Medicare/Nursing Homes/private pay

Medicare/Nursing Homes/private pay

Michael P Madden

2/20/2002

I am passing along a question for a colleague who is not on the list,
looking for clarification on two issue's:

#1 He has a patient in a nursing home who needs orthotic care. The
patient is in the Part A stay and the nursing home has refused (though
they will not use that word) to issue a PO or pay for the item that is
being requested. If this is the case can he bill the family, if they are
willing to pay. He was under the impression the nursing home could not
refuse, He is also concerned about offending the staff and losing the
referral source by pushing the issue?

any clarification would be appreciated...

#2 He was also looking for the specific Medicare regulation that states
that the DOS and delivery dates must be the same on custom O&P.

will pass responses along, and post the same.

Thanks in advance,

Mike M.
________________________________________________________________
GET INTERNET ACCESS FROM JUNO!
Juno offers FREE or PREMIUM Internet access for less!
Join Juno today! For your FREE software, visit:
<URL Redacted>.