Co-management schedule, guidelines and visits will be determined by consultation
between the surgeon and referring optometrist. The patient will be advised of
the schedule of return visits and any guidelines to be followed.
The operating surgeon and co-managing optometrist should communicate during the
post operative period to assure the best possible outcomes for the patient.
The optometrist cannot accept payment from the referral entity, either a licensed
physician or a corporation, for the pre-surgical visits or consultations. This
helps to assure the neutrality of the consultation and any subsequent referral
The only exchange of value permitted between the optometrist and the surgeon would
be payment for services actually performed. Payment must come from third-party
payers, self-paid from the patient, or from a pre-existing agreement between the
optometrist and physician that allows for break out fees for services provided
when global compensation is involved. The optometrist must document sufficient
information to describe the post-operative care rendered.