FULL-FEE REIMBURSEMENT UNDER MEDICARE ADVANTAGE
Medicare makes separate payments for the acquisition of corneal tissue for use in corneal transplant. 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.
- Coding and Reimbursement Brochure (pdf format)
- 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