Question

Do Medicare Advantage (MA) plans pay for outpatient therapy and home health (not an outpatient home visit) concurrently?

Answer

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Question

If a Medicare Advantage (MA) plan is an HMO and we are enrolled with traditional Medicare, is the MA plan required to allow Medicare enrolled providers to treat their clients and pay for those therapy services?

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Question

If I am not in-network (not enrolled) with a Medicare Advantage (MA) plan, can I charge the patient my cash rate and just provide them with a bill or invoice that they can then submit to the MA plan and obtain whatever reimbursement the MA plan will reimburse them?

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Question

Does traditional Medicare’s “8-minute rule” automatically apply to all Medicare Advantage plans?

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Question

Do the traditional Medicare supervision requirements of therapy students also apply to Medicare Advantage plans and their respective beneficiaries?

Answer

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Question

I know traditional Medicare requires a dated signature of the physician or nonphysician practitioner (NPP) whom the Medicare beneficiary is under their care while receiving outpatient physical, occupational and/or speech therapy services. Does this same requirement apply to Medicare Advantage plans whose beneficiaries are receiving outpatient physical, occupational and/or speech therapy services?

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Question

Must Medicare Advantage plans cover maintenance therapy in the same manner that traditional Medicare covers maintenance therapy?

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Question

Does the annual therapy threshold that applies to traditional Medicare beneficiaries also automatically apply to all Medicare Advantage plans and their beneficiaries?

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Question

Does the 10th visit Progress Report that applies to traditional Medicare patients also apply to all Medicare Advantage plans and their respective beneficiaries?

Answer

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