Periscope thank you for your patience on the periscope for the anchor podcast and everything else podcast wise thank you for joining us on our beanbag banter so thank you for viewing our program here and we our topic for today is going to be about Medicare Part B home visits and this is particularly targeted to assisted living facilities residents.

And their loved ones and for today we are very very much thankful to have Marvin Pascua he’s going to be soon a doctor doctor.

Physical therapy and we’re so happy and proud to go ahead and have this guy this dude to go ahead and join our team we’re so excited to go ahead and have him and he will be the one for the.

Most part doing these home visits for Medicare Part B for assisted living facilities welcome.

Thank you for having me here that’s quite an introduction all right of course I’m going to get my dollar later on for that intro but no he definitely deserves all of that so or we’re again we’re super lucky to have him as part of our team so let’s get to it first let’s go and clarify first.

Who need for the residents who are in assisted living facility let’s go in to clarify first in terms of Medicare Part A and Part B so Part A you are homebound is that correct yes that is correct okay and for Medicare Part B you are no longer homebound and you should be able to get out of the house mm-hmm yes okay now ah and given that what is so special with a a a physical therapy.

In terms of using Medicare Part B for these assisted living facilities what is it that you would be able to.

Do for them well I think we should start out with what we can do for the patients mm-hmm you know it’s a misconception that therapy is just for the sick and for.

The severely limited mmm-hmm because the overall goal of therapy is the Wellness of of all the patients were loved all the individuals okay but somebody wanna start with talking talking about the D of Medicare the Medicare section of it and I go section yeah so ah before we go bounce off of that definitely that’s where physical therapy would go.

Ahead and come in you don’t have to be extremely in pain or to the point that you cannot move none whatsoever to go ahead and reach out to for physical therapy services so definitely so thank you for your refer for going back to the core of why we are here now just going.

Now moving forward to Medicare Part A and Medicare Part B so we talked about being homebound versus going to outpatient but for us for a physical therapy you go into.

Them for home visits for Medicare Part B that’s the service that we are.

Able to provide right support all for those individuals who are not able to come in.

Here in the physical therapy office we can provide the services to Medicare B by going to these the a OLS okay we are associated pay yes and with.

That because for the most part these residents are fully aware that the physical therapists come in and.

That’s where Medicare Part A is being used but what they don’t know is that we can also provide services after they are done with Medicare Part A to continue.
The physical therapy services using Medicare Part B and that’s where doctor.

Marwan to be all right I’m already projecting into the world that that’s going to happen the next two months here in the next three months is that he’s going to come to your home as well.
To your NLF as well to continued and provide Part B.

Services so so with his homebound and what’s outpatient and why would.

It be great for you to go ahead and visit them for Part B services well just want to say that it’s also miss consent that afternoon Medicare a runs out that you’re.

Not eligible to receive continued physical therapy services Medicare B he will you know will allow us to do those visits to I’m sorry what was your.

Question again yes so in terms of why why would be beneficial for them to continue with Medicare Part B right right so I’ve heard they’re done with their party.

Right well there are still a few things that well there are many many many ways that we can intervene with what if patients.

Were already in the a or left’s then are already be done with their Medicare a for for example which are the most common would be patients were a fall risk okay all right should we go into that sure yes we did a video with the olive all right hopefully you guys have already seen.

That regarding fall risk go ahead right right yeah well the physical therapists can can intervene or yeah before the intervention we can we can also do the screens and to determine which patients wore fall risk okay all right and our intervention for them would include balustrading strengthening modification.

Of the environment and also educating the staffs and the family because we can also utilize them in training these patients and also educating them with the appropriate level of.
Assistance that they need to give to the patient because you don’t want to.

Over assess these patients you also have to give room for growth or improvement okay and then that’s where you go ahead and continue to start goals so the goal that you have for Medicare Part A is different from the goals it’s very different from Medicare Part B and and what are the whether can you provide at least one specific example so so we already identified in terms of fall.

Prevention all right but can you identify one goal for Medicare Part.

A versus Medicare Part B you’ll be able to bring one specific example for that well it will be less specific god let’s put the different chain one from.

The other a little bit more because again what’s homebound what’s not homebound well homebound means that a patient’s not able to get out of where he is and get to the deal it’s got their clinic to get the services to get the services okay and and that’s the reason why we’re doing this for assisted living facilities because we know they’re.

Already challenged to be able to go out right but we don’t want their abilities and skills and movement and strength to diminish and again that’s