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BETTER VISION, TOGETHERDURRIE VISIONCOLLABORATIVEEYE CARE GUIDEDV DURRIE VISION
BETTERVISIONTOGETHERAt Durrie Vision we seek to provide the best possible visionfor our patients through the most-advanced technology,world-class surgeons, and a phenomenal patient experience.Dr. Jason Stahl and Dr. Timothy Lindquist, experts inrefractive surgery, recognize that excellent eye care in ourcommunity requires collaboration and relationship witha network of eye care professionals. We value your trustin partnering with Durrie Vision to manage patient carethrough the process of refractive lens surgery and laservision correction.This guide serves as a resource for reference, outlining theco-management process to provide the most streamlined,efficient, and effective care as we partner together.Ultimately, our joint commitment to deliver optimaloutcomes and an exceptional experience for our patientsraises the bar for eye care in Kansas City and beyond.
CONTENTWELCOME2ABOUT US4MEET THE DOCTORS5COLLABORATIVE EYE CARE PROCESS6POST-OP PROTOCOLS - REFRACTIVE LENS EXCHANGE,REFRACTIVE CATARACT SURGERY10POST-OP PROTOCOLS - LASER VISION CORRECTION, PHAKIC ICL11FEES & BILLING INFORMATION12REFERRAL FORM14CONTACT INFORMATION15
4D U R R I E V I S I O N . C O M /A F F I L I AT E - D O C T O R SABOUT USDurrie Vision is a premier eye care provider specializing in advanced vision correctionprocedures including LASIK, Refractive Lens Exchange, and Refractive Cataract Surgery.Our team of experienced doctors and staff are dedicated to delivering exceptional eyecare that not only improves our patients’ vision, but their lifestyle as well.As leaders in the field of refractive surgery for over 30 years, Durrie Vision has participatedin over 200 FDA clinical trials and conducted numerous in-house research studies.This commitment to innovation has led to safer, more precise techniques that deliverexceptional visual outcomes.THE DV EXPERIENCELong before social distancing entered the modern lexicon, Durrie Vision designed itsoffice space and processes to provide a personal patient experience that is now not onlya simple luxury, but necessary as well. Patients are greeted by a technician at checkin and immediately escorted to an exam room, eliminating time in a crowded waitingarea. Surgery patients enjoy private pre- and post-operative rooms and surgical suitesdesigned to provide a safe, personalized, and relaxing experience.
5MEET THE DOCTORSJason E. Stahl, MDTimothy P. Lindquist, MDLens Implant SurgeryLens Implant SurgeryLaser Vision CorrectionLaser Vision CorrectionDr. Jason E. Stahl, recognized as one ofDr. Timothy P. Lindquist is an accomplishedAmerica’s top ophthalmologists, is a highlyophthalmologist and surgeon, specializing inskilled surgeon whose experience spans overRefractive Lens Exchange, Refractive Cataracttwo decades. Dr. Stahl specializes in RefractiveSurgery, and laser vision correction proceduresLens Exchange, Refractive Cataract Surgery,to correct nearsightedness, farsightedness,and laser vision correction procedures thatastigmatism, and presbyopia. With a reputation forcorrect nearsightedness, farsightedness,providing exceptional patient care, Dr. Lindquist’sastigmatism, and presbyopia. Dr. Stahl has alsoexperience spans nearly a decade. He is a boardbeen named a “Leader and Innovator” in thecertified ophthalmologist and member of thefield of refractive surgery. He has participated inAmerican Board of Ophthalmology. Dr. Lindquistnumerous FDA clinical trials. Dr. Stahl’s researchhas served as an investigator in numerous researchdata and opinions have been published instudies and has published in medical journals andmany medical journals. He is a board certifiedtextbooks in the field of ophthalmology. He lives inophthalmologist and member of the AmericanPrairie Village with his wife Kristen and their threeBoard of Ophthalmology.children, Katelyn, Hartley, and Marcus.
