Respectfully, co-management arrangements like what you have described are against federal kickback law, is illegal, and considered to be a felony. This law prohibits splitting/sharing/paying/soliciting/receiving money for ANY service covered by Medicaid/Medicare. With cataracts, nearly all are billed to Medicare.
With LASIK, you can co-manage all you want as this is a non-Medicare entity.
Thus, for BOTH optometrists and ophthalmologists in these arrangements, you can be reported and the Feds can shut you down.
What is the anti-kickback law?
The federal anti-kickback statute, 42 U.S.C. § 1320a-7b(b), prohibits individuals or entities from knowingly and willfully offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid or any other federally funded program (except the Federal Employees Health Benefits Program). Some courts have interpreted the law to cover any arrangement in which one purpose of the remuneration is to induce or compensate for program referrals. However, one federal appellate court has ruled that to prove a violation of the anti-kickback statute, the government must prove that a defendant had a specific intent to disobey the law.
What penalties does the anti-kickback law impose?
A violation of the anti-kickback law is
a felony offense that carries criminal fines of up to $25,000 per violation, imprisonment for up to five years and exclusion from government health care programs.
The Balanced Budget Act of 1997 created an alternate sanction. The government may levy a civil fine of up to $50,000 for each violation of the statute and an assessment of three times the amount of the kickback. Previously, the only anti-kickback enforcement tools available to the OIG and DOJ were excluding a physician from the Medicare and Medicaid programs, which is a lengthy process, or seeking conviction under the higher burden of proof required for criminal cases. The government likely will use the new "intermediate sanction" authority more aggressively in anti-kickback cases because it will be easier to impose.
http://www.acr.org/SecondaryMainMen...kLawandSuspectFinancialAgreementsFAQDoc3.aspx