UNIVERSITY EYE INSTITUTE CORNEA AND CONTACT LENS · PDF file UEI CCLS Fees CCLS Fitting Fees: Global fitting fees: new patients being fitted with contact lenses for the first time

Cornea and Contact Lens Service

(CCLS)

Services

 Primary Care

 Specialty Care

 Contact Lenses

What to Bring to Clinic  All things necessary in family practice service plus…

1. CL Magnifying loupe

2. Green suction cup(s)

3. Wratten filter (yellow)

4. GP diagnostic set

5. Tyler’s Quarterly

Auxiliary Items

 Consultation room

 Fit guides for specialty lenses

 Computers: Toric Cross Cylinder Calculation

 Computers: Microsoft Word- Internal/External referrals

 Corneal Topographers

 Autokeratometer/Autorefractor

 NCT

 FDT

 Visante Anterior Segment OCT

 Specular Microscope Camera

 Confocal Microscope

 Lenstar

Scheduling  Three (one-hour) appointment slots per half day

 One complete exam plus one progress visit

 2 hours for a full exam and contact lens fit

 1 hour progress visit

 Three contact lens progress visits

 3 (1 hour) progress visits

“Day Sheet”  A “Day Sheet” will be available at the reception window

prior to the beginning of each clinic session

 Initial next to the patient’s name that you would like to

examine

 Review patient charts

Pre-Clinic Seminars  Your attending will give responsibilities and expectations the

first session of the first full week of clinic

 Mornings – 8:30 AM  Have your assigned exam room set up and be logged on to

EMR by 8:00 AM

 Afternoons – 1:30 PM  Have your assigned exam room set up and be logged on to

EMR by 1:00 PM

Notification • Review EMR before clinic seminar begins

• You will be notified over the PA system that the patient has

arrived

• Be sure to collect the superbill as you pick up the patient

Notification  EMR – right click on room and select your exam room

number when you have picked up your patient

Stay On Time  You must complete appropriate care within the time period

assigned

 Notify your attending within ten minutes of the next

appointment time if there will be a delay

 Always consult with your assigned attending

Be Available  Do not leave the CCLS area without checking with both

your attending faculty and the clinic staff to make sure that

you have not been assigned a patient

Adding a patient Search for pt by DOB found on super bill

Do NOT Create a “new patient”

Must now click on each header; ocular and systemic medications EVEN if the patient does not take either (even though the template already reflects a normative statement of no medication usage)

Click on one for “No medication usage” and one for “No medication allergy”. (Green box)- if your patient is not on medication

Use the radio buttons to

go between Ocular and systemic meds.

Diagnostic (Trial) Soft Cls •A signed disposable trial lens Rx form must be

provided in order for lenses to be dispensed by

the stock room (1400) staff. (Appendix 1)

Diagnostic Lenses, GPs

 Always verify diagnostic GP base curves and powers

 In order to reduce the risk of ocular infection, always …

 Wash your hands before handling lenses

 Clean and rinse all lenses before application

 Rub all lenses with appropriate rewetting solution

Additional Items  Addipak solution, Purilens solution

 Large and Small DMV

 Optimum Extra Strength Cleaner

 Unique PH

 Progent

 High Molecular NaFl

 Lissamine Green

Items Charged in EMR Use Code: 99070  Addipak/Purilens

 Large and Small DMV

 Extra Strength Cleaner

 Unique PH

 Progent

 Shipping and handling

 Shipping and handling overnight

 Dry Eye Supplies

Lens Stock Room (1400)

 You are responsible for the safe return of all equipment, un-

used solution (Addipak vials) and/or diagnostic lenses by

the end of the clinic session

 GP lenses used from diagnostic lens sets are to be cleaned,

rinsed (with saline), and dried prior to their return.

 Store lenses dry

CL Lens Lab (1421)

Modification Room  Contains modification and verification equipment.

 Modification units

 Lensometers

 Radiuscopes

Consultation Room (1411)  Contains:

 forms (dilation refusal, records release …)

 CL fit guides

 telephone (you must call all no-show patients and document in

the chart under the “no-show” template)

 two computers

 a projector

 a printer

Contact Lens Dispensing  All contact lenses must be verified before they are dispensed

 GP lenses must have base curve, power, diameter, optical

zone, center thickness, and edges measured and/or

inspected

 Soft lenses must have their packaged label verified with the

order form before the vials or boxes are opened

Contact Lens Dispensing  Any time contact lenses are verified, initial “Verified by” and

fill in the date on the order form (Appendix 2)

 When dispensed, initial “Delivered to patient by,” record the

date on the order form and return it to the stock room

Appendix 2

ED ED

04/19/`2011 04/19/2011

7.52

7.55

-2.00

-2.00

9.2

9.2

Boston XO

Boston XO

x

Smith, Joe

x

x x

Contact Lens Dispensing

 EMPTY lens vials or GP cases are to be given to Jim in

the stock room.

 Please give Jim the entire tray with specific instructions

 Return empty lens trays to the stock room

DO NOT LEAVE TRAYS OR LENSES IN THE

EXAMINATION ROOM

DO NOT THROW AWAY CL VIALS OR GP CASES

Contact Lens Dispensing  If the lenses do not verify correctly:

 Record on the order form exactly what is out of tolerance and

the measurement obtained

 Return the tray with the lenses and the order form to the

stock room

 Complete a pink lens return form (Appendix 3)

 Write up a new order form

Appendix 3 Lens return

REPLACE

UEI CCLS Fees

 CCLS Fitting Fees:

 Global fitting fees: new patients being fitted with contact

lenses for the first time

 Includes follow-up (adaptive) visits: 45, 90, and 120 days

 Per visit (pay as you go) fees: Established patients only.

 All fees must be paid at the time services are provided

 All lenses must be paid in full (100% ) before ordering

Contact Fitting Fees  All of the fitting fee codes are:

92310

 Except:

92072 (Keratoconus)

UEI CCLS Coding  Contact lens fit:

 92310: CL Professional Fitting-Daily

 Sphere GPs or SCLs

 92310: CL Professional Fitting-Complex

 Toric, MF or monovision

 92310: CL Fit Therapeutic (soft or GP)

 Post surgical, corneal scarring, or scleral lens fit, prosthetic

 92310: Orthokeratology

 92072: Management of Keratoconus

 Soft, GP, hybrid, scleral

UEI CCLS Coding  Full Eye Exam and Fit

 Code for comprehensive eye exam

 Contact lens fit:

 92310: CL Professional Fitting-Daily

 92310: CL Professional Fitting-Complex

 92310: CL Fit Therapeutic (soft or GP)

 92072: Mngmt of Keratoconus (any lens)

 92310: CL Office Visit/Progress

G lo

b a l

Non-Global

UEI CCLS Coding  Z-Code

 Z01.00 Vision exam w/o abnormal findings

 Z01.01 Vision exam with abnormal findings

UEI CCLS Fees

 At the conclusion of the appointment, determine the

appropriate fee the contact lens fitting and check-off any

and all procedures performed on both the superbill

(Appendix 4-Front) and the EMR coding and procedures

 All superbills must then be approved and signed by your

attending faculty

 Coding on the superbill must match coding in EMR

UEI CCLS Fees  The fees for lenses are posted in every exam room

(Appendices 5a, 5b)

Appendix 5a

Appendix 5b

UEI CCLS Fees

 Make sure that you are charging the patient the correct lens contact lens material fees (Appendix 4-back)  Do not charge for a ProClear Toric when a ProClear Toric XR

lens has been ordered

 Even some spherical lenses will increase in price depending on their power