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Assisted Living Facilities
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Assisted Living Facilities - October 24, 2000 6:57:00 PM
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Harold
Posts: 8
Joined: October 11, 2000
From: Apopka, FL
Status: offline
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We have several good relationships with ALF's. We provide therapy there in there homesetting, since it is really difficult for many residents to visit the clinic.
I know we can do this as long as we do not bill for travel and related cost.
Can a Home health company provide (bill for)nursing services at the same time as we use our provider number to bill for PT, OT and ST services? We work in Florida. If not, are there any suggestions?
Could you suggest a source that I can read into this?
Thanks,
Sincerely,
Harold
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Re: Assisted Living Facilities - October 25, 2000 7:28:00 AM
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Kerry
Posts: 7
Joined: October 18, 2000
From: FL
Status: offline
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Yes you can see a pt that is being seen through home health, we do it all the time, but... You might piss off the HH agency. What we do, is let the HH agencys case manager know that we are seeing the pt in the ALF under our out patient number, which is legal, and we promise to document that the patient is homebound. If later on you see the patient in the clinic while recieving HH, thats ok too because a patient is allowed to go to medical appointments without messing up their homehealth.
One suggestion is that you sign a contract with whatever homehealth the ALF uses most frequently, see the patient under HH, and then D/C to outpatient.
As you are aware, Home health in FL is now being capped since 10/1, (my contracts are telling us 12 visits for all therapys combined, except for complicated or numerous diagnosises) and youd probably be able to see the patient for an extra three weeks. Also, back to your other reimbursement question, why would medicare be flagged by a patient seen in home health who needs continued services? (because medicare is screwed up and has no logic)
This arrangement works well also for you because you will get more referrals from the homehealth agency, who u can refer back into your clinic.
Drawback.... Not getting your money from the HH agency.... Dealing w/more than one agency can get tedius with all the different paperwork, and when something goes wrong, u know its always therapys fault
One plus... You wont have to deal medicare billing or denials
PS... back to what I said Id email u, that sight about icd 9s, and cpts, its [URL=http://www.xact.org/policy/y1.html.]www.xact.org/policy/y1.html.[/URL] Im not sure if it still exists, if not, Ill fax it to u. We have a cheat sheet, and Ill fax it to u if u e-mail the number. K-
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