Medicare Homebound Rules: What to Ask Before Counting on Home Health
“Homebound” does not mean a Medicare beneficiary is forbidden from leaving the house.
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Durable Medical Equipment After Rehab: Rental, Ownership, and Coverage Questions
Durable medical equipment used during a rehab stay and equipment needed after discharge are not always billed the same way.
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Medicare Part B Therapy While Living in a Nursing Home: Questions to Ask
A resident can live in a nursing home long-term without being in a Medicare Part A-covered skilled nursing stay.
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Who Pays for Prescription Medicines During a Skilled Nursing Stay?
Who pays for medicine in a nursing home depends heavily on why the resident is there and which Medicare benefit is paying for the stay .
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An Explanation of Benefits Says You May Owe Money: Is It a Bill?
An Explanation of Benefits (EOB) is usually a statement from a Medicare Advantage or other health plan describing claims and costs.
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How to Read a Medicare Summary Notice After a Rehab Stay
A Medicare Summary Notice (MSN) is not a bill .
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What to Ask About Prior Authorization Before a Skilled Nursing Admission
A skilled nursing facility can accept a patient clinically while the Medicare Advantage plan is still deciding whether it will authorize coverage.
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The Nursing Home Is In Network, but the Visiting Clinician Is Not: What to Ask
A nursing home can be in network for a Medicare Advantage plan while a clinician or outside service connected to the stay has different network status.
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How to Verify a Nursing Home Is In Network for Your Exact Medicare Advantage Plan
A nursing home saying “we take Medicare Advantage” is not enough.
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SNF Advance Beneficiary Notice vs Non-Coverage Notice: Which Did You Receive?
Two Medicare notices used in skilled nursing can look like “Medicare won’t pay,” but they do different jobs.
