Medicare payment changes never happen as quickly as medical technology advances, but CMS has done a pretty good job keeping up with the advent of and demand for refractive-IOL-implanting procedures. While the payment regulations for these procedures give surgeons and Medicare patients many more options than before, they also create practical payment issues and increase the chances that you may unwittingly violate Medicare payment or fraud and abuse laws. Here are four keys to ensure that your arrangements with surgeons and patients for payment comply with both Medicare billing rules and the federal Anti-kickback Statute.