Re: Medicare Part B and Assisted Living

January 25, 2011

Assisted living is their home so yes it is reimbursable under Part B if not

under home health.

Sent from my Cellular South BlackBerry® Smartphone

Medicare Part B and Assisted Living

I do know as a Part B Medicare provider in Texas, a patient can be seen in their

home and the treatment is remibursable.

My question is if a patient lives in Assisted Living or Independent Senior

Apartmnets, AND not being seen by Home Health, is the treatment remibursable?

I was not sure if Medicare excludes these facilities for Part B Providers.

thank you.

Ruesewald

Therapy Billing

January 25, 2011

Hi ,

I have never had any problem getting reimbursed for Part B services done at

an Assisted Living or Independent Senior Apartment setting. Both are

considered the patient/client's residence/home. The only extra thing is

that in the Assisted Living centers I have worked with, I communicated with

staff from the day of evaluation through discharge, either personally or via

treatment notes to keep them updated. That would include any staff training

that may need to be done in some cases. Each facility will have their own

preferences. The most common request I have had is to fax the daily

treatment note to the facility or bring it at the next visit (remember to

keep in mind HIPAA laws).

Tom Howell, P.T., M.P.T.

Howell Physical Therapy

Eagle, ID

thowell@...

This email and any files transmitted with it may contain PRIVILEGED or

CONFIDENTIAL information and may be read or used only by the intended

recipient. If you are not the intended recipient of the email or any of its

attachments, please be advised that you have received this email in error

and that any use, dissemination, distribution, forwarding, printing or

copying of this email or any attached files is strictly prohibited. If you

have received this email in error, please immediately purge it and all

attachments and notify the sender by reply email.

_____

From: PTManager [mailto:PTManager ] On Behalf

Of therapybilling

Sent: Tuesday, January 25, 2011 2:21 PM

To: PTManager

Subject: Medicare Part B and Assisted Living

I do know as a Part B Medicare provider in Texas, a patient can be seen in

their home and the treatment is remibursable.

My question is if a patient lives in Assisted Living or Independent Senior

Apartmnets, AND not being seen by Home Health, is the treatment

remibursable?

I was not sure if Medicare excludes these facilities for Part B Providers.

thank you.

Ruesewald

Therapy Billing

January 26, 2011

With this in mind PT in a ALF or Independent facility, if the pt wanted a

specific PT for their care, is that the decision of the pt or would the

facility step in? and do most of these facilities have their own staff, and

are they open ot outside contracting? These facilities do not bill under m/c

A?

thanks

Mark Niles PT, MS, CSCS

Orthopedic Specialists PA

mniles@...

x3

fax

This message, together with any attachments, is intended only for the

addressee. It may contain information which is legally privileged,

confidential and exempt from disclosure. If you are not the intended

recipient, you are hereby notified that any disclosure, copying,

distribution, use, or any action or reliance on this communication is

strictly prohibited. If you have received this e-mail in error, please

notify the sender immediately by telephone ( x3) or by return

e-mail and delete the message, along with any attachments

From: PTManager [mailto:PTManager ] On Behalf

Of M. Howell, PT, MPT

Sent: Tuesday, January 25, 2011 5:27 PM

To: PTManager

Subject: RE: Medicare Part B and Assisted Living