web02.fireside.fm Thu, 30 Apr 2026 17:50:50 -0500 Fireside (https://fireside.fm) Mastering Medicare - Episodes Tagged with “Physician” https://www.masteringmedicare.net/tags/physician 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 In this amazing interview with Robert Bullock, a DC-based Elder Law attorney, from The Elder & Disability Law Center (https://www.edlc.com/), 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 (https://www.theatlantic.com/magazine/archive/2019/10/when-medicaid-takes-everything-you-own/596671/) 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 (https://www.avvo.com/attorneys/20036-dc-robert-bullock-672970.html) 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 (https://www.medicaremarketingsalessummit.com/) #RISEMMS2021 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 13: Billing, coding, documentation, & EMR frustrations for physicians https://www.masteringmedicare.net/13 e2699aa2-51b3-42db-bfac-38543d353e71 Mon, 24 Aug 2020 05:00:00 -0400 Mastering Medicare full Mastering Medicare Mastering Medicare is a podcast helping demystify healthcare and Medicare for senior-serving professionals and providers. 48:41 no Dr. Amy Schiffman and Dr. Alex Mohseni do a deep dive into Alex's frustrations with documentation, billing, coding and his EMR in setting up a solo practice. They discuss the issues that make it nearly impossible for small practices to thrive if they agree to accept health insurance. Link to Youtube video version: https://youtu.be/kI5QqVA9NAQ Medicare, healthcare, physician, medical, senior care, eldercare, elder care, elder, seniors Dr. Amy Schiffman and Dr. Alex Mohseni do a deep dive into Alex's frustrations with documentation, billing, coding and his EMR in setting up a solo practice. They discuss the issues that make it nearly impossible for small practices to thrive if they agree to accept health insurance.
Link to Youtube video version: https://youtu.be/kI5QqVA9NAQ

]]> Dr. Amy Schiffman and Dr. Alex Mohseni do a deep dive into Alex's frustrations with documentation, billing, coding and his EMR in setting up a solo practice. They discuss the issues that make it nearly impossible for small practices to thrive if they agree to accept health insurance.
Link to Youtube video version: https://youtu.be/kI5QqVA9NAQ

]]> 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 Dr. Amy Schiffman and Dr. Alex Mohseni talk with the team from Fox Rehab (https://www.foxrehab.org/) 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 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 11: Alex starts a medical practice (part 2) https://www.masteringmedicare.net/11 9c54d87f-277e-4391-9f31-253f86359432 Wed, 13 May 2020 09:00:00 -0400 Mastering Medicare full Mastering Medicare Mastering Medicare is a podcast helping demystify healthcare and Medicare for senior-serving professionals and providers. 29:45 no With COVID-19 causing lots of seniors to be stuck at home and not be able to access the medical care that they need, Alex decides to start his own medical practice to serve this population. Alex chronicles everything he's doing to start this practice and gets Amy's help in figuring out lots of the details and issues. In this episode Alex and Amy discuss Medicare enrollment for individuals, organizations and employee providers, deploying Athenahealth EMR, and getting the first patients. Alex's Medicare telemedicine practice is called Canary Doctor (https://www.canarydoc.com). Dr. Alex Mohseni and Dr. Amy Schiffman are two Emergency Medicine doctors who are the hosts of MasteringMedicare.net, a podcast helping unearth the secrets of Medicare for healthcare providers and senior-serving professionals. Video version of episode: https://youtu.be/MeRWrKF6eno Medicare, healthcare, physician, medical, senior care, eldercare, elder care, elder, seniors, practice, EMR, RCM With COVID-19 causing lots of seniors to be stuck at home and not be able to access the medical care that they need, Alex decides to start his own medical practice to serve this population. Alex chronicles everything he's doing to start this practice and gets Amy's help in figuring out lots of the details and issues. In this episode Alex and Amy discuss Medicare enrollment for individuals, organizations and employee providers, deploying Athenahealth EMR, and getting the first patients. Alex's Medicare telemedicine practice is called Canary Doctor.
Dr. Alex Mohseni and Dr. Amy Schiffman are two Emergency Medicine doctors who are the hosts of MasteringMedicare.net, a podcast helping unearth the secrets of Medicare for healthcare providers and senior-serving professionals.
Video version of episode: https://youtu.be/MeRWrKF6eno

]]> With COVID-19 causing lots of seniors to be stuck at home and not be able to access the medical care that they need, Alex decides to start his own medical practice to serve this population. Alex chronicles everything he's doing to start this practice and gets Amy's help in figuring out lots of the details and issues. In this episode Alex and Amy discuss Medicare enrollment for individuals, organizations and employee providers, deploying Athenahealth EMR, and getting the first patients. Alex's Medicare telemedicine practice is called Canary Doctor.
Dr. Alex Mohseni and Dr. Amy Schiffman are two Emergency Medicine doctors who are the hosts of MasteringMedicare.net, a podcast helping unearth the secrets of Medicare for healthcare providers and senior-serving professionals.
Video version of episode: https://youtu.be/MeRWrKF6eno

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