Eversight Services Information 2017 | Page 13

EVERSIGHT SERVICES TISSUE REQUEST GUIDE Billing An Invoice Information Sheet* must be completed for each hospital or facility at which surgery will be performed. When a PO is necessary, indicate if it must be obtained prior to the surgery date. Please note, if a PO is required prior to shipping and is not provided, tissue may not be shipped. The processing fee is charged to the hospital or facility where the surgery is performed. The hospital or facility is responsible for billing the patient’s insurance. The Federal Government has determined that eye bank corneal tissue processing fees are treated as a pass through expense for the facility in which the surgery takes place. Facilities must submit an invoice to the insurer separate from the other surgical fees using CPCS CODE V2785, indicating the actual eye bank processing fee. Do not combine it with the facility’s invoice charge. Bundling expenses may result in reimbursement problems. For billing and reimbursement questions, contact: Additional Resources Handling Human Eye Tissue In-service The in-service is approved for .5CE from the Ohio Nurses Association and available at no cost to OR/ ASC staff. The in-service reviews handling and use of tissue, as well as how the Joint Commission standards apply to surgery staff and required documentation. Recipient packets Eversight offers recipient packets as a free resource to help patients through their transplant experience. Each packet includes printed information about eye donation and the transplantation process, as well as guidelines for writing to their donor family. Contact your Eversight representative for more information about the following: • • • • Wet lab training programs Tissue preference questions Charitable services requests Recipient information packets and donor family correspondence requests • CE In-services Cindy Maggetti [phone] [email protected] Adding new surgeons or surgery locations When adding a new surgeon to your practice who will be using Eversight services, please send a copy of the surgeons medical license and the following Eversight forms*: • Surgeon Questionnaire • Tracking Method Agreement • Invoice Information • Tissue Standards When adding new surgery locations, please only complete and return the Invoice Information Sheet*. *All forms are available online at eversightvision.org Tissue Placement: [phone] • Fax [phone] • [email protected]