Is it easy to bill Medicare part B for therapy services?  Do you have your own 
LLC or bill it through your own Medicare provider number?  Is it worth getting 
into?

Mary Alice Cafiero <[EMAIL PROTECTED]> wrote:  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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