RE: home health and out pt PT

[Guest guest]

It would exclude in Texas.

The patient cant be on any Home Health program. The reasoning is if they

can get to you for PT, they can get to a nurse for wound care.

Ruesewald

Therapy Billing

PO Box 880 , Lake Dallas , TX 75065

fax

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From: PTManager [mailto:PTManager ] On Behalf

Of Mark Niles

Sent: Wednesday, January 26, 2011 7:20 AM

To: PTManager

Subject: home health and out pt PT

Group,

Would a pt getting only wound care from a HH nurse exclude him from getting

out pt Pt for a different dx and body part? I am in Fl if that matters.

Mark Niles PT, MS, CSCS

Orthopedic Specialists PA

mniles@... <mailto:mniles%40orthospecpa.net>

x3

fax

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

addressee. It may contain information which is legally privileged,

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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%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

Behalf

Of Kovacek

Sent: Wednesday, January 26, 2011 8:06 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Now available on PTManager.com A Manager's Perspective:

Part 11 OF 14 - Measurement of Outcome Information. Discussion Documents To

Grow Your Management Skills

Now available on PTManager.com

A Manager's Perspective: Part 11 OF 14 - Measurement of Outcome Information.

Discussion Documents To Grow Your Management Skills

http://post.ly/1X8vK

Kovacek, PT, MSA, DPT

PKovacek@... <mailto:PKovacek%40PTManager.com>

<mailto:PKovacek%40PTManager.com>

Cell

Personal Fax

Twitter.com/PKovacek

Facebook.com/.Kovacek

[Guest guest]

Makes no difference what services a patient is receiving. If they are under a

home health episode of care, Medicare will not pay for Part B services.

- Sent from my LG phone

Mark Niles wrote:

>Group,

>

>Would a pt getting only wound care from a HH nurse exclude him from getting

>out pt Pt for a different dx and body part? I am in Fl if that matters.

>

>

>

>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 Kovacek

>Sent: Wednesday, January 26, 2011 8:06 AM

>To: PTManager

>Subject: Now available on PTManager.com A Manager's Perspective:

>Part 11 OF 14 - Measurement of Outcome Information. Discussion Documents To

>Grow Your Management Skills

>

>

>

>

>

>Now available on PTManager.com

>

>A Manager's Perspective: Part 11 OF 14 - Measurement of Outcome Information.

>Discussion Documents To Grow Your Management Skills

>http://post.ly/1X8vK

>

> Kovacek, PT, MSA, DPT

>PKovacek@... <mailto:PKovacek%40PTManager.com>

>Cell

>Personal Fax

>

>Twitter.com/PKovacek

>Facebook.com/.Kovacek

>

>

[Guest guest]

Yes, and what's goofy is that they will pay the home health agency but not the

outpatient therapist.

Matt Capo, PT

Accelerated Physical Therapy and Occupational Health, Inc

Bay St. Louis and Diamondhead, Mississippi

Now available on PTManager.com A Manager's Perspective:

Part 11 OF 14 - Measurement of Outcome Information. Discussion Documents To

Grow Your Management Skills

Now available on PTManager.com

A Manager's Perspective: Part 11 OF 14 - Measurement of Outcome Information.

Discussion Documents To Grow Your Management Skills

http://post.ly/1X8vK

Kovacek, PT, MSA, DPT

PKovacek@... <mailto:PKovacek%40PTManager.com>;

<mailto:PKovacek%40PTManager.com>;

Cell

Personal Fax

Twitter.com/PKovacek

Facebook.com/.Kovacek

[Guest guest]

Hi Mark,

I agree with the previous responses but let's look at it from the

perspective of what is best for the patient/client. Medicare has put up

hurdles but if this client needs services, we need to jump the hurdles and

get the patient/client the needed treatment. Here are some things to keep

in mind.

1. Does the patient/client meet the definition of " homebound " ? If they do

then they may qualify for home health PT instead.

2. If they do not qualify for homebound status and therefore do not qualify

for home health PT, can the home health agency provide their own therapists

to see the client. Many home health agencies will do this which is

technically Part B services but they pay their therapists out of the Part A

reimbursement.

