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Subject:
home health care billing question
Category: Health Asked by: sealsly-ga List Price: $25.00 |
Posted:
10 Sep 2006 18:27 PDT
Expires: 10 Oct 2006 18:27 PDT Question ID: 764003 |
I am a home health care provider residing in the state of Florida. I do care giving for elderly, physically disabled and mentally challenged individuals. I work as an independant contractor (home health aid) for a nurses registry. I would like to quit working for the agency because they are taking too much money out of my pay. I would like to take on my own clients and work directly for my own clients. Several of my clients have long-term care policies which the agency bills for sevices that I perform (ADL's). When I quit the agency and take on my own clients then how would I, as I private individual go about billing the long term care insurance for sevices that I perform? I know one does not need to be an agency to do this because I also am an independant medicaid waiver provider. I have a billing number to bill medicaid eligable clients and can do that without the agency. Now I need to know how to bill the long term care insurance policies also. Please be as specific as possible. Thank you very much. |
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There is no answer at this time. |
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Subject:
Re: home health care billing question
From: butrosghali-ga on 12 Sep 2006 16:17 PDT |
I work for an insurance company in the Long Term Care department. Unfortunately in this situation there is not much you can do. While the government will accept your medicare waiver number, insurance companies tend to be a bit more stingy. They are currently accepting the registry because it is considered a licensed provider within the state of Florida. The only state that an individual can be considered for payment under LTC benefits is California. There are some other options though. Many who have LTC benefits have riders that will allow anyone, family members or otherwise to provide the care. If someone has this rider attached to their policy the insurance company would still be required to pay. Most insurance companies only require one hour of service from a licensed provider to pay benefits for a day--if you could find someone who recieves that one hour and needs more care at a lower cost that could also be a workable situation. Unfortunately there are not a lot of options in this situation. If I were you I'd look into how many need to be on staff and what the requirements are to become a licensed provider. I hope this has been helpful and I wish you the best of luck. |
Subject:
Re: home health care billing question
From: sealsly-ga on 13 Sep 2006 19:51 PDT |
Thank you very much for taking the time to give me this info. I appreciate it and I will look into it further. |
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