6D U R R I E V I S I O N . C O M /A F F I L I AT E - D O C T O R SCOLLABORATIVEEYE CARE PROCESS1REFERRAL2FIRST APPOINTMENT3SURGERY PLAN/COUNSELING4SURGERY DAY5POST-OPERATIVE APPOINTMENTS6RELEASE OF CARE7FOLLOW-UP APPOINTMENTS8POST-OPERATIVE MAINTENANCE OF VISION
71. ReferralPatients may be referred to Durrie Vision by completing and faxing a referral form to the RefractiveCommunications Team at 913-491-9650 or via email to dvrcc@durrievision.com. Our team will contact thepatient to schedule an exam; or if preferred, your office may contact us directly to schedule at913-491-3330. Our team will confirm the appointment with the patient and assist in registration and formcompletion through our online patient portal.2. First AppointmentPatients referred to Durrie Vision for surgical consultation will meet with Dr. Stahl or Dr. Lindquist to undergoour Advanced Ocular Analysis, or AOA. One of our refractive technicians will greet the patient, gather historyand refraction data, and perform the diagnostic testing comprising the AOA, including biometry, ocularscatter analysis, meibomian gland imaging, endothelial cell counts, external photography, retinal OCTimaging, corneal tomography, and intraocular pressure.The surgeon will meet with and examine the patient to determine candidacy for surgery and recommend thebest procedural option for the patient based on testing and examination findings. The surgeon will explain theprocedure, including risks, benefits, and alternatives, and set expectations for post-operative recovery andoutcomes.The examination includes dilation of the pupils. Patients should expect to be in our office for approximately1 1/2 hours.3. Surgery Plan/CounselingIf the patient is a candidate for surgery, directly following the exam the surgery coordinator will meet withthe patient to review information and discuss cost, scheduling, and follow-up. For added convenience, thecoordinator will contact your office to schedule the patient’s return follow-up visit with you once releasedfrom our care. If unable to reach your office, our coordinator will give the patient a card with instructions to callyour office to schedule.
8D U R R I E V I S I O N . C O M /A F F I L I AT E - D O C T O R S4. Surgery DayPre-operative and post-operative instructions are sent through our online patient portal upon schedulingsurgery. Medication prescriptions will also be given to the patient to be filled at a pharmacy; or forconvenience, a combination eye drop may be purchased directly from Durrie Vision if the patient prefers.Surgery will be performed at:Durrie Vision8300 College Boulevard, Ste 201Overland Park, KS 66210Patients should anticipate approximately 2 hours to complete the surgery process in the case of intraocularlens surgery and 1.5 hours in cases of laser vision correction.5. Post-operative AppointmentsPatients return for a one-day post-operative examination at our clinic following all procedures. Once stable,the patient will be transferred back to your care for continued follow-up, typically beginning with theone-month post-operative examination. Consistent with our one-year global period of refractive surgeryprocedures (RLE, REF CAT, SBK, ASA, SMILE, ICL), co-managing physicians should expect to provide care for12 months following surgery.For lens-based procedures (RLE, REF CAT, ICL), most patients will undergo consecutive bilateral surgery. Ouroffice will perform the one-week post-operative exam between surgical procedures on each eye and followingsurgery on the second eye.6. Release of CareOur team will fax a release letter to the co-managing eye doctor to transfer the patient back to your care andprovide surgical and post-operative details. This letter will specify the date of when the patient is released toyour care.Once follow-up commences under your care, your billing process may begin. The Plan of Care Summaryletter will include diagnosis and procedure codes and will be faxed to your office following surgery.
97. Follow-up AppointmentsAfter release of care, follow-up examinations at your office are recommended at the following intervals: 4-6 weeks 3 months 6 months 1 year Yearly thereafterA member of our team will contact the patient approximately one-month post-operatively to inquire aboutsatisfaction with their surgical results and surgical experience.If at any time there are concerns regarding the patient’s vision or health of the eye, please contact our office.After each follow-up exam in your office, please fax or electronically submit the examination to our office forour records.8. Post-operative Maintenance of VisionFollowing lens replacement, posterior capsular opacification, PCO, is anticipated, occurring anywhere from2-3 months to up to 10 years post-operatively. Visual significance of this opacification can be detected byglare testing and via patient complaint of glare, haze, or increased need for light to read. Once three monthspost-operative, the lens and capsule have formed a stable complex and it is safe to remove PCO using a YAGlaser. This procedure is again performed via the process outlined in section 1.Following vision correcting procedures (intraocular lens surgery or laser vision correction), an enhancementmay be required. This is most often performed beyond four months, once healing is completed. Evaluationfor enhancements is performed in our office and referral is via the process outlined in section 1.Please be aware post-operative care processes will apply following a YAG capsulotomy or an enhancement.