3. If # 2 is not available, then you can contract with the home health

agency, see the patient/client and get paid by the home health agency. As

we have heard on this list many times, this is a risky venture with the

possibility of not getting paid and even legal action needed to get paid.

BUT is it the right thing to do to get the services to the client?

4. Finally, if all other options are exhausted and if no other entity can

provide PT services, see the patient/client, bill it via Part B, get your

denial and either 1) write it off as pro bono care, 2) work out an

arrangement with the patient/client to pay for treatment (this should be

pre-arranged and an ABN is required) or 3) appeal to Medicare. If you can

demonstrate that you went through steps 1, 2 and 3 above and that there was

no other way to get necessary treatment to the client, well you have a shot

at winning an appeal.

Ultimately it is about you or your clinic/agency opting for a plan to get

the needed services to the client, even if it is advising others of what can

be done.

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

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_____

From: PTManager [mailto:PTManager ] On Behalf

Of Mark Niles

Sent: Wednesday, January 26, 2011 6:20 AM

To: PTManager

Subject: home health and out pt PT

Group,

Would a pt getting only wound care from a HH nurse exclude him from getting

out pt Pt for a different dx and body part? I am in Fl if that matters.

Mark Niles PT, MS, CSCS

Orthopedic Specialists PA

mniles@... <mailto:mniles%40orthospecpa.net>

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%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

Behalf

Of Kovacek

Sent: Wednesday, January 26, 2011 8:06 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Now available on PTManager.com A Manager's Perspective:

Part 11 OF 14 - Measurement of Outcome Information. Discussion Documents To

Grow Your Management Skills

Now available on PTManager.com

A Manager's Perspective: Part 11 OF 14 - Measurement of Outcome Information.

Discussion Documents To Grow Your Management Skills

http://post.ly/1X8vK

Kovacek, PT, MSA, DPT

PKovacek@... <mailto:PKovacek%40PTManager.com>

<mailto:PKovacek%40PTManager.com>

Cell

Personal Fax

Twitter.com/PKovacek

Facebook.com/.Kovacek

[Guest guest]

It depends on who is the payor for such home health aid services. If it's

Medicare, then the patient must still be under a Home Health episode. The

fact that the nurse of therapist has not visited the patient in a while

does not necessarily mean the patient has been discharged f/ the home health

agency.

If the home health aid services are private pay or covered under a Long

Term Care Insurance policy there sould be no problem billing Medicare part B.

Corneau, PT, MPT, GCS

Los Angeles, CA

In a message dated 1/27/2011 8:02:58 A.M. Pacific Standard Time,

rjlatc@... writes:

Tom:

Thank you for your response. Our outpatient practices have been throwing a

question around for a few weeks and I've even posted it to cms and our

intermediary, Highmark. I've gotten no response from either.

I understand about the nurse or therapist (PT or OT) coming to the house

to provide services. What happens if a patient was being seen several times

a week by a home health aide (to help with bathing, dressing, etc.). Would

the patient be able to come in as an outpatient for therapy services and

the outpatient practice be reimbursed by Medicare?

Thanks,

Bob

LaBelle, MBA, ATC

Utilization Coordinator

Good Shepherd Penn Partners

Penn Therapy & Fitness

>

> Hi Mark,

>

> I agree with the previous responses but let's look at it from the

> perspective of what is best for the patient/client. Medicare has put up

> hurdles but if this client needs services, we need to jump the hurdles

and

> get the patient/client the needed treatment. Here are some things to keep

> in mind.

>

>

>

> 1. Does the patient/client meet the definition of " homebound " ? If they do

> then they may qualify for home health PT instead.

>

>

>

> 2. If they do not qualify for homebound status and therefore do not

qualify

> for home health PT, can the home health agency provide their own

therapists

> to see the client. Many home health agencies will do this which is

> technically Part B services but they pay their therapists out of the

Part A

> reimbursement.

>

>

>

> 3. If # 2 is not available, then you can contract with the home health

> agency, see the patient/client and get paid by the home health agency. As

> we have heard on this list many times, this is a risky venture with the

> possibility of not getting paid and even legal action needed to get paid.

