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Thread: Billing Question: Nursing Homes

  1. #1
    OptiBoard Professional
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    Redhot Jumper 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. #2
    OptiBoardaholic
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    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.

  3. #3
    OptiBoard Professional
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    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!

  4. #4
    OptiBoard Novice
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    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!

  5. #5
    Master OptiBoarder optical24/7's Avatar
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    Kudos to you Kevin. Thank you for helping our elderly, and you certainly should be compensated for it!

  6. #6
    OptiBoard Professional
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    Ty

    Quote 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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