Part A covers inpatient hospitalizations, care in skilled nursing facilities, palliative care, and some home health care. Medicare pays for short-term home health care services, such as skilled nursing care, physical therapy and occupational therapy, if you can't leave your home and your doctor prescribes these services. Medicare home health care near West Palm Beach FL refers to medical services provided in a patient's home to treat injuries or illnesses. Ask the home health agency what services Medicare will pay for and which aren't covered, since some agencies may recommend services that Medicare doesn't cover. The costs and benefits may be different for beneficiaries enrolled in Medicare Advantage plans, so check with your plan to find out how they provide home care near West Palm Beach FL benefits covered by Medicare. This comprehensive guide will discuss everything you need to know about Medicare home health care coverage and its implications for physical therapy practices.
Before you start getting home health care, the home health agency must tell you how much Medicare will pay. You're generally not eligible for Medicare home health benefits if you need full-time skilled nursing care for an extended period of time. When your other home health care needs end, you can continue to receive occupational therapy covered by Medicare under the home health benefit if you need it. Medicare may also pay for some of the help at home to cover your daily needs for a short time after an illness or injury. However, you may be responsible for 20% of the amount approved by Medicare for durable medical equipment and the standard Part B deductible applies.
Understanding the complexities of Medicare home health care is critical for physical therapy professionals who want to provide the best care while ensuring that their patients receive the maximum benefits. Under Medicare Part B, you are eligible for home health care if you are homebound and need specialized care even if you haven't been hospitalized before. By virtue of this demonstration, your home health agency can submit to Medicare a request for a review prior to your application for coverage of home health services. Before providing you with any service or supply that Medicare doesn't cover, the home health care agency must send you an advance notice of lack of coverage (ABN) for the beneficiary, including the items or services that Medicare may not pay for, the estimated cost of those items and services, and the reasons why Medicare may not pay for them.
