web02.fireside.fm Mon, 25 May 2026 01:40:50 -0500 Fireside (https://fireside.fm) Mastering Medicare - Episodes Tagged with “Elder Care” https://www.masteringmedicare.net/tags/elder%20care Thu, 04 Feb 2021 08:00:00 -0500 What's the difference between Home Health and Home Care? How do Medicare Part A and Part B work? How do you order DME for your patient? When and how should you order home oxygen? What's new in the eldercare space? For physicians, other healthcare professionals, and senior-serving professionals, interacting with Medicare can be complicated and wrought with pitfalls, which, if not understood and managed, will mire your practice in endless paperwork and frustration. We interview industry experts in every aspect of healthcare, from insurance companies, DME companies, home health agencies, medical providers, and many others, to bring you their real world expertise in the American healthcare system. Your hosts are Dr. Amy Schiffman and Dr. Alex Mohseni, two Emergency Medicine physicians who have branched off from traditional Emergency Medicine to explore and build solutions with a particular focus on eldercare and population health. Join our Facebook group: https://www.facebook.com/groups/602747270479020/ Join our Subscriber List and get exclusive access to our Mastering Medicare Cheat Sheet and other goodies: https://www.masteringmedicare.net/subscribe en-us episodic Demystifying healthcare and Medicare for senior-serving professionals and providers. Mastering Medicare What's the difference between Home Health and Home Care? How do Medicare Part A and Part B work? How do you order DME for your patient? When and how should you order home oxygen? What's new in the eldercare space? For physicians, other healthcare professionals, and senior-serving professionals, interacting with Medicare can be complicated and wrought with pitfalls, which, if not understood and managed, will mire your practice in endless paperwork and frustration. We interview industry experts in every aspect of healthcare, from insurance companies, DME companies, home health agencies, medical providers, and many others, to bring you their real world expertise in the American healthcare system. Your hosts are Dr. Amy Schiffman and Dr. Alex Mohseni, two Emergency Medicine physicians who have branched off from traditional Emergency Medicine to explore and build solutions with a particular focus on eldercare and population health. Join our Facebook group: https://www.facebook.com/groups/602747270479020/ Join our Subscriber List and get exclusive access to our Mastering Medicare Cheat Sheet and other goodies: https://www.masteringmedicare.net/subscribe no elder care, eldercare, Medicare, Medicaid, healthcare, senior care, senior, seniors, senior-serving professionals, medical care, insurance company Mastering Medicare alex@masteringmedicare.net Episode 18: Medicaid Long Term Care: interview with Robert Bullock Esq., The Elder & Disability Law Center https://www.masteringmedicare.net/18 02a3f72d-dd11-4227-bab9-4d21733981d0 Thu, 04 Feb 2021 08:00:00 -0500 Mastering Medicare full Mastering Medicare Mastering Medicare is a podcast helping demystify healthcare and Medicare for senior-serving professionals and providers. 1:06:09 no <p>In this amazing interview with Robert Bullock, a DC-based Elder Law attorney, from <a href="https://www.edlc.com/" target="_blank" rel="nofollow noopener">The Elder &amp; Disability Law Center</a>, Dr. Amy Schiffman and Dr. Alex Mohseni discuss Medicaid Long Term Care coverage. We cover these topics:<br> What is Medicaid<br> Medica long term care eligibility<br> What does Medicaid waiver mean?<br> How does one qualify for Medicaid<br> Medical eligibility for Medicaid long term care<br> Financial eligibility for Medicaid long term care<br> Most people are in crisis mode when trying to qualify for Medicaid long term care<br> How are patients assigned to rehab<br> Medicaid 5 year lookback<br> Put your assets into an irrevocable trust at least 5 years before you think you made need Medicaid<br> Why doesn't Medicaid cover ALF<br> Medicaid long term care payments are like a loan<br> Medicaid estate recovery<br> <a href="https://www.theatlantic.com/magazine/archive/2019/10/when-medicaid-takes-everything-you-own/596671/" target="_blank" rel="nofollow noopener">Atlantic article on Medicaid estate recovery</a><br> Life care Planning and Management<br> At what age should everybody talk to an elder law attorney<br> Video version of this episode: <a href="https://youtu.be/EIwz0kv_O1o" target="_blank" rel="nofollow noopener">https://youtu.be/EIwz0kv_O1o</a></p> <p>Robert's contact information: 202-452-0000<br> <a href="https://www.edlc.com/" target="_blank" rel="nofollow noopener">https://www.edlc.com/</a><br> on <a href="https://www.avvo.com/attorneys/20036-dc-robert-bullock-672970.html" target="_blank" rel="nofollow noopener">AVVO.com</a></p> <p>Thank you to our sponsor:<br> The RISE Virtual Medicare Marketing &amp; Sales Summit taking February 19, 22-23, 2021, is offering 15% off with promo code POD15 to our listeners. To learn more about this event visit <a href="https://www.medicaremarketingsalessummit.com/" target="_blank" rel="nofollow noopener">medicaremarketingsalessummit.com</a> #RISEMMS2021 </p> Medicare, healthcare, physician, medical, senior care, eldercare, elder care, elder, seniors, Medicaid, estate recovery, estate planning In this amazing interview with Robert Bullock, a DC-based Elder Law attorney, from The Elder & Disability Law Center, Dr. Amy Schiffman and Dr. Alex Mohseni discuss Medicaid Long Term Care coverage. We cover these topics:
What is Medicaid
Medica long term care eligibility
What does Medicaid waiver mean?
How does one qualify for Medicaid
Medical eligibility for Medicaid long term care
Financial eligibility for Medicaid long term care
Most people are in crisis mode when trying to qualify for Medicaid long term care
How are patients assigned to rehab
Medicaid 5 year lookback
Put your assets into an irrevocable trust at least 5 years before you think you made need Medicaid
Why doesn't Medicaid cover ALF
Medicaid long term care payments are like a loan
Medicaid estate recovery
Atlantic article on Medicaid estate recovery
Life care Planning and Management
At what age should everybody talk to an elder law attorney
Video version of this episode: https://youtu.be/EIwz0kv_O1o

