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Tuesday, January 11, 2011

Home health billing - episode of care - covered days

How Medicare pays for home health care
In Original Medicare, Medicare pays your Medicare-certified home health agency one payment for covered services you get during a 60-day period. This 60-day period is called an “episode of care.” The payment is based on your condition and care needs.
Getting treatment from a home health agency that’s Medicare-certified can reduce your out-of-pocket costs. A Medicare-certified home health agency agrees to the following conditions:
*To be paid by Medicare
**To accept only the amount Medicare approves for their services

Medicare’s home health benefit only pays for services provided by the home health agency. Other medical services, such as visits to your doctor, are generally still covered by your other Medicare benefits. Look in your copy of the “Medicare & You” handbook, mailed to each Medicare household every fall, for information on how these services are covered under Medicare. To view or print this booklet, visit http://go.usa.gov/iDJ. You can also call 1-800-MEDICARE (1-800-633-4227) if you have questions about your Medicare benefits. TTY users should call 1-877-486-2048.

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