> BUT is it the right thing to do to get the services to the client?

>

>

>

> 4. Finally, if all other options are exhausted and if no other entity can

> provide PT services, see the patient/client, bill it via Part B, get your

> denial and either 1) write it off as pro bono care, 2) work out an

> arrangement with the patient/client to pay for treatment (this should be

> pre-arranged and an ABN is required) or 3) appeal to Medicare. If you can

> demonstrate that you went through steps 1, 2 and 3 above and that there

was

> no other way to get necessary treatment to the client, well you have a

shot

> at winning an appeal.

>

>

>

> Ultimately it is about you or your clinic/agency opting for a plan to get

> the needed services to the client, even if it is advising others of what

can

> be done.

>

>

>

> 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 )

[mailto:_PTManager _ (mailto:PTManager ) ] On

Behalf

> Of Mark Niles

> Sent: Wednesday, January 26, 2011 6:20 AM

> To: _PTManager _ (mailto:PTManager )

> Subject: home health and out pt PT

>

>

>

>

>

> Group,

>

> Would a pt getting only wound care from a HH nurse exclude him from

getting

> out pt Pt for a different dx and body part? I am in Fl if that matters.

>

> Mark Niles PT, MS, CSCS

> Orthopedic Specialists PA

> mniles@... <mailto:mniles%40orthospecpa.net>

> 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 )

<mailto:PTManager%40yahoogroups.com>

> [mailto:_PTManager _ (mailto:PTManager )

<mailto:PTManager%40yahoogroups.com> ] On

> Behalf

> Of Kovacek

> Sent: Wednesday, January 26, 2011 8:06 AM

> To: _PTManager _ (mailto:PTManager )

<mailto:PTManager%40yahoogroups.com>

> Subject: Now available on PTManager.com A Manager's

Perspective:

> Part 11 OF 14 - Measurement of Outcome Information. Discussion Documents

To

> Grow Your Management Skills

>

> Now available on PTManager.com

>

> A Manager's Perspective: Part 11 OF 14 - Measurement of Outcome

Information.

> Discussion Documents To Grow Your Management Skills

> _http://post.ly/1X8vK_ (http://post.ly/1X8vK)

>

> Kovacek, PT, MSA, DPT

> PKovacek@... <mailto:PKovacek%40PTManager.com>

> <mailto:PKovacek%40PTManager.com>

> Cell

> Personal Fax

>

> Twitter.com/PKovacek

> Facebook.com/.Kovacek

>

> [Non-text portions of this message have been removed]

>

> [Non-text portions of this message have been removed]

>

>

>

>

>

> [Non-text portions of this message have been removed]

>

[Guest guest]

Tom:

Thank you for your response. Our outpatient practices have been throwing a

question around for a few weeks and I've even posted it to cms and our

intermediary, Highmark. I've gotten no response from either.

I understand about the nurse or therapist (PT or OT) coming to the house to

provide services. What happens if a patient was being seen several times a week

by a home health aide (to help with bathing, dressing, etc.). Would the patient

be able to come in as an outpatient for therapy services and the outpatient

practice be reimbursed by Medicare?

Thanks,

Bob

LaBelle, MBA, ATC

Utilization Coordinator

Good Shepherd Penn Partners

Penn Therapy & Fitness

>

> Hi Mark,

>

> I agree with the previous responses but let's look at it from the

> perspective of what is best for the patient/client. Medicare has put up

> hurdles but if this client needs services, we need to jump the hurdles and

> get the patient/client the needed treatment. Here are some things to keep

> in mind.

>

>

>

> 1. Does the patient/client meet the definition of " homebound " ? If they do

> then they may qualify for home health PT instead.

>

>

>

> 2. If they do not qualify for homebound status and therefore do not qualify

> for home health PT, can the home health agency provide their own therapists

> to see the client. Many home health agencies will do this which is

> technically Part B services but they pay their therapists out of the Part A

> reimbursement.

>

>

>

> 3. If # 2 is not available, then you can contract with the home health

> agency, see the patient/client and get paid by the home health agency. As

> we have heard on this list many times, this is a risky venture with the

> possibility of not getting paid and even legal action needed to get paid.

