What is it and what does it do?
RevolutionEyez is a device which attaches to your Welch Allyn PanOptic Scope without the need to remove parts or modify the scope itself. It allows you to take digital images of the interior and exterior of of the eye and works on both human and animal eyes.
We chose the PanOptic Scope due to its superior optics and increased field of view. The picture to the right shows the difference in the field of view between the two scopes.
What does it cost?
The cost for the kit is $3,495 which includes shipping.
What is the ROI?
Fundus photography is a billable procedure and reimbursable using the CPT Code 92250. The reimbursement rate varies by state with reimbursement rates typically averaging $65 per patient. With this being a billable procedure the physician will be able to obtain full return on investment in a short amount of time, then continue to generate revenue afterwards.
Can I bill every time I use it?
Yes. Fundus photographs are considered medically necessary where the results may influence the management of the patient. They are considered a billable procedure when used to evaluate and document abnormalities in the eye, follow the progress of a disease, plan treatment for a disease, and when establishing a baseline to judge later whether a disease is progressive. We have done the research and can provide the physician with the information necessary to successfully bill for this procedure.
Many of my patients are on Medicare. Do they cover this procedure?
Yes. Medicare is actually ahead of the other insurance companies in providing reimbursement for these procedures. The regular insurance companies are following their lead on reimbursement.
Why should I buy this unit instead of a non-portable eye examination device?
The non-portable devices will require a dedicated room in your practice and costs between $14,000 to $45,000. Ours can go anywhere, be used in any patient room, and costs much less.
Why is your unit so much less than the non-portable devices? Is it cheap or made overseas?
The non-portable units must build the optics and lenses into their devices which is where the majority of the expense lies. Our unit takes advantage of a pre-existing optical device (Welch Allyn PanOptic Scope) thus cutting our costs. The unit is proudly made in the USA.
The US Government is demanding healthcare to become fully electronic in a few years. Will this help with the compliance?
Absolutely! All the images and videos taken with this unit can be stored on any electronic storage device (hard drive, cd, flash drive, etc.).
Is it difficult to use?
No. It is actually very easy to use. If you have experience with the Welch Allyn PanOptic Scope it’s even easier. We recommend practice with the scope and attachment for greater skill and ease of use. Mastery of the Welch Allyn PanOptic Scope will greatly improve the skill level.
What if it breaks?
Provizion Optics offers a one year one time replacement – no questions asked.
Does the eye need to be dilated?
No. The camera allows for fundus photography without the dilation of the pupil. This allows you to perform the procedure without any special drops or specialized personnel.
Do I need to learn every condition for the eye?
No. The unit’s primary usage is that of a screening or triage device. You will need to know what a normal healthy eye looks like. Anything that deviates from the norm should be referred to a specialist for consultation.
Do you have examples of pictures and videos?
Yes. Please see the Media tab on our website.
Eye Specialists have always maintained the eye should only be viewed by them – is this true?
No. This is not a full eye exam nor should it take the place of one. It is a way to find issues and refer them to the specialists. One of the primary concerns of the specialists is that this would take business away from them. In fact, the reverse is true. The number of abnormalities found from diabetics alone will dramatically increase the number of referrals to them.
It sounds like this is a sophisticated device. Why can’t it be used for full yearly eye exams?
It is a sophisticated device. However, it was not designed or built to take the place of a yearly eye exam. The yearly exams should be done by an Eye Specialist with the patient’s eyes fully dilated. This unit is designed to be a screening/triage device for specialists and non specialists alike.
I’m an Eye Specialist and I’m on call at my local hospital. Would this device help me with them?
Yes. This is when the true application of the unit applies. For example, if a patient shows up to the Emergency Room at 3am with an eye compliant the ER staff can take pictures and/or videos of the patient’s eye and email them directly to the Eye Specialist. They can then call the specialist and go over the images right then and there. The specialist can easily make the call on treatment and determine whether or not they need to come in to care for the patient. Vital time can be saved using this procedure as well as preventing unnecessary tests on the patient to determine diagnosis.
My diabetic patients don’t follow up on seeing a specialist and are coming back to me saying I did not diagnose them properly. Can this help me with this issue?
Absolutely! The images and/or videos can be stored in the patient’s records with a time and date stamp fully documenting what was seen. Each visit will show the progression of the eye’s condition and whether or not the patient is adhering to the treatment prescribed. The patient can also be shown the image of their eye and educated as to what is happening and why. Giving the patient a picture of their eye with burst blood vessels is a powerful tool to gain their compliance.
I take care of patients at a Long Term Care facility. Can I use this at that location?
Yes! This is one of the primary benefits of our unit. It can go nearly ANYWHERE and be used in nearly any location. It’s so portable that it’s even used by NASA aboard the International Space Station. The kit allows for a full laptop to be carried in the case along with any paperwork, files, and other items that may be needed.
What will this mean to my patients?
In essence, the images can be used as an educational tool for the patient. They can be shown a picture of a healthy eye and then an image of their eye. Seeing certain conditions in their eye can be an extremely powerful motivator for them to follow up with an eye specialist and adhere to the prescribed treatment. For diabetics this is particularly relevant as the condition of the eye is indicative of the progression of the disease.
What types of diseases, conditions, and trauma can be detected with the unit?
The unit has a 2 mega pixel camera which can be software enhanced to 8 mega pixels. This allows for quite detailed images and videos to be taken and examined. Here is a short list of the major items which can be detected:
- High Blood Pressure
- High Cholesterol
- Sleep Apnea
- Foreign Objects
Does the screening have to be done by the physician?
No. Your nursing staff can be easily trained on the proper usage and perform the screening along with the standard diagnostics (temperature, blood pressure, weight, etc.). The images and video can be ready for the physician when he/she enters the patient’s room.