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Re: Medicare vs Medicaid?

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Kris

The answer to your question is...It depends. It depends if your patient

qualifies for the Medicare Part B benefit ie, paid into the Medicare system

and opted to have Medicare Part B. You should be able to verify this by

looking at his card. If they do, then if they meet all of the criteria for

requiring skilled service by a therapist, then you can provide it and bill

Part B under the fee schedule. Keep in mind that during this time, the

patient is still seen as needing a skilled service and would not be eligible

for meeting the 60 day, non-skilled time frame for a new 100 day Part A cycle.

If the patient does not have Medicare Part B, then the service would be

provided under Medicaid, meaning that the facility absorbs the cost in the

daily rate received from the state for the care of that patient.

I hope that helps.

Have a great day

Vicki Tilley PT,GCS

President

ElderFit Physical Therapy & Consulting, Inc.

(work)

(fax)

VSTilley@...

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Yes, it is true if they are seen 3 times a week, by any skilled discipline.

Vicki

Vicki Tilley PT,GCS

President

ElderFit Physical Therapy & Consulting, Inc.

(work)

(fax)

VSTilley@...

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