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Medicare Part A is basically the serious care side of Medicare coverage. It covers expenses associated with inpatient hospital stays, skilled nursing facilities, and some home health care. Medicare Part B covers approved outpatient physician services, outpatient hospital services, certain home health services, and durable medical supplies and equipment. Under both plans, Medicare reimburses providers based on its chart of allowed amounts--or the amount the federal government has deemed it considers fair and reasonable for a given service or item. The allowed amounts are derived based on national averages. You are responsible for the co-pay, which is the difference between the allowed amount and what Medicare actually ends up paying your provider, which is a percentage of the allowed amount.
Very nice succinct explanation.
I'm a Florida licensed clinical social worker who works with the elderly. Could you give me a reason that as a social worker I can only see medicare B residents, rather than both. There is nothing a psychologist can do besides testing that a social worker can't do. I don't see to many 90 year olds having an IQ test or a personality test.
Back some years ago I did see nursing home residents. If you want to save money, the LCSW is the most marketable and used mental health provider in the United States.
If you could just provide a logical decision for these mandates I'd really appreciate it. Is there change on the horizon so I can see everyone in the building from assisted living to nursing home care?
Kathleen Mench, LCSW (since 1997) but practicing sicne 1993.