Co-management Portal

Welcome to our Co-managing Doctor Portal

As a co-managing optometrist, we are pleased to partner with you and your office. We consider you an extension of our team!

Here you will find the two forms required to serve co-managed patients. As of Sept 1 2019, we now have one simple co-managed patient exam form to be submitted for both Laser Vision Correction and Cataract surgery patients. This form along with the Election of Post Operative Care form need to be sent over to our call center before your patient is seen in the office.

Required Co-Management Forms:

Co-managed patient exam form
Election of post operative care form

Laser Vision Correction Guidelines:

This is a guide to help you determine if your patient is a good laser vision correction candidate. Call our refractive surgery department if you have a patient who falls out of these guidelines. Occasionally they still may be a candidate. 716-564- 4234

Laser Vision Correction Guidelines

Laser Vision Correction Co-management Process:

Click the button below to see the co-management process. This outline includes what paperwork to send over, co-management reimbursement, and recommended office visits.

Laser Vision Correction Co-management Process

Laser Vision Correction Post-Operative Eye Drop Instruction Sheets

The post-operative eyedrop work sheets below are here for your convenience to print out for your co-managed laser vision correction patients. We have provided a blank version of each form as well as one that is filled out. The form our doctor has filled out for you can serve as your guide to our typical protocol.

Laser Vision Correction Eye Drop Instructions – 1 Day Post Op
ASA & PRK Eye Drop Instructions – 1 Day Post Op
LASIK, ASA, PRK Eye Drop Instructions – 1 Week Post Op

Cataract Post-Operative Eye Drop Instruction Sheets

Post-Operative Eye Drop Instruction Sheets (TRADITIONAL)

This is the traditional drop instructions sheet. Used for when a patient is placed on 3 separate post-op drops. Usually, patients opt for the 3 drops vs Imprimis (combination 3 in 1 drop) because they have a very low co-pay for individual eye drop bottles and a would be more cost-effective for them.

Traditional Eye Drop Schedule

Post-Operative Instruction Sheet (IMPRIMIS)

This is the sheet we use for the vast majority of post-operative cataract patients. Ninety percent of our patients are on a new drop called Imprimis. This is a combination drop. Using fewer drops means combining multiple therapeutic agents in one bottle. Pred-Gati (Imprimis Pharmaceuticals) consists of 1% prednisolone acetate and 0.5% gatifloxacin, Pred-Gati-Nepaf.

Imprimis Eye Drop Schedule

About IMPRIMIS

The IMPRIMIS compounded drop contains three ingredients: an antibiotic, steroid, and NSAID.

1. Moxifloxacin
2. Bromfenac
3. Prednisone

The patient pays $55 for a 5ml bottle, which is enough for 1 eye. Patients pay $85 for an 8 ml bottle which is enough for both eyes. 

Learn more on the IMPRIMIS website.

Other Helpful Forms:

Co-managed Patient Tracking Form
Contact Lens Instructions for Laser Vision Correction Patients

Important Information for 2022

As of January 1, 2022, laser vision correction procedure prices will be as follows

• PRK/ASA (surface  treatment) $1950 per eye
• All laser custom LASIK $2450 per eye
• ZEISS SMILE  (coming 6/2022) $2650 per eye

These prices do not reflect insurance discounts that may be applied based on the patient’s coverage. We recommend that when talking about laser vision correction with your patients you give a price range, saying that, depending on your prescription, corneal thickness and other pathology, the price range is between $3900- $5300 for a bilateral treatment.

Cataract with iStent billing changes

Please note there were recent changes in the way you should bill an iSent in conjunction with cataract surgery. Below is some helpful information so your co-management claims do not get denied.

Previously when the iStent procedure was done at the same time as a cataract surgery the surgeon would bill two separate codes. 66984 was billed for a “Traditional cataract procedure” or a 66982 was billed for a “Complex cataract procedure THEN the “iStent” code of 0191T was billed. As of Jan 1, 2022, the cataract and IStent procedure codes are now combined.

66991 for a traditional cataract with iStent
66989 for a complex cataract with iStent

We no longer participate with Wellcare or Fidelis

As of Jan 1, 2022, we will no longer be participating with Wellcare or Fidelis. We have sent all of our patients letters 3 months in advance and also notified all of our referring and co-managing doctors.

If you would have any billing questions regarding this matter contact our Billing Department at 282-1114

Stay In Touch With Us

Please use this one central fax & phone number for all co-managed patients

Call Center 1-800-309-2020
Central Fax (716) 564-2060 / Attn: Call Center

Co-managed Patient Assistance

Call Center Lead

Patricia Harpster leads the efforts in our call center.
She and her this team are your point of contact when making appointments and sending in paperwork for your co-manager patients.

Refractive surgery department

Dana Perna, Brian Martinek and Linda Grant are Refractive Surgery Coordinators at Fichte,Endl & Elmer Eyecare. They handle all of our co-managed LASIK patients.

Our Billing team is available to you if you have billing questions on your co-managed patients.