Difference between revisions of "E Interventions"
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[http://www.health3-0.com/reimbursement/ready-for-medicare-part-e/ '''Medicare Part E'''] are patient services that don’t qualify for Medicare Part A (hospital), Part B (physician), Part C (Medicare Advantage) or Part D (medicines) reimbursement. Most health plans are based on Medicare fee schedules, so it is unlikely they will provide reimbursement either. 'E Clinical Interventions' may be delivered exactly the same way as clinical interventions that get reimbursed (like home health), yet they come with stipulations that may not suit the patient's situation. It could mean a patient that only needs 2 nights in a hospital, would need to stay a 3rd night to qualify for Medicare (or other health plan) reimbursement for home health services. It could be telemedicine that is only reimbursed if the patient is in qualified physician office communicating to physician in a qualified physician office, thus no reimbursement for telemedicine into the home. | [http://www.health3-0.com/reimbursement/ready-for-medicare-part-e/ '''Medicare Part E'''] are patient services that don’t qualify for Medicare Part A (hospital), Part B (physician), Part C (Medicare Advantage) or Part D (medicines) reimbursement. Most health plans are based on Medicare fee schedules, so it is unlikely they will provide reimbursement either. 'E Clinical Interventions' may be delivered exactly the same way as clinical interventions that get reimbursed (like home health), yet they come with stipulations that may not suit the patient's situation. It could mean a patient that only needs 2 nights in a hospital, would need to stay a 3rd night to qualify for Medicare (or other health plan) reimbursement for home health services. It could be telemedicine that is only reimbursed if the patient is in qualified physician office communicating to physician in a qualified physician office, thus no reimbursement for telemedicine into the home. | ||
| − | ==E Physician | + | ==E Physician Services== |
| + | * Physician Consults | ||
| + | * Psychology or Psychiatric Consults | ||
| + | * Nurse Practitioner Consults | ||
| − | ==E | + | ==E Home Health Services== |
| − | These are | + | These are home health services that are delivered and reimbursed by Medicare and other health plans. They are "e home health' in the Hospital, Outpatient Facility, Skilled Nursing Facility, Home Health and Physician Offices. |
* Occupational Therapy | * Occupational Therapy | ||
* Physical Therapy | * Physical Therapy | ||
* Speech-language Pathology | * Speech-language Pathology | ||
| + | * Skilled Nursing | ||
| − | == | + | ==Health Coach== |
| − | + | ||
| − | * | + | ==Social Worker== |
| − | * | + | |
| − | * | + | ==Dietitians== |
| + | Registered dietitians | ||
| + | |||
| + | ==TeleHealth Nursing== | ||
| + | |||
| + | ==Community Services== | ||
| + | * Meals on Wheels | ||
| + | * Smoking Cessation Programs | ||
| + | * Alcohol Anonymous | ||
| + | |||
| + | |||
| + | ==Community Health Worker== | ||
| + | |||
| + | ==Care Coordinator== | ||
| + | |||
| + | ==Legal Counseling== | ||
| + | |||
| + | ==Financial Counseling== | ||
| + | |||
| + | ==Patient Navigator== | ||
| + | |||
| + | ==Social Worker== | ||
| + | |||
| + | ==Medication Reconciliation== | ||
| + | |||
| + | ==Remote Monitoring== | ||
| + | * Phone Calls | ||
| + | * Interactive Voice Response System | ||
| + | * Personal Emergency Response System (PERS) | ||
| + | |||
| + | ==Equipment/Technology Support== | ||
| + | |||
| + | ==Transportation== | ||
| + | |||
| + | ==Delivery Services== | ||
Revision as of 13:50, 12 June 2014
E Interventions are patient recovery interventions which:
- receive no reimbursement from traditional health insurance
- likely will improve patient outcomes and reduce overall cost
Medicare Part E are patient services that don’t qualify for Medicare Part A (hospital), Part B (physician), Part C (Medicare Advantage) or Part D (medicines) reimbursement. Most health plans are based on Medicare fee schedules, so it is unlikely they will provide reimbursement either. 'E Clinical Interventions' may be delivered exactly the same way as clinical interventions that get reimbursed (like home health), yet they come with stipulations that may not suit the patient's situation. It could mean a patient that only needs 2 nights in a hospital, would need to stay a 3rd night to qualify for Medicare (or other health plan) reimbursement for home health services. It could be telemedicine that is only reimbursed if the patient is in qualified physician office communicating to physician in a qualified physician office, thus no reimbursement for telemedicine into the home.
Contents
- 1 E Physician Services
- 2 E Home Health Services
- 3 Health Coach
- 4 Social Worker
- 5 Dietitians
- 6 TeleHealth Nursing
- 7 Community Services
- 8 Community Health Worker
- 9 Care Coordinator
- 10 Legal Counseling
- 11 Financial Counseling
- 12 Patient Navigator
- 13 Social Worker
- 14 Medication Reconciliation
- 15 Remote Monitoring
- 16 Equipment/Technology Support
- 17 Transportation
- 18 Delivery Services
E Physician Services
- Physician Consults
- Psychology or Psychiatric Consults
- Nurse Practitioner Consults
E Home Health Services
These are home health services that are delivered and reimbursed by Medicare and other health plans. They are "e home health' in the Hospital, Outpatient Facility, Skilled Nursing Facility, Home Health and Physician Offices.
- Occupational Therapy
- Physical Therapy
- Speech-language Pathology
- Skilled Nursing
Health Coach
Social Worker
Dietitians
Registered dietitians
TeleHealth Nursing
Community Services
- Meals on Wheels
- Smoking Cessation Programs
- Alcohol Anonymous
Community Health Worker
Care Coordinator
Legal Counseling
Financial Counseling
Social Worker
Medication Reconciliation
Remote Monitoring
- Phone Calls
- Interactive Voice Response System
- Personal Emergency Response System (PERS)