> BUT is it the right thing to do to get the services to the client?

>

>

>

> 4. Finally, if all other options are exhausted and if no other entity can

> provide PT services, see the patient/client, bill it via Part B, get your

> denial and either 1) write it off as pro bono care, 2) work out an

> arrangement with the patient/client to pay for treatment (this should be

> pre-arranged and an ABN is required) or 3) appeal to Medicare. If you can

> demonstrate that you went through steps 1, 2 and 3 above and that there was

> no other way to get necessary treatment to the client, well you have a shot

> at winning an appeal.

>

>

>

> Ultimately it is about you or your clinic/agency opting for a plan to get

> the needed services to the client, even if it is advising others of what can

> be done.

>

>

>

> 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 Mark Niles

> Sent: Wednesday, January 26, 2011 6:20 AM

> To: PTManager

> Subject: home health and out pt PT

>

>

>

>

>

> Group,

>

> Would a pt getting only wound care from a HH nurse exclude him from getting

> out pt Pt for a different dx and body part? I am in Fl if that matters.

>

> Mark Niles PT, MS, CSCS

> Orthopedic Specialists PA

> mniles@... <mailto:mniles%40orthospecpa.net>

> 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%40yahoogroups.com>

> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

> Behalf

> Of Kovacek

> Sent: Wednesday, January 26, 2011 8:06 AM

> To: PTManager <mailto:PTManager%40yahoogroups.com>

> Subject: Now available on PTManager.com A Manager's Perspective:

> Part 11 OF 14 - Measurement of Outcome Information. Discussion Documents To

> Grow Your Management Skills

>

> Now available on PTManager.com

>

> A Manager's Perspective: Part 11 OF 14 - Measurement of Outcome Information.

> Discussion Documents To Grow Your Management Skills

> http://post.ly/1X8vK

>

> Kovacek, PT, MSA, DPT

> PKovacek@... <mailto:PKovacek%40PTManager.com>

> <mailto:PKovacek%40PTManager.com>

> Cell

> Personal Fax

>

> Twitter.com/PKovacek

> Facebook.com/.Kovacek

>

>

[Guest guest]

Tom:

Thank you for your response. Our outpatient practices have been throwing a

question around for a few weeks and I've even posted it to cms and our

intermediary, Highmark. I've gotten no response from either.

I understand about the nurse or therapist (PT or OT) coming to the house to

provide services. What happens if a patient was being seen several times a week

by a home health aide (to help with bathing, dressing, etc.). Would the patient

be able to come in as an outpatient for therapy services and the outpatient

practice be reimbursed by Medicare?

Thanks,

Bob

LaBelle, MBA, ATC

Utilization Coordinator

Good Shepherd Penn Partners

Penn Therapy & Fitness

>

> Hi Mark,

>

> I agree with the previous responses but let's look at it from the

> perspective of what is best for the patient/client. Medicare has put up

> hurdles but if this client needs services, we need to jump the hurdles and

> get the patient/client the needed treatment. Here are some things to keep

> in mind.

>

>

>

> 1. Does the patient/client meet the definition of " homebound " ? If they do

> then they may qualify for home health PT instead.

>

>

>

> 2. If they do not qualify for homebound status and therefore do not qualify

> for home health PT, can the home health agency provide their own therapists

> to see the client. Many home health agencies will do this which is

> technically Part B services but they pay their therapists out of the Part A

> reimbursement.

>

>

>

> 3. If # 2 is not available, then you can contract with the home health

> agency, see the patient/client and get paid by the home health agency. As

> we have heard on this list many times, this is a risky venture with the

> possibility of not getting paid and even legal action needed to get paid.

> BUT is it the right thing to do to get the services to the client?

>

>

>

> 4. Finally, if all other options are exhausted and if no other entity can

> provide PT services, see the patient/client, bill it via Part B, get your

> denial and either 1) write it off as pro bono care, 2) work out an

> arrangement with the patient/client to pay for treatment (this should be

> pre-arranged and an ABN is required) or 3) appeal to Medicare. If you can

> demonstrate that you went through steps 1, 2 and 3 above and that there was

> no other way to get necessary treatment to the client, well you have a shot

> at winning an appeal.

