I'm really excited to announce the launch of omaslist. Omaslist is a directory of businesses and service providers for senior citizens, but it's more than just a directory. On omaslist, you can see which companies other senior-serving professionals like and rank the highest. I'd love it if you would visit this site and provide feedback.
Monday, October 5, 2020
Saturday, September 19, 2020
In this Mastering Medicare episode we do a deep dive into Hospice with our guest, Cathy Gurson.
She teaches us everything we ever wanted to know about Hospice. Here are some of the topics we cover:How do people get referred to hospice
Hospice is covered 100% by Medicare part A
What does hospice cover
How to get Part B medical care covered while under hospice
Hospice reimbursement model
Hospice per diem
Three levels of hospice care
Pier diem changes at the higher levels of care
For profit vs non-profit hospice
Hospice certificate of need requirements
What questions you should ask about when interviewing a hospice
CHAP certification for hospice
Transitioning - what does transitioning mean in the context of hospice?
How to know when a hospice patient is dying
Does hospice pay for food and nutrition
Tube feeding hospice patients
Measuring mean arm circumference (MAC) as a measure of nutritional decline
Who is making the hospice recertification?
Hospice patient’s relationships with their their PCP and hospice medical director
DNR status and resuscitating hospice patients
Most common reasons somebody leaves hospice status
What is the role of PCPs for patients in hospice status
What a PCP can bill for care plan oversight for a hospice patient
Retroactive hospice status changes
What happens if you don’t requalify for hospice recertification?
Graduating from hospice
Video version: https://youtu.be/qat1HZicdrA
Tuesday, March 10, 2020
What is Part D Medicare
Opt in Part D
Premium calculation for Medicare Part D
What is the Medicare Donut Hole?
Medicare Part D Donut Hole
4 stages of Part D
Part D deductible stage: first $435
Part D initial coverage stage: first $4,020, up to 25% of cost of medication
Tiers of medications in Part D
Part D tier 1 medications
Part D stage 3: donut hole, 25% patient responsibility
Part D stage 4: catastrophic stage, copay
Friday, March 6, 2020
- What is Medicare Part B
- What services are included in Part B
- Professional services
- Part B Physical Therapy
- Part B Outpatient Labs
- Part B Outpatient Radiology
- Does Medicare pay for DME
- When does Medicare pay for 911
- Medicare Part B is opt in
- How much does Medicare Part B cost
- Medicare Part B monthly premium
- Medicare covers part only 80%
- Medicare secondary insurance / Medigap / supplemental
- Part A vs Part B Physical Therapy
- Cost sharing for radiology
- Cost sharing for lab tests under Medicare
- Medicare limits on lab tests
- How do you order DME, wheelchair, hospital bed in a patient's home
- 13 month lease to own DME
- Same and similar DME
- Parachute same and similar DME
Monday, March 2, 2020
Thus far, the first episode is an introduction to Medicare.
Second episode teaches everything you want to know about Medicare Part A.
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