Alpha Home Nurses Public Awareness
Q. What is home care beneficiary?a. A person considered homeboundb. Be under the care of a physicianc. Require a skilled service
Q. Who pays for home care benefit?a. Medicare Tart Ab. Medicaidc. Private Insuranced. Private Pay
Q. What is covered under home care?1.Qualified Services a. Skilled Nurses b. Physical Therapy c. Speech and Language Pathology2. Dependent Services a. Occupational Therapy may be considered a qualifying service only when started in conjunction with another qualifying skill. b. Home Health Aide c. Medical Social Worker Services d. Medical Supplies3. JAdditionaC Services Offered: a. Outpatient Therapy Service provided to non-homebound beneficiaries or beneficiaries that reside in a f acility that does not allow the patient to qualify for Medicare home health, i.e., nursing home. b. DiaBetes Outpatient Self-Management Training
Q. What is Homebound?A patient is considered homebound if there is normal inability to leave the home, The patient will have a physical condition or psychiatric condition that makes leaving the home a considerable and taxing effort. In general most absences from the home will be for medical treatment; however. brief and infrequent absences from the home for non-medical reasons would not jeopardize the patient’s homebound status. In addition, the homebound criteria may be met if a beneficiary leaves the home to receive therapeutic, psychosocial, or medical treatment, in an adult day care center. The adult day care center must be licensed by the state. The home health agency is responsible for providing the license information in their records.
Q. What happens when a beneficiary utilizes the home care services?They receive a summary notice of the dates the services were provided and an explanation for the payment made, either by Medicare, Medicaid, or “Private Insurance.
