Keep all of your critical postoperative care data at your fingertips Patient _____________________ Date of birth _____________________ Surgery date _____________________________________ Do make sure that the number of days in Line 19 and number of days in Line 24g of CMS-1500 match. Form contributed by Charles Wimbish, OD, president of Wimbish Consulting Group in Martinsville, Va.
When it's time to submit your bill for postoperative co-management of a cataract patient, it's helpful to have all the pertinent information in one place. Keeping track of essential dates, as well as how much follow-up (F/U) care the surgeon provided, will help keep your claims clean and rewarding.
(circle one) Right eye Left eye
Post-op care starts_____________________________________
Surgeon's F/U care from _____________________ (date) through_____________________ (date)
Number of days F/U by surgeon ______________________
OD assumes care starting____________ (date) through____________(date) [Copy in Line 19 of CMS-1500]
Number of days F/U by OD______________________________[Copy in Line 24g of CMS-1500]
Don-t file the claim electronically; use a paper claim instead.
Don-t file for both eyes on the same CMS-1500 form. Use two forms, one for each eye.