Mastering Medicare

In this Mastering Medicare episode, Dr. Amy Schiffman and Dr. Alex Mohseni do a moderate dive into Medicare Part D. We discuss the following topics: What is Part D Medicare Opt in Part D Premium calculation for Medicare Part D What is the Medicare Donut Hole? Medicare Part D Donut Hole 4 stages of Part D Part D deductible stage: first $435 Part D initial coverage stage: first $4,020, up to 25% of cost of medication Tiers of medications in Part D Part D tier 1 medications Part D stage 3: donut hole, 25% patient responsibility Part D stage 4: catastrophic stage, copay Visit Mastering Medicare at MasteringMedicare.NET (https://www.masteringmedicare.net/)

Physicians and other senior-serving professionals trying to operate within the complicated Medicare ecosystem must be constantly learning, as the landscape, rules, tools, and vendors are in constant flux. We interview eldercare and Medicare industry experts, do deep dives into their companies, services, and experiences, and share their stories and insights with you. Here are some of the topics that we cover: What is Medicare Part B What services are included in Part B Professional services Part B Physical Therapy Part B Outpatient Labs Part B Outpatient Radiology Does Medicare pay for DME When does Medicare pay for 911 Medicare Part B is opt in How much does Medicare Part B cost Medicare Part B monthly premium Medicare covers part only 80% Medicare secondary insurance / Medigap / supplemental Part A vs Part B Physical Therapy Cost sharing for radiology Cost sharing for lab tests under Medicare Medicare limits on lab tests DME How do you order DME, wheelchair, hospital bed in a patient's home 13 month lease to own DME Same and similar DME Parachute same and similar DME

Physicians and other senior-serving professionals trying to operate within the complicated Medicare ecosystem must be constantly learning, as the landscape, rules, tools, and vendors are in constant flux. We interview eldercare and Medicare industry experts, do deep dives into their companies, services, and experiences, and share their stories and insights with you. In this Mastering Medicare episode, we cover: How you qualify for Medicare Qualifying for Medicare via ALS Qualifying for Medicare via ESRD on dialysis Qualifying for Medicare via SSDI disability Medicare and VA insurance History of Medicare Inpatient hospitalization Rehab aka SNF aka nursing home Home health Hospice Medicare copays and cost sharing for hospitalization Medicare part A annual deductible Medicare cost sharing with rehab SNF Medicare part A home health What is Home health? Home health 485 form What is skilled nursing? What does part A PT/OT do? Copay for part A PT OT Home health "taxing effort" Certification of being homebound home health Certification periods for home health Recertification of medicare part A home health Home health aides Home health 45 minutes twice per week Will Medicare pay for wound care supplies? Medicare hospice What is hospice Will Medicare pay for hospice Qualifying for hospice Hospice certification periods What does hospice cover and pay for Hospice payment model Who pays for a hospice patient if they go to the ER? Hospice is a risk bearing entity Hospice certification and recertification periods What does it mean to be admitted to a hospital

Physicians and other senior-serving professionals trying to operate within the complicated Medicare ecosystem must be constantly learning, as the landscape, rules, tools, and vendors are in constant flux. We interview eldercare and Medicare industry experts, do deep dives into their companies, services, and experiences, and share their stories and insights with you. Brought to you by two passionate but critical physicians who broke away from the conventional career paths of their specialty. In this episode we cover: Dr. Amy Schiffman and Dr. Alex Mohseni introduce themselves Medicare overview Part A overview, including cost sharing Part A: Hospital, Rehab, Home Health, Hospice Part B overview Part B 80/20 split, Medigap / supplemental Part D Inpatient vs outpatient medications Inpatient vs outpatient status Observation status Part C - Medicare Advantage Join our Subscriber List to get your copy of our Medicare Cheat Sheet https://www.masteringmedicare.net/subscribe