Outpatient Surgery Magazine

COVID-19 Crisis - April 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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ical necessity in your appeal. Be sure to re- engage the manufac- turers' reimbursement team for further help if there are issues while implementing these products. The effort you make to connect all the dots in this process goes beyond making sure patients have access to innovative therapies. Remember, CMS sets aside the amount of money for innovative-but- expensive products the year before it's paid out. If a high-volume of cardiologists utilize more pass-through payments than ophthalmolo- gists, that may inadvertently limit future innovations that benefit ophthalmic patients. Understanding how these payments work will allow for better patient care without your facility having to foot the bill. That, in turn, will encourage companies to continue their research and development efforts for even more ophthalmologic breakthroughs in years to come. OSM A P R I L 2 0 2 0 • O U T PA T I E N T S U R G E R Y. N E T • 8 7 The pot of money that CMS sets aside each year for pass-through payments remains underused. Dr. Nijm (lmnijm@uic.edu) is founder and medical director of Warrenville EyeCare and LASIK in Warrenville, Ill., and an assistant clinical professor of ophthalmology at University of Illinois Eye and Ear Infirmary in Chicago.

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