tag:blogger.com,1999:blog-79861699919631405.post3445187883568539313..comments2023-04-27T07:10:29.869-04:00Comments on Bipolar and the City: Another snow dayJean Greyhttp://www.blogger.com/profile/13826037279061710386noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-79861699919631405.post-28759155727521128812014-02-14T20:22:12.050-05:002014-02-14T20:22:12.050-05:00Home health is done by a set amount for what servi...Home health is done by a set amount for what services are provided as a group and I think acuity which makes it more fair, but I do know that nursing home reimbursement used to add up to a lot. I know there were cuts and they were probably after I had the job where I did my own billing but the only thing I remember is that every eval I did they made a profit of about $45-50. Medicaid did balance it a bit; the reimbursement there was very low. In fact by 2007 they were losing money every time I treated a Medicaid patient. And partly they were making a lot because I wasn't pushing to be paid quite what I should have been (I didn't get good at that until near the end).Unknownhttps://www.blogger.com/profile/03168132384344330580noreply@blogger.comtag:blogger.com,1999:blog-79861699919631405.post-75788912277783785372014-02-13T19:01:43.517-05:002014-02-13T19:01:43.517-05:00I don't know what they collect because so many...I don't know what they collect because so many of our patients have different private insurance companies with different contracted rates- and I don't know what those rates are, only what we bill. And we don't get anything near what we bill. I don't think they are making huge amounts of money. I don't think that Medicare and the insurance companies pay as much for outpatient as they do for home care.Jean Greyhttps://www.blogger.com/profile/13826037279061710386noreply@blogger.comtag:blogger.com,1999:blog-79861699919631405.post-28707760554698721282014-02-13T18:08:34.585-05:002014-02-13T18:08:34.585-05:00I was reading about one of the periods I have trie...I was reading about one of the periods I have tried not being on lithium and found a post I wrote about getting in trouble for productivity because on one day I drove for 2 1/2 hours to get to a place 25 minutes away from my first facility and then only did minimum treatments because the roads were so horrible. The next day I drove in to one facility so that everyone would at least get a few minutes of treatment, even though the rural roads were awful, but nobody else could make it. The 3rd day I spent extra time doing documentation for the prior 2 days. My productivity was 5% below requirement and they did some slap on the wrist discipline thing that I was humiliated and infuriated by. <br /><br />I do not miss that part of it. It was part of why I loved home health; I had to get 25 visits in a week which was easy since evals were weighted and if I had to drive huge amounts they considered that but I was so busy it just never was a problem. The rest of the time I always wondered if they truly cared more about my ability to do 2-3 things at once to make more money for them versus my clinical skills.<br /><br />Have you ever been able to work out what they make off of you? Back before computer documentation I did my own billing and since all OT earnings at my facilities were me I could figure out what they earned, subtract off my salary and be amazed that they could ever consider me "non-productive" when they were earning that kind of money off me. <br /><br />Just me JenUnknownhttps://www.blogger.com/profile/03168132384344330580noreply@blogger.com