I just hired a billing company because the detail of billing was driving me nuts. They haven't put through the first batch yet, so I'm not sure how much better I will like it. I can tell you that I already like not staying up late worrying about billing when I am already tired from the day. I am my own LLC, and everything is billed through my Medicare provider number. (or Medicaid or often SS# for private insurance).
Since I am doing only wheelchairs and seating and not billing for ongoing therapy, it is a different ball game than pure home health. The biggest thing for me is making sure that the patient is not receiving home health services paid for by Medicare because, if they are, I cannot bill separately for my services. Hope that makes sense, Mary Alice On Nov 20, 2007, at 10:16 AM, Gregory Stelmach wrote: > 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 >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/[email protected] >> >> ********************************************************************* >> * >> **************** >> Enroll in Boston University's post-professional Master of Science >> for OTs Online. Gain the skills and credentials to propel your >> career. >> www.otdegree.com/otn >> ********************************************************************* >> * >> **************** > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > ********************************************************************** > **************** > Enroll in Boston University's post-professional Master of Science > for OTs Online. Gain the skills and credentials to propel your career. > www.otdegree.com/otn > ********************************************************************** > **************** > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > ********************************************************************** > **************** > Enroll in Boston University's post-professional Master of Science > for OTs Online. Gain the skills and credentials to propel your career. > www.otdegree.com/otn > ********************************************************************** > **************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
