Difference between revisions of "E Interventions"

From PatientRecovery
Jump to: navigation, search
Line 6: Line 6:
  
 
==Care Coordination==
 
==Care Coordination==
 +
* Patient Navigator
  
 
==Caregiver Services==
 
==Caregiver Services==
Line 35: Line 36:
 
==Financial Counseling==
 
==Financial Counseling==
  
==Health Coach==
+
==Education & Goal Support==
 +
* Health Coaching
 +
* Health Apps
 +
* Health Education Services
  
 
==Home Services==
 
==Home Services==
Line 44: Line 48:
  
 
==Legal Counseling==
 
==Legal Counseling==
 
==Patient Navigator==
 
  
 
==Pharmacy Services==
 
==Pharmacy Services==
Line 57: Line 59:
 
==Social Worker==
 
==Social Worker==
  
==TeleHealth Nursing==
+
==TeleHealth==
  
 
==Transportation==
 
==Transportation==

Revision as of 14:25, 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.

Care Coordination

  • Patient Navigator

Caregiver Services

Community Health Worker

Community Services

  • Meals on Wheels
  • Smoking Cessation Programs
  • Alcohol Anonymous

Dietitians

Registered dietitians

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

E Professional Services

  • Physician Consults
  • Psychology or Psychiatric Consults
  • Nurse Practitioner Consults

Equipment/Technology Support

Financial Counseling

Education & Goal Support

  • Health Coaching
  • Health Apps
  • Health Education Services

Home Services

  • Cleaning Services
  • Delivery Services
  • Home Maintenence
  • Renovations & Repairs

Legal Counseling

Pharmacy Services

  • Medication Reconciliation

Remote Monitoring

  • Phone Calls
  • Interactive Voice Response System
  • Personal Emergency Response System (PERS)

Social Worker

TeleHealth

Transportation