Vision is so important, and why Vision Therapy really works.

http://www.children-special-needs.org/parenting/pediatric_opthalmologist.html

Feel free to read the entire page.  There is some great information about several topics related to Behavioral Vision Care.  If you have questions, please email us at info@pavevision.org

Robert

Are there any topics you would like to discuss?  I would love to hear from you.  Simply register for our website, and you can add to a discussion or send your questions. Looking forward to hearing from you!

Robert

My name is Robert Nurisio and I was elected as National President of P.A.V.E. in January 2007.  I became a Vision Therapist in 1998 and have worked in Vision Therapy practices in San Francisco, CA,  San Diego, CA, and Magnolia, TX  In my time as a therapist, I have been involved with patient care, coordinated seminars for several different doctors, as well as presented at seminars on various topics.  I invite you to join this discussion with your questions, your concerns, or just simply if you want to comment on someone elese’s thoughts.  There is no charge to join our website and you will not be asked for a credit card number.  We only require membership so we can monitor and moderate the conversations.  Thanks for listening, and I look forward to speaking to you soon.

Robert

We are still working the site, excuse our “dust”. If you find things broken or have suggestions, we are all “ears!” -Heiki

• Can a bright child do poorly in reading, writing, spelling, math?
• Can a bright child have low self-esteem and feel he/she is “stupid” and disappointing to parents and teachers?
• Can a bright child spend hours struggling to complete school assignments?
• Can a bright child be smart in everything but school?

YES …

If the child has anUNDETECTEDVision Problem!

P.A.V.E. is pleased to announce in 2007 we helped 1,026 families.  Looking forward to a great 2008!