decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 1 (January)
Rules on co-management - when the transfer to optom is allowed, and when it isn't
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Article Overview
This article explains general co-management rules for postoperative eye care, with a focus on when transfer from the surgeon to an optometrist may be appropriate and when it may raise concerns. It is aimed at ophthalmologists, optometrists, and coding or compliance professionals who need to understand the broad policy context around shared postoperative care and referral arrangements.
Why This Topic Matters
Co-management arrangements can affect patient care coordination, referral relationships, and compliance expectations. Understanding the general boundaries helps practices evaluate whether a postoperative transfer arrangement is appropriate.
Article Sections
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When transfer to optometry is covered
This section outlines broad circumstances in which postoperative care may be transferred from the operating surgeon to the optometrist. It discusses general situations involving access, travel, location, and patient choice.
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When transfer to optometry is not covered
This section describes categories of situations in which postoperative transfer is not considered appropriate. It focuses on availability, payment arrangements, policy-based co-management, consent, and documentation concerns.
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Co-management example
This section presents a general co-management scenario involving cataract surgery and follow-up care. It contrasts an inappropriate approach with a more appropriate way to handle transfer discussions.
What You Will Learn
- The general circumstances under which postoperative co-management may be considered appropriate
- The types of arrangements that can make a transfer of follow-up care inappropriate
- How co-management is discussed in the context of cataract surgery and follow-up planning
- The compliance and consent themes that affect shared postoperative care arrangements
Who Should Read This
- Ophthalmologists
- Optometrists
- Medical coders
- Compliance staff
- Practice managers
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