Nursing Care Mission StatementGood vision is integral to the highest possible quality of life; it is our mission to provide primary eye care to those residents of nursing facilities for whom transportation needs and physical limitations make traditional doctors visits difficult or impossible.
Screening and Assessment
Preparing for a Visit
Managed Care Issues
Engraving and Loss Prevention
Smaller facilities, 60 beds or less, may require only one day every other month to meet the expected 8-12 cases.
Very large facilities, 300 beds or more, may require multiple days per month.
If the screening is failed, the following protocols are suggested:
- The facility sends a copy of the screening report to the resident's primary care physician. A consultation order for medically necessary eye care is obtained from resident's primary care physician.
- The facility notifies patient's family / guardian / POA of the failed screening. Optionally send a copy of the screening report to responsible party.
- We will intiate medical care once primary care physician orders and family/POA notification are completed.
This method will assure that all residents in need will receive medically necessary eye care.
In summary, most of the time the fees are entirely covered. We will not ask for a balance due unless all known insurers have been exhausted. If there is a case of financial hardship, or a billing error, please bring it to our attention, and it will be remedied.
- The medical necessity for eye care services.
- The authorization by responsible parties for Medicare to be billed.
Long term care residents have filed documents upon admission that authorize the nursing facility to direct their medical care from any provider and for that provider to bill to their insurance. Lifetime Vision Care also recommends that a resident's responsible party be contacted for direct authorization for eye care services. We will generally request that either the facility Social Services department or Nursing contact the resident's responsible party for verbal or written authorization prior to initiating eye care services. This will prevent misunderstandings. Please contact our office for a copy of our authorization form, or you can download it in PDF format from this link: Authorization Form.
We may also request a copy of the resident face sheet to verify insurance.
We will require a setup area that is at least ten feet in length, reasonably private, and with the ability to dim the light to near dark conditions. We do not require water access. We will set up our equipment, and perform our service in this room. Your CNA staff will help us to locate the residents to be seen, and bring a few (2-3) at a time. All those who are not strictly bed-bound should be awakened dressed and readied for examination. Individual room visitation is cumbersome and inefficient with all our equipment, but can be done in rare special cases.
We will chart all our records and orders. We ask that you keep all eye records in the chart for at least one calendar year. We will provide you with a sheet summarizing each patient's primary findings and recommendations and the end of our visitation.
You will usually receive notice of our next visitation date by fax about 2 weeks in advance. We try to stay with the same day of the week: if it is Tuesdays, then it will stay on Tuesdays unless we mutually decide otherwise. We will contact you multiple times if needed to work out the details of each visit.
After we have completed our care rounds, we will provide the facility with a tabular summary of our visit, listing who was seen, their overall status and important issues, and when we will need to re-evaluate their case. MDS values are forwarded to you later.
For cases with recommended optional referral to a specialist for surgery or other non-critical treatment we will first discuss the option with the patient, and if deemed prudent, recommend the procedure by letter to the resident's legal guardian.
We may also request that the facility contact the resident's legal guardian to begin a dialog regarding the recommended procedures.
We respect the patient's right to refuse treatment, but have a medical responsibility to inform patients and guardians of available treatment options.
Managed care organizations often do not cover the cost of wheelchair transport, which usually costs about the same as our exam services. So, many times, it is just as sensible for them to utilize our services and pay privately. The cost is about the same.
If a managed care plan does not provide eye care for the resident, or will not aid in arranging eye care for the resident who urgently needs care, we can provide that care and bill the facility, or accept payment from the resident or responsible party directly, or negotiate for other acceptable arrangements.
- We can order one pair of eyeglasses per year for Medicaid recipients. We will deliver the glasses on the next visitation, (4 weeks). Please call us if faster delivery is required. We can usually arrange this for an additional fee. Glasses are required to be dispensed by licensed personnel. If glasses are sent by mail, we will need to adjust them to fit the patient's face at our next visiting rounds.
- Private pay eyeglasses candidates will have an cost estimate mailed to their responsible party. All private pay orders must be paid in advance. Delivery time often depends on how much delay there is in payment. Those who forward payment as soon as possible have the best chance of completing the order it time for delivery at the next visitation.
- Repairs: We can usually make minor repairs to broken frames. Please place all parts in a bag labeled with the resident's name. Some private pay repairs may have a charge usually $10 to $20, depending on the difficulty. We will bill the patient's financial guardian for most repairs.
- Facility orders: If the facility has agreed to pay for replacement eyeglasses for a resident, the cost will need to be paid in advance. The facility can be billed for any repairs it specially requests and authorizes.
- Unless otherwise requested, all eyeglasses will be engraved on the outside margin of the left lens with the resident's last name. This will help to prevent loss and mixups.
- We suggest that each facility take a digital photograph of each resident upon admission, with eyeglasses on, to aid in future identification of missing eyeglasses.