Bill,
I am in the same area that you are and am not currently reimbursed  
for mileage. I am an independent contractor and do evaluations for  
clients in their homes. I used to get paid by the wheelchair vendor  
for the evaluation and mileage (.36/mile). With all the Medicare  
changes, I no longer invoice the w/c vendors but bill the patient's  
insurance (Medicare, Medicaid, or private) myself. Mileage is not  
reimbursed per patient or per week.

The difference now is that I can use mileage as a tax deduction at  
the end of the year. It doesn't help as much when I get my checks or  
put gas in my car, but it will help out in the end. I also drive  
about as many miles as you do, but that is by choice since I could  
turn down the referrals if I wanted to.

I know that my situation is not exactly like yours but thought I'd  
weigh in anyhow.
Mary Alice
On Nov 20, 2007, at 8:57 AM, Bill Maloney wrote:

> If there are any readers out there who practice home health, I'd  
> truly appreciate it if you could spend a moment responding to this  
> message.  I am working for a for-profit agency.  As such, the owner  
> will not turn down any referrals (esp. medicare....ethics  
> questions, but not in this message), irrespective of the distance  
> that clinicians have to commute to cover them.
>
> I am reimbursed .36/mile (used to work for an agency that  
> reimbursed current IRS allowable (.48.5/mile so got spoiled) and on  
> average travel 350 to 600 miles a week.  My biweekly "quota" or  
> productivity expectation is 64 units/points (an evaluation visit  
> counts as 1.5, a regular revisit counts as 1, and a discharge OASIS  
> counts as 1.5; meetings are counted as points/units for time).
>
> Questions:  Are there any of you who travel more?  Are any of you  
> either not reimbursed for mileage at all, or reimbursed at a lower  
> rate?  Are there any of you who have higher "quotas?"
>
> Again, thanks for your time.  If you'd prefer to respond directly  
> to my e-mail (although others would miss the benefit or your  
> responses) feel free to do that as well:  [EMAIL PROTECTED]
>
> Bill Maloney, OTR
> Dallas, TX
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