Robert's contact information: 202-452-0000
https://www.edlc.com/
on AVVO.com

Thank you to our sponsor:
The RISE Virtual Medicare Marketing & Sales Summit taking February 19, 22-23, 2021, is offering 15% off with promo code POD15 to our listeners. To learn more about this event visit medicaremarketingsalessummit.com #RISEMMS2021

]]> In this amazing interview with Robert Bullock, a DC-based Elder Law attorney, from The Elder & Disability Law Center, Dr. Amy Schiffman and Dr. Alex Mohseni discuss Medicaid Long Term Care coverage. We cover these topics:
What is Medicaid
Medica long term care eligibility
What does Medicaid waiver mean?
How does one qualify for Medicaid
Medical eligibility for Medicaid long term care
Financial eligibility for Medicaid long term care
Most people are in crisis mode when trying to qualify for Medicaid long term care
How are patients assigned to rehab
Medicaid 5 year lookback
Put your assets into an irrevocable trust at least 5 years before you think you made need Medicaid
Why doesn't Medicaid cover ALF
Medicaid long term care payments are like a loan
Medicaid estate recovery
Atlantic article on Medicaid estate recovery
Life care Planning and Management
At what age should everybody talk to an elder law attorney
Video version of this episode: https://youtu.be/EIwz0kv_O1o

Robert's contact information: 202-452-0000
https://www.edlc.com/
on AVVO.com

Thank you to our sponsor:
The RISE Virtual Medicare Marketing & Sales Summit taking February 19, 22-23, 2021, is offering 15% off with promo code POD15 to our listeners. To learn more about this event visit medicaremarketingsalessummit.com #RISEMMS2021

