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. | ||
| − | == | + | ==Care Coordinator== |
| − | * | + | |
| − | * | + | ==Community Health Worker== |
| − | * | + | |
| + | ==Community Services== | ||
| + | * Meals on Wheels | ||
| + | * Smoking Cessation Programs | ||
| + | * Alcohol Anonymous | ||
| + | |||
| + | ==Dietitians== | ||
| + | Registered dietitians | ||
| + | |||
| + | ==Delivery Services== | ||
==E Home Health Services== | ==E Home Health Services== | ||
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* Skilled Nursing | * Skilled Nursing | ||
| − | == | + | ==E Professional Services== |
| + | * Physician Consults | ||
| + | * Psychology or Psychiatric Consults | ||
| + | * Nurse Practitioner Consults | ||
| − | == | + | ==Equipment/Technology Support== |
| − | == | + | ==Financial Counseling== |
| − | + | ||
| − | == | + | ==Health Coach== |
| − | + | ||
| − | + | ||
| − | + | ||
| − | + | ||
| − | + | ||
| − | + | ||
| − | + | ||
| − | + | ||
| − | + | ||
| − | + | ||
==Legal Counseling== | ==Legal Counseling== | ||
| − | |||
| − | |||
==Patient Navigator== | ==Patient Navigator== | ||
| − | == | + | ==Pharmacy Services== |
| − | + | * Medication Reconciliation | |
| − | + | ||
==Remote Monitoring== | ==Remote Monitoring== | ||
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* Personal Emergency Response System (PERS) | * Personal Emergency Response System (PERS) | ||
| − | == | + | ==Social Worker== |
| − | == | + | ==TeleHealth Nursing== |
| − | == | + | ==Transportation== |
Revision as of 13:55, 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 Care Coordinator
- 2 Community Health Worker
- 3 Community Services
- 4 Dietitians
- 5 Delivery Services
- 6 E Home Health Services
- 7 E Professional Services
- 8 Equipment/Technology Support
- 9 Financial Counseling
- 10 Health Coach
- 11 Legal Counseling
- 12 Patient Navigator
- 13 Pharmacy Services
- 14 Remote Monitoring
- 15 Social Worker
- 16 TeleHealth Nursing
- 17 Transportation
Care Coordinator
Community Health Worker
Community Services
- Meals on Wheels
- Smoking Cessation Programs
- Alcohol Anonymous
Dietitians
Registered dietitians
Delivery Services
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
Health Coach
Legal Counseling
Pharmacy Services
- Medication Reconciliation
Remote Monitoring
- Phone Calls
- Interactive Voice Response System
- Personal Emergency Response System (PERS)
