What Medicare cover
Physical therapy, occupational therapy, and speech-language pathology services.
Medicare uses the following criteria to assess whether these therapy services are reasonable and necessary in the home setting:
The therapy services must be a specific, safe, and effective 1. treatment for your condition.
The therapy services must be complex or your condition 2. must require services that can safely and effectively be performed only by qualified therapists.
3. It’s expected that your condition will improve in a reasonable and generally-predictable period of time.
Your condition requires a skilled therapist to safely and effectively establish a maintenance program.
Your condition requires a skilled therapist to safely and effectively perform maintenance therapy.
4. The amount, frequency, and duration of the services must be reasonable.
Medical social services. These services are covered when given under the direction of a doctor to help you with social and emotional concerns related to your illness. This might include counseling or help finding resources in your community.
Medical supplies. Supplies, like wound dressings, are covered when they are ordered as part of your care.
Home health Billing Guide and process, CPT CODE, ICD CODE and how to get paid, dealing insurance denial.
Wednesday, January 19, 2011
physical therapy,medical social services, medical supplies cover under Medicare
Labels:
Home health billing basic,
Medicare
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