]]> Episode 12: Everything you ever wanted to know about PT, OT, and Speech Pathology https://www.masteringmedicare.net/12 149b2aca-5a4d-4aa0-91ad-653e06816362 Wed, 24 Jun 2020 07:00:00 -0400 Mastering Medicare full Mastering Medicare Mastering Medicare is a podcast helping demystify healthcare and Medicare for senior-serving professionals and providers. 1:28:45 no <p>Dr. Amy Schiffman and Dr. Alex Mohseni talk with the team from <a href="https://www.foxrehab.org/" target="_blank" rel="nofollow noopener">Fox Rehab</a> about physical therapy, occupational therapy and speech pathology and uncover all the hidden issues, challenges, and secrets of this huge industry. If you are a senior-serving professional or medical provider who orders PT, OT or Speech services for your clients, you need to listen to this episode.<br> Alex and Amy cover the following topics:<br> Speech Therapy vs Speech Language Pathologist<br> In-home PT, OT and speech therapy for geriatric patients<br> Part A rehab vs Part B rehab<br> When and why do you flip from Part A therapy/rehab to Part B rehab?<br> How do you continue to qualify for Part A therapy?<br> Who decides whether a patient has reached their therapy goal - the ordering provider or therapist?<br> What does a physical therapist do?<br> What does an occupational therapist do?<br> What does a speech therapist do?<br> PT vs OT vs Speech<br> Functional independence<br> Activities of daily living<br> What does Medicare pay for with Part B PT, OT and Speech Therapy<br> Two requirements for Medicare to pay for Part B rehab: medical necessity and skilled need<br> The Therapy Cap for PT and Speech<br> Part B works on a calendar year basis<br> How to get an exception to the Therapy Cap for PT, OT and Speech Pathology<br> Coding and billing PT, OT and SLP encounter CPT codes<br> What is a low-tech augmentative communication device?<br> What is the common work file in Medicare rehab?<br> How often does a physical therapist usually go to a person's home?<br> What is the patient responsibility or copy for Medicare Part B rehab and physical therapy?<br> Part B rehab is not home health<br> Which types of providers refer to Part B rehab the most?<br> Most common reasons for referral for Part B Rehab all revolve around falls: gait, balance, and weakness<br> Do not have to be homebound for Part B rehab in the home<br> Common mistakes when referring to rehab<br> How to write an order for PT, OT, or speech and what CPT codes to include<br> Part B rehab does medication reconciliation<br> How to order DME<br> What is a 3-in-1 commode<br> How long does it take to get a hospital bed paid for by Medicare<br> FoxRehab.org </p> Medicare, healthcare, physician, medical, senior care, eldercare, elder care, elder, seniors, PT, OT, Speech, physical therapy, occupational therapy, speech pathology, rehab Dr. Amy Schiffman and Dr. Alex Mohseni talk with the team from Fox Rehab about physical therapy, occupational therapy and speech pathology and uncover all the hidden issues, challenges, and secrets of this huge industry. If you are a senior-serving professional or medical provider who orders PT, OT or Speech services for your clients, you need to listen to this episode.
Alex and Amy cover the following topics:
Speech Therapy vs Speech Language Pathologist
In-home PT, OT and speech therapy for geriatric patients
Part A rehab vs Part B rehab
When and why do you flip from Part A therapy/rehab to Part B rehab?
How do you continue to qualify for Part A therapy?
Who decides whether a patient has reached their therapy goal - the ordering provider or therapist?
What does a physical therapist do?
What does an occupational therapist do?
What does a speech therapist do?
PT vs OT vs Speech
Functional independence
Activities of daily living
What does Medicare pay for with Part B PT, OT and Speech Therapy
Two requirements for Medicare to pay for Part B rehab: medical necessity and skilled need
The Therapy Cap for PT and Speech
Part B works on a calendar year basis
How to get an exception to the Therapy Cap for PT, OT and Speech Pathology
Coding and billing PT, OT and SLP encounter CPT codes
What is a low-tech augmentative communication device?
What is the common work file in Medicare rehab?
How often does a physical therapist usually go to a person's home?
What is the patient responsibility or copy for Medicare Part B rehab and physical therapy?
Part B rehab is not home health
Which types of providers refer to Part B rehab the most?
Most common reasons for referral for Part B Rehab all revolve around falls: gait, balance, and weakness
Do not have to be homebound for Part B rehab in the home
Common mistakes when referring to rehab
How to write an order for PT, OT, or speech and what CPT codes to include
Part B rehab does medication reconciliation
How to order DME
What is a 3-in-1 commode
How long does it take to get a hospital bed paid for by Medicare
FoxRehab.org

]]> Dr. Amy Schiffman and Dr. Alex Mohseni talk with the team from Fox Rehab about physical therapy, occupational therapy and speech pathology and uncover all the hidden issues, challenges, and secrets of this huge industry. If you are a senior-serving professional or medical provider who orders PT, OT or Speech services for your clients, you need to listen to this episode.
Alex and Amy cover the following topics:
Speech Therapy vs Speech Language Pathologist
In-home PT, OT and speech therapy for geriatric patients
Part A rehab vs Part B rehab
When and why do you flip from Part A therapy/rehab to Part B rehab?
How do you continue to qualify for Part A therapy?
Who decides whether a patient has reached their therapy goal - the ordering provider or therapist?
What does a physical therapist do?
What does an occupational therapist do?
What does a speech therapist do?
PT vs OT vs Speech
Functional independence
Activities of daily living
What does Medicare pay for with Part B PT, OT and Speech Therapy
Two requirements for Medicare to pay for Part B rehab: medical necessity and skilled need
The Therapy Cap for PT and Speech
Part B works on a calendar year basis
How to get an exception to the Therapy Cap for PT, OT and Speech Pathology
Coding and billing PT, OT and SLP encounter CPT codes
What is a low-tech augmentative communication device?
What is the common work file in Medicare rehab?
How often does a physical therapist usually go to a person's home?
What is the patient responsibility or copy for Medicare Part B rehab and physical therapy?
Part B rehab is not home health
Which types of providers refer to Part B rehab the most?
Most common reasons for referral for Part B Rehab all revolve around falls: gait, balance, and weakness
Do not have to be homebound for Part B rehab in the home
Common mistakes when referring to rehab
How to write an order for PT, OT, or speech and what CPT codes to include
Part B rehab does medication reconciliation
How to order DME
What is a 3-in-1 commode
How long does it take to get a hospital bed paid for by Medicare
FoxRehab.org

