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- 4234Laser 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
The IMPRIMIS compounded drop contains three ingredients: an antibiotic, steroid, and NSAID.
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.
Other Helpful Forms:Co-managed Patient Tracking Form
Contact Lens Instructions for Laser Vision Correction Patients
Important Information for 2022
Optometry CE Dinner Event – Save the date!
After a two-year hiatus, we are planning to bring back our annual Optometry CE Dinner this spring! Mark your calendar for May 25, 2022, at 6 pm. Earn three NYS Board of Optometry Credits, visit with vendors, network, and have a fabulous dinner at the Park Country Club. Block your schedules now and save the date! Invitations in the mail soon.
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.
Dawn leads our Billing team. She is available to you if you have billing questions on your co-managed patients.
Kathy Otto can assist you with any co-managed patients