SNF Help
Jake Wood, CP
Description
Collection
Title:
SNF Help
Creator:
Jake Wood, CP
Text:
ABC Practitioners,
If anyone can give me some help, I would greatly appreciate experienced
advice.
My new patient was residing at an assistive living status which meant I could
bill under Part B. The patient has reasonable secondary coverage after
Medicare.
My patient signed an agreement, in which I could bill under part B, with me
not accepting assignment. The patient has a contractual agreement with me.
The insurance coverage is between the patient and the health insurance
company.
Two days before my patient is to have his preparatory delivered, he is back
in the hospital(the prosthesis is finished). The family is trying to arrange
residence at a Skilled Nursing Facility (SNF). Which is without any question
the right place if the patient needs that level of care.
The hospital may not want to provide a purchase order (the hospital pays me),
which is required by Medicare Law if I provide the prosthesis while he is in
the hospital. Medicare also requires I obtain a purchase order from the SNF.
So, when the patient resides at a SNF and the SNF wants to pay me 10 cents on
the dollar. Is my only option to send my bill to collection? The patient has
a contractual agreement with me. And if I get paid after collections, I still
cannot provide the prosthesis to the patient (while they reside in the SNF)
do to Medicare Law.
One option is to deliver the prosthesis in the parking lot, after he leaves
the hospital on his way to the SNF. You may laugh or find this disgusting,
but I believe it is legal. By the way I won't stoop that low.
I had another patient recently, in which the SNF wanted me to provide a
direct formed preparatory prosthesis (CHEEPER) . By now the SNF has found
another provider to give poor care to this patient. I also expect this
patient, later, to come to me for a preparatory that works and or a
definitive. The prosthesis that the SNF wanted me to provide; I stopped that
level of poor care 15 years ago. I almost consider that level of care
malpractice. I consider my highest responsibility is to the patient. I
consider this medical system horrific. I also believe the worst is about to
come.
I actually am looking for constructive suggestions so I can provide excellent
care to all my patients. I am discussed with the fact that no one cares about
quality prosthetic care from qualified practitioners. I know that not all ABC
practitioners are great, but let me tell you, your chances of being fit
correctly by an ABC practitioner is much greater.
Sincerely,
Jake R. Wood C. P.
If anyone can give me some help, I would greatly appreciate experienced
advice.
My new patient was residing at an assistive living status which meant I could
bill under Part B. The patient has reasonable secondary coverage after
Medicare.
My patient signed an agreement, in which I could bill under part B, with me
not accepting assignment. The patient has a contractual agreement with me.
The insurance coverage is between the patient and the health insurance
company.
Two days before my patient is to have his preparatory delivered, he is back
in the hospital(the prosthesis is finished). The family is trying to arrange
residence at a Skilled Nursing Facility (SNF). Which is without any question
the right place if the patient needs that level of care.
The hospital may not want to provide a purchase order (the hospital pays me),
which is required by Medicare Law if I provide the prosthesis while he is in
the hospital. Medicare also requires I obtain a purchase order from the SNF.
So, when the patient resides at a SNF and the SNF wants to pay me 10 cents on
the dollar. Is my only option to send my bill to collection? The patient has
a contractual agreement with me. And if I get paid after collections, I still
cannot provide the prosthesis to the patient (while they reside in the SNF)
do to Medicare Law.
One option is to deliver the prosthesis in the parking lot, after he leaves
the hospital on his way to the SNF. You may laugh or find this disgusting,
but I believe it is legal. By the way I won't stoop that low.
I had another patient recently, in which the SNF wanted me to provide a
direct formed preparatory prosthesis (CHEEPER) . By now the SNF has found
another provider to give poor care to this patient. I also expect this
patient, later, to come to me for a preparatory that works and or a
definitive. The prosthesis that the SNF wanted me to provide; I stopped that
level of poor care 15 years ago. I almost consider that level of care
malpractice. I consider my highest responsibility is to the patient. I
consider this medical system horrific. I also believe the worst is about to
come.
I actually am looking for constructive suggestions so I can provide excellent
care to all my patients. I am discussed with the fact that no one cares about
quality prosthetic care from qualified practitioners. I know that not all ABC
practitioners are great, but let me tell you, your chances of being fit
correctly by an ABC practitioner is much greater.
Sincerely,
Jake R. Wood C. P.
Citation
Jake Wood, CP, “SNF Help,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/211668.
