Twenty years ago, there were only two P’s present in every ophthalmologist’s consultation room when examining and recommending therapy for an individual: the patient and the physician.
Today, there are three P’s involved in every patient encounter: the patient, the physician and the payer. Even more challenging, every payer’s preference regarding a preferred practice pattern for both the diagnosis and treatment of each of the many ocular maladies we confront every day is different.
In some cases, appropriate diagnostic tests are denied reimbursement, burdening the