Modifying the pattern of prescribing multiple pairs of glasses.

The New York City Medicaid program uses computerized monitoring techniques as part of its effort to control the quality and utilization of services. The system can identify certain aberrant patterns of practice. For optometric services, one such practice by some providers is the prescribing of separate distance and near eyeglasses in lieu of bifocals. Sending a notification letter to these providers succeeded in modifying the practice. Computerized monitoring and association roles for professionals are discussed.