]]> Episode 2: Medicare Part A https://www.masteringmedicare.net/2 08848e81-05b1-42cd-bcdf-47db4496617c Wed, 26 Feb 2020 10:00:00 -0500 Mastering Medicare full Mastering Medicare Mastering Medicare is a podcast helping demystify healthcare and Medicare for senior-serving professionals and providers. We help physicians, NPs, APPs, healthcare executives, eldercare professionals, and other healthcare stakeholders understand and succeed in the Medicare and senior care world. 43:22 no <p>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. <br> We interview eldercare and Medicare industry experts, do deep dives into their companies, services, and experiences, and share their stories and insights with you. </p> <p>In this Mastering Medicare episode, we cover: <br> How you qualify for Medicare<br> Qualifying for Medicare via ALS<br> Qualifying for Medicare via ESRD on dialysis<br> Qualifying for Medicare via SSDI disability<br> Medicare and VA insurance<br> History of Medicare<br> Inpatient hospitalization<br> Rehab aka SNF aka nursing home<br> Home health<br> Hospice<br> Medicare copays and cost sharing for hospitalization<br> Medicare part A annual deductible<br> Medicare cost sharing with rehab SNF<br> Medicare part A home health<br> What is Home health?<br> Home health 485 form<br> What is skilled nursing?<br> What does part A PT/OT do?<br> Copay for part A PT OT<br> Home health "taxing effort"<br> Certification of being homebound home health<br> Certification periods for home health<br> Recertification of medicare part A home health<br> Home health aides<br> Home health 45 minutes twice per week<br> Will Medicare pay for wound care supplies?<br> Medicare hospice<br> What is hospice<br> Will Medicare pay for hospice<br> Qualifying for hospice<br> Hospice certification periods<br> What does hospice cover and pay for<br> Hospice payment model<br> Who pays for a hospice patient if they go to the ER?<br> Hospice is a risk bearing entity<br> Hospice certification and recertification periods<br> What does it mean to be admitted to a hospital </p> Medicare, healthcare, physician, medical, senior care, eldercare, elder care, elder, seniors, Part A 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.

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

]]> Episode 1: Introduction to Medicare https://www.masteringmedicare.net/1 3d05a2bb-826f-4a9f-ab72-f27b0e684116 Wed, 19 Feb 2020 08:00:00 -0500 Mastering Medicare full Mastering Medicare Mastering Medicare is a podcast helping demystify healthcare and Medicare for senior-serving professionals and providers. We help physicians, NPs, APPs, healthcare executives, eldercare professionals, and other healthcare stakeholders understand and succeed in the Medicare and senior care world. 35:59 no <p>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. <br> We interview eldercare and Medicare industry experts, do deep dives into their companies, services, and experiences, and share their stories and insights with you. <br> Brought to you by two passionate but critical physicians who broke away from the conventional career paths of their specialty. </p> <p>In this episode we cover:<br> Dr. Amy Schiffman and Dr. Alex Mohseni introduce themselves<br> Medicare overview<br> Part A overview, including cost sharing<br> Part A: Hospital, Rehab, Home Health, Hospice<br> Part B overview<br> Part B 80/20 split, Medigap / supplemental <br> Part D<br> Inpatient vs outpatient medications<br> Inpatient vs outpatient status<br> Observation status<br> Part C - Medicare Advantage</p> <p>Join our Subscriber List to get your copy of our Medicare Cheat Sheet<br> <a href="https://www.masteringmedicare.net/subscribe" target="_blank" rel="nofollow noopener">https://www.masteringmedicare.net/subscribe</a> </p> Medicare, healthcare, physician, medical, senior care, eldercare, elder care, elder, seniors 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

]]> 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

]]>