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Medicare Advantage plans may have different deductibles, require members to use physical therapy services from their networks and/or conduct more frequent audits or reviews to minimize costs and ...
The care must be either skilled nursing, physical therapy, speech-language pathology or continued occupational therapy services as well as medical social services, durable medical equipment (like ...
Medical care provided by hospital at home can include IV antibiotics and infusions, EKGs, blood pressure monitoring, x-rays, and respiratory or oxygen therapy. Typically, to qualify for hospital ...
Home health care is medical in nature and is provided by licensed, skilled healthcare professionals. Home health care providers deliver services in the client's own home. Professional home health services may include medical or psychological assessment, wound care, pain management, disease education and management, physical therapy, speech ...
Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity. The term "referral ...
For 2014, the therapy cap amount is $1920 for physical therapy and speech pathology combined. A separate $1920 is allowed for occupational therapy services. Beneficiaries enrolled in Medicare Advantage plans are not subject to the therapy cap unless the plan chooses to apply the cap. [2]
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