Is Visiting Angels Covered by Medicare?
1. Introduction However, if this care is not directly tied to skilled care for acute or chronic conditions, Medicare’s benefits are very limited. This is where there is often a great deal of confusion for Medicare beneficiaries. Many think that all homecare is covered by their benefits. However, it’s important to distinguish traditional home health […]
Coverage of Taltz by Medicare Part B
1. Introduction The Taltz signaling cytokine involved in the pathogenesis of psoriatic arthritis and psoriasis. The PSUMMIT trial had 2/3 of patients weigh under 100kg, with the remaining patients having a dose of 120mg Taltz IV at weeks 0-4, then every 2 weeks to week 24, with or without MTX and placebo group. High bone […]
Medicare Coverage for Gentle Cures
1. Introduction Kidney failure should be considered a pandemic. Worldwide, over 1,000,000,000 people have reduced kidney function. In the United States, it is estimated that about 5,300,000 are receiving some type of treatment for kidney failure. 2010 USRDS data from 2010 states that 368,000 receive hemodialysis treatment. Approximately 200,000 have a functioning kidney transplant. A […]
Medicare Coverage for Pluvicto
1. Introduction Medicare was established in 1965 as a social insurance program for seniors and disabled citizens. It has markedly improved the access of the elderly to healthcare. Prior to Medicare, approximately 65 percent of those over 65 had health insurance, with coverage often unavailable or unaffordable to the oldest and poorest individuals. The uninsured […]
Osteostrong and Medicare Coverage
1. Introduction Osteoporosis is a disease that causes bones to become thin and weak, usually resulting in fractures after minimal trauma. Fractures caused by osteoporosis can be a serious health issue; this is because most of these fractures occur in the spine or hips. A hip fracture usually requires hospitalization, may be a long-term disability, […]
Is Medicare coverage available for gentle cures?
1. Introduction Is Medicare coverage available for gentle cures? The manner in which the Social Security Act defines what Medicare will consider for payment is relatively consistent with this definition. However, the AMA goes on to say that “the volume and level of physician services should be consistent with the legitimate purposes of establishing a […]
Is comfort keepers covered by Medicare?
1. Overview Unfortunately, the vast majority of Comfort Keepers’ services are of a private duty nature. This means that there is little to no Medicare coverage for these services. The services that Comfort Keepers provide could best be categorized under a long-term care service called custodial care. In order for any type of custodial care […]
Female External Catheters Covered by Medicare
1. Introduction As of the present date, the Health Care Common Procedure Coding System (HCPCS) has approved multiple female external urinary management devices for coverage by Medicare. The approved codes are listed in Table 1. Only a couple of these devices are regularly utilized and prescribed by physicians, in part due to lack of knowledge […]
Female External Catheters Covered by Medicare
1. Introduction Medicare is a federal insurance program that provides coverage to elderly persons and other specific groups of persons specified in the 1972 Social Security amendments. Title XVIII of these amendments established Medicare to provide medical insurance for persons aged 65 or older and for certain younger persons with disabilities and to persons with […]
Are mattresses covered by Medicare?
1. Introduction From the Medicare website, durable medical equipment is defined as “medical equipment that your doctor prescribes for use in the home.” This includes hospital beds or patient lifts if a person has a medical condition requiring positioning of the body in ways not feasible with an ordinary bed. Medicare will cover a medically […]