10D U R R I E V I S I O N . C O M /A F F I L I AT E - D O C T O R SPOST-OPERATIVE PROTOCOLSREFRACTIVE LENS EXCHANGE,REFRACTIVE CATARACT SURGERYFollowing release of care from Durrie Vision1 MONTH3 MONTHS Uncorrected vision (distance and near,both eyes) Intraocular pressure (IOP) Manifest refraction Slit lamp examination Uncorrected vision (distance and near,both eyes) Intraocular pressure (IOP) Manifest refraction Slit lamp examination6 MONTHS1 YEAR / ANNUAL EXAM Uncorrected vision (distance and near,both eyes) Intraocular pressure (IOP) Manifest refraction Slit lamp examination Uncorrected vision (distance and near,both eyes) Intraocular pressure (IOP) Manifest refraction Slit lamp examination Dilated fundus examination
11POST-OPERATIVE PROTOCOLSLASER VISION CORRECTION,PHAKIC ICLFollowing release of care from Durrie Vision1 MONTH3 MONTHS Uncorrected vision (distance and near,both eyes) Intraocular pressure (IOP) Manifest refraction Slit lamp examination Uncorrected vision (distance and near,both eyes) Intraocular pressure (IOP) Manifest refraction Slit lamp examination Topography with complaints of vision (ifunavailable, may refer to DV for evaluation)6 MONTHS1 YEAR / ANNUAL EXAM Uncorrected vision (distance and near,both eyes) Intraocular pressure (IOP) Manifest refraction Slit lamp examination Topography with complaints of vision (ifunavailable, may refer to DV for evaluation) Uncorrected vision (distance and near,both eyes) Intraocular pressure (IOP) Manifest refraction Slit lamp examination Dilated fundus examination (optional)
12D U R R I E V I S I O N . C O M /A F F I L I AT E - D O C T O R SFEES & BILLING INFORMATIONWhile advanced LASIK (SBK) and other refractive procedures are not subject to insurancecoverage or billing rules, we must maintain compliance to the principles set forth in the comanagement relationship. As such, for purely elective refractive procedures (SBK, ASA, ICL,RLE), our protocol is as follows:We will establish a global fee per eye, which covers the surgical procedure and postoperative care for 1-year.For those patients who wish to return to their optometrist for post-operative care, wewill reduce our fees by the amount commensurate with 1-year of post-operative careservices.Each co-managing physician will charge and collect from the patient the amount thatthe co-managing physician believes is appropriate for care provided during that globalperiod.Therefore, the co-managing physician is free to charge the patient up to the amount by whichwe reduce our global fee, but not obligated to do so. Instead, the co-managing physician isfree to charge the amount deemed commensurate with the level of services provided.
13DURRIE VISION COLLABORATIVEEYE CARE FACESHEETWe appreciate the opportunity to join with you in caring for patients. For co-managed patients, wereduce our fees for the post-operative period by the amount outlined below to cover continuedcare of refractive services.PROCEDURERefractive Lens ExchangeP O S T- O P E R AT I V E F E ED U R AT I O N O FP O S T- O P P E R I O D 1,2001 year 8001 year 8001 yearRefractive Cataract SurgerySBK Advanced LASIKAdvanced SurfaceAblation/PRKSMILE Vision CorrectionICL - Phakic IOLFees reflect bilateral procedures. Unilateral procedures are ½ of the above amounts.
PATIENT REFERRAL FORMReferring Doctor: Please fax completed form to (913) 491-9650 or scan and email todvrcc@durrievision.com. Access additional copies at www.durrievision.com/affiliate-doctors. o Check here if the patient would like Durrie Vision to call to schedule an appointment.Referring DoctorName:Practice Name:Address:Phone:Fax:HIPAA Compliant Email:Patient InformationPatient Name:Phone:Date of Birth:Exam Date:Reason for Referral o Surgical consultation o Continued careExamination DataRefraction:OD:xOS:xBCVA:OD:/ 20History/Comments:OS:/ 20
15WE’RE HEREFOR YOUONLINE ess digital copies of all forms,protocols, and additional resources.Submit patient referrals and pre/postoperative documents online.JASON STAHL, MDPresident & CEORefractive Surgeonjstahl@durrievision.com913-491-3330TIMOTHY LINDQUIST, MDRefractive Surgeontlindquist@durrievision.com913-491-3330
D U R R I E V I S I O N . C O M /A F F I L I AT E - D O C T O R SFEESDURRIE VISION8300 College Blvd. Ste 201Overland Park, KS 66210Phone: 913-491-3330Fax: 913-491-9650www.durrievision.com
Dr. Jason Stahl and Dr. Timothy Lindquist, experts in refractive surgery, recognize that excellent eye care in our community requires collaboration and relationship with a network of eye care professionals. We value your trust in partnering with Durrie Vision to manage patient care through the process of refractive lens surgery and laser vision correction. This guide serves as a resource for .
