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    Billing Question: Nursing Homes

    Fellow Opticians,

    Need some help with this one...

    I am providing a service to nursing homes (99304 & 99308). I am reading and documenting eyeglasses to make them apart of the medical record. The Home I work with encouraged me to get Medicaid certified as a provider, so that I could bill for my services. I am certified in Ohio as a Medicaid provider and was directed by a representative to use these service codes to bill at Nursing Homes and Assisted Living facilities.

    THE $164,000 QUESTION is: what diagnosis code can I use to bill and get paid? I found these codes: Z97.3 & Z02.2. Are they ones to use... or are there other more appropriate codes? The answer to that question opens the door to Medicare and other insurances.


    Thanks

    Kevin W.


    #2
    When you say that you are reading and documenting eyeglasses, I assume you are doing neutralizations in a lensometer and them recording the eyeglass power in their medical record.

    Easiest way to is to file a claim and see if you receive a check. The Z97.3 seems more appropriate if you are doing neutralizations.

    Comment


      #3
      YES! I am neutralizing glasses and creating an "Intake" form for the Nursing home/facilities. I discovered that I must first do an Initial visit and follow-up visits are then billed as "subsequent" visits. This has become a MAJOR concern for facilities as they are responsible (Misappropriation of Property) for any items (clothes, shoes, hearing aids, glasses, etc) that are lost; while someone is in their care. In addition, I tag the frames to limit loss and do any needed repairs an adjustments, so that they won't have to leave the facility with a residents property. Nice to finally utilize my years of experience (and tools/equipment) towards something that is appreciated!

      I DID find the appropriate codes to bill! They were verified by the State of Ohio Medicaid Department. Proof will be when payment comes in!

      Comment


        #4
        If you're adjusting then there's always Z46.0 but it seems like you've got it figured out. Fingers are crossed for you!

        Comment


          #5
          Kudos to you Kevin. Thank you for helping our elderly, and you certainly should be compensated for it!

          Comment


            #6
            Ty

            Originally posted by optical24/7 View Post
            Kudos to you Kevin. Thank you for helping our elderly, and you certainly should be compensated for it!
            Thanks! First appointments are next week!

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