>

>

>

> Ultimately it is about you or your clinic/agency opting for a plan to get

> the needed services to the client, even if it is advising others of what can

> be done.

>

>

>

> 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 Mark Niles

> Sent: Wednesday, January 26, 2011 6:20 AM

> To: PTManager

> Subject: home health and out pt PT

>

>

>

>

>

> Group,

>

> Would a pt getting only wound care from a HH nurse exclude him from getting

> out pt Pt for a different dx and body part? I am in Fl if that matters.

>

> Mark Niles PT, MS, CSCS

> Orthopedic Specialists PA

> mniles@... <mailto:mniles%40orthospecpa.net>

> 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%40yahoogroups.com>

> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

> Behalf

> Of Kovacek

> Sent: Wednesday, January 26, 2011 8:06 AM

> To: PTManager <mailto:PTManager%40yahoogroups.com>

> Subject: Now available on PTManager.com A Manager's Perspective:

> Part 11 OF 14 - Measurement of Outcome Information. Discussion Documents To

> Grow Your Management Skills

>

> Now available on PTManager.com

>

> A Manager's Perspective: Part 11 OF 14 - Measurement of Outcome Information.

> Discussion Documents To Grow Your Management Skills

> http://post.ly/1X8vK

>

> Kovacek, PT, MSA, DPT

> PKovacek@... <mailto:PKovacek%40PTManager.com>

> <mailto:PKovacek%40PTManager.com>

> Cell

> Personal Fax

>

> Twitter.com/PKovacek

> Facebook.com/.Kovacek

>

>

[Guest guest]

Here's the simplest way to think of this whole issue: If the patient is

receiving services under his/her Part A benefits (e.g., Hospital, Home

Health or Skilled Nursing), Medicare will not separately pay for therapy

services under the Part B benefit. The home health agency or SNF is

allowed to sub-contract to outpatient providers, but they really have no

incentive to do so.

If a patient is only getting unskilled services in the home (such as an

aide) that would not be covered under Part A.

In our outpatient department we always ask patients if they are getting

Home Health, but we still get 1 or 2 a year that slip past us.

Sometimes patients just don't understand the question.

Bob Perlson

Director, Rehabilitation

Rogue Valley Medical Center

Medford, Oregon

Now available on PTManager.com A Manager's

Perspective:

> Part 11 OF 14 - Measurement of Outcome Information. Discussion

> Documents To Grow Your Management Skills

>

> Now available on PTManager.com

>

> A Manager's Perspective: Part 11 OF 14 - Measurement of Outcome

Information.

> Discussion Documents To Grow Your Management Skills

> http://post.ly/1X8vK

>

> Kovacek, PT, MSA, DPT

> PKovacek@... <mailto:PKovacek%40PTManager.com>

> <mailto:PKovacek%40PTManager.com> Cell Personal Fax

>

>

> Twitter.com/PKovacek

> Facebook.com/.Kovacek

>

>

[Guest guest]

Here's the simplest way to think of this whole issue: If the patient is

receiving services under his/her Part A benefits (e.g., Hospital, Home

Health or Skilled Nursing), Medicare will not separately pay for therapy

services under the Part B benefit. The home health agency or SNF is

allowed to sub-contract to outpatient providers, but they really have no

incentive to do so.

If a patient is only getting unskilled services in the home (such as an

aide) that would not be covered under Part A.

In our outpatient department we always ask patients if they are getting

Home Health, but we still get 1 or 2 a year that slip past us.

Sometimes patients just don't understand the question.

Bob Perlson

Director, Rehabilitation

Rogue Valley Medical Center

Medford, Oregon

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[Guest guest]

I would love feedback from this group as to what we could do with a patient

we have seen since October, 2010, just found out today that she has been

receiving home health care from the VNA since November, yet we have billed

Medicare for 2 months of service.

What is our responsibility to find out about this home health service when

it started after our services started and the patient did not inform us?

Do I have any leg to stand on here?

Thanks for your help!

===================================

*Maureen Whitney*

*Business Manager*

Essex Physical Therapy

Essex Junction, VT

maureen@...