Difference between revisions of "E Interventions"
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| − | [http://www.health3-0.com/reimbursement/healthcare-progress-depends-on-e-interventions/#sthash.u3CnPZD6.dpuf '''E Interventions'''] are patient recovery interventions that: | + | [http://www.health3-0.com/reimbursement/healthcare-progress-depends-on-e-interventions/#sthash.u3CnPZD6.dpuf '''E Interventions'''] are patient recovery interventions provided that: |
* receive no reimbursement from traditional health insurance | * receive no reimbursement from traditional health insurance | ||
* likely will improve patient outcomes and reduce overall cost | * likely will improve patient outcomes and reduce overall cost | ||
[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 (health plan) or Part D (medicines) reimbursement. Most health plans are based on Medicare fee schedules, so it is unlikely they will provide reimbursement either. Similar interventions may qualify for reimbursement (like home health), yet they comes with stipulations that may not suit the patient situation. It could mean a patient staying 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 (health plan) or Part D (medicines) reimbursement. Most health plans are based on Medicare fee schedules, so it is unlikely they will provide reimbursement either. Similar interventions may qualify for reimbursement (like home health), yet they comes with stipulations that may not suit the patient situation. It could mean a patient staying 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. | ||
Revision as of 14:35, 16 May 2014
E Interventions are patient recovery interventions provided that:
- 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 (health plan) or Part D (medicines) reimbursement. Most health plans are based on Medicare fee schedules, so it is unlikely they will provide reimbursement either. Similar interventions may qualify for reimbursement (like home health), yet they comes with stipulations that may not suit the patient situation. It could mean a patient staying 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.
