CO-MANAGEMENT - MANUAL - Step-by-Step Process for Surgical Co-Management

Oct 28, 2026

Upload by lugxt

Co-Management Manual describing how Milan Eye Center coordinates pre- and postoperative surgical care for cataract and refractive patients through shared treatment with primary eye care providers (PECPs). Defines eligibility of co-managing doctors in Georgia, outlines selection and referral principles, documents transfer of care timing, and requires postoperative communication to optimize outcomes. Specifies that financial relationships do not influence operating surgeon selection and that compensation matches provided services, including Medicare modifier and billing requirements.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages21

Reading Time53 min

AccessFree to download

CO-MANAGEMENT POLICY AND PROCEDURE MANUAL

Introduction

Step-by-Step Process for Surgical Co-Management

Pre-Op Co-Management and Consultation Request Form

LASIK Co-Management Form

Post-Op Examination and Medication Schedule (cataract)

Post-Op Examination and Medication Schedule (refractive)

Co-Management Consent Form

Co-Management Transfer of Care Form

Post-Op Assessment Form

Fax Cover Sheet

Co-Management Treatment Plan (Patient Handout)

Billing Instructions and Fees

Health Insurance Claim Form

W-9 Form

Fee Structure for Co-Management

| | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | CO-MANAGEMENT MANUAL 678.381.2020 [milan](milaneyecenter.com)[eye](milaneyecenter.com)[center.com](milaneyecenter.com) MILAN EYE CENTER was established in 2009 by Dr. Milan Patel in Johns Creek, GA and has been providing state-of-the-art eye care ever since. We currently have seven clinics and six accredited, modern Ambulatory Surgery Centers across North Atlanta. Our practice is patient-centric, and our goal is to provide the highest level of medical and surgical eye care to our patients. Our doctors are committed to being the best at what they do, and we continue to place a strong emphasis on innovation and focus on the most advanced and effective technology. We provide a myriad of ultra-modern surgical options including bladeless cataract surgery, all laser LASIK, minimally invasive glaucoma surgery, laser guided cornea surgery, biological membrane therapeutics and oculoplastic surgery. Clinically, we offer comprehensive eye care including therapeutic diagnosis and management of glaucoma, diabetic eye disease, ocular infections, inflammatory eye disease, dry eyes, and macular degeneration. SIGNIFICANTLY, WE DO NOT HAVE AN OPTICAL WITHIN OUR PRACTICE AND DO NOT DISPENSE GLASSES OR CONTACT LENSES. Our primary focus is to excel in our referral based practice with a strong emphasis on customer service and patient satisfaction. We strive to maintain strong relationships with our referring optometrists and offer educational CE’s throughout the year for our referring ODs. Our providers make themselves readily available to all of you and can be directly contacted via cell/email. We pride ourselves in world class specialty eye care. We ask you to trust that your patients will receive the highest level of surgical expertise and compassionate clinical care. “ After 32 years of practicing Optometry, I have had the opportunity to work with many other professionals in the healthcare industry. After almost 10 years, I can honestly say that Milan Eye Center is one of the most professional organizations I have had the pleasure of being associated with. These skilled surgeons operate on patients and DO NOT operate optical dispensaries. The respect for the profession of Optometry is only exceeded by the quality of their surgical services. My patients love using Milan Eye Center and I believe you will also. “ -Don Robbins, O. D. MILANEYECENTER.COM 2 TABLE OF CONTENTS CO-MANAGEMENT POLICY AND PROCEDURE MANUAL 4 Introduction 5 Step-by-Step Process for Surgical Co-Management 6 Pre-Op Co-Management and Consultation Request Form 7 LASIK Co-Management Form 8 Post-Op Examination and Medication Schedule (cataract) 9-10 Post-Op Examination and Medication Schedule (refractive) 11 Co-Management Consent Form 12 Co-Management Transfer of Care Form 13 Post-Op Assessment Form 14 Fax Cover Sheet 15 Co-Management Treatment Plan (Patient Handout) 16-17 Billing Instructions and Fees 18-19 Health Insurance Claim Form 20 W-9 Form 21 Fee Structure for Co-Management MILANEYECENTER.COM 3 INTRODUCTION Patients choosing co-management for their pre and postoperative surgical care experience the benefits and convenience of continuity of care by their Primary Eye Care Provider (PECP) . This manual outlines the process that Milan Eye Center follows for the co-management treatment of cataract and refractive surgery patients. Together with our co-managing doctors, we will provide the highest quality of care for our shared patients. Milan Eye Center is pleased to offer primary eye care providers an opportunity to participate in the pre and postoperative portions of the surgical process. These guidelines comply with applicable state and federal statutes and regulations regarding co-management of patient care and referral arrangements. 1 The selection

FAQs

What is the purpose of Milan Eye Center’s co-management manual?

It outlines the co-management process for cataract and refractive surgical patients, including how care is shared between Milan Eye Center and co-managing doctors/PECPs to ensure continuity of care and high-quality outcomes.

How are operating surgeons selected for patient referrals?

Selection is based on providing the best potential outcome and convenience for the patient, and financial relationships between providers are not a factor.

When does postoperative care transfer occur and how is it documented?

Postoperative transfer happens when clinically appropriate at a mutually agreed time or circumstance. The timing is clearly documented via correspondence and included in the patient’s medical record and referral letter.

Oct 28, 2026

Upload by lugxt