Difference between revisions of "E Interventions"

Revision as of 14:23, 12 June 2014

E Interventions are patient recovery interventions which:

• receive no reimbursement from traditional health insurance
• likely will improve patient outcomes and reduce overall cost

Medicare Part E are patient services that don’t qualify for Medicare Part A (hospital), Part B (physician), Part C (Medicare Advantage) or Part D (medicines) reimbursement. Most health plans are based on Medicare fee schedules, so it is unlikely they will provide reimbursement either. 'E Clinical Interventions' may be delivered exactly the same way as clinical interventions that get reimbursed (like home health), yet they come with stipulations that may not suit the patient's situation. It could mean a patient that only needs 2 nights in a hospital, would need to stay a 3rd night to qualify for Medicare (or other health plan) reimbursement for home health services. It could be telemedicine that is only reimbursed if the patient is in qualified physician office communicating to physician in a qualified physician office, thus no reimbursement for telemedicine into the home.

E Clinical

E Skilled Nursing & Therapy

These are therapy services that are delivered and reimbursed by Medicare and other health plans in the Hospital, Outpatient Facility, Skilled Nursing Facility, Home Health and Physician Offices.

• Occupational Therapy
• Physical Therapy
• Speech-language Pathology

E Home Health

These are home health services that are delivered and reimbursed by Medicare and other health plans in the Hospital, Outpatient Facility, Skilled Nursing Facility, Home Health and Physician Offices.

• Occupational Therapy
• Physical Therapy
• Speech-language Pathology