February 10, 2016
The cover story in this issue of Ocular Surgery News addresses the phenomenon of physicians opting out of Medicare. While few in our profession have made this switch (and a few have quietly opted back in), every physician occasionally dreams about going “off the grid” and leaving the nation’s biggest payer.
If a single policy has kept most ophthalmologists participating in the Medicare system, it was the 2005 CMS ruling that allowed separate private-pay billing of premium lens implants and refractive services performed as part of cataract surgery. For many of us anterior segment surgeons, participation in Medicare gives us access to patients who may elect additional services that are separately reimbursed.