Re: [QUAD-L] Dave - Medicare & You 2005

2005-06-08 Thread David K. Kelmer
Hi Lori,   You're right.  Medicare pays 100% of the APPROVED AMOUNT.  The home health agency can, and in my case does, bill Medicare more than the APPROVED AMOUNT.  They will only receive 80% of the BILLED AMOUNT -- which is 100% of the Medicare APPROVED AMOUNT.  I am not responsible for the diffe

Re: [QUAD-L] Dave - Medicare & You 2005

2005-06-07 Thread Lori Michaelson
Dave K. wrote:   "Actually the ''they'' is MEDICARE.  My HHA submits a bill to MEDICARE for the visit ($100) and supplies (depends on what I've received) and the MEDICARE pays their APPROVED AMOUNT (75% I believe)."   Unlike Dr visits, lab tests, etc (which Medicare pays only 80% of the cost

Re: [QUAD-L] Dave - Medicare & You 2005

2005-06-06 Thread David K. Kelmer
  Lori Michaelson <[EMAIL PROTECTED]> wrote: The "they" you refer to below should be your physician.  Ultimately it's Dr's orders FOR *what* MEDICARE pays and for them TO pay.   Lori  :-)   ---Original Message---   From: David K. Kelmer Date: 06/06/05 14:42:40 T

Re: [QUAD-L] Dave - Medicare & You 2005

2005-06-06 Thread Lori Michaelson
The "they" you refer to below should be your physician.  Ultimately it's Dr's orders FOR *what* MEDICARE pays and for them TO pay.   Lori  :-)   ---Original Message---   From: David K. Kelmer Date: 06/06/05 14:42:40 To: Lori Michaelson; Quad Subject: Re: [QUA

Re: [QUAD-L] Dave - Medicare & You 2005

2005-06-06 Thread David K. Kelmer
Hi Lori,   I'm waiting for my 2005 handbook hard-copy, but I've looked through the on-line version and have only found this.   Home Health Care: Limited to reasonable and necessary part-time or intermittent skilled nursing care and home health aide services as well as physical therapy, occupationa

[QUAD-L] Dave - Medicare & You 2005

2005-06-04 Thread Lori Michaelson
The new "Medicare & You 2005" handbook is now online in pdf format at http://www.hgsa.com/bene/moreinfo.shtml   Dave, I looked last night for my 2003 or 04 one but couldn't find it.  I'll look through the online one but you do so as well.  I will be on the phone alot catching up with family i