Full-Fee Reimbursement Under Medicare Advantage
Medicare makes separate payments for the acquisition of corneal tissue for use in corneal transplant and glaucoma shunt procedures. However, there has been some confusion about this policy, which has led to instances in which the tissue was billed incorrectly, and thus not reimbursed by Medicare.
These resources were developed by EBAA and AAO to help you secure the reimbursement to which you are entitled by CMS.
Resources include:
- Coding and Reimbursement Brochure (pdf format)
- Coding and Reimbursement Brochure (for printing)
- Eye Bank Sample Invoice
- Reimbursement Talking Points
- Sample Verification Letter for Physicians
- Sample Appeals Letter for Physicians
- HCPS Listing for Code V2785
- CMS Claim Processing Manual
EBAA and AAO hosted a series of webinars for eye bankers and physicians to explain the policy in more detail and to answer their members’ questions. The slide deck and recordings of these calls are below.
Presentation Slides
January 14th webinar recording
January 16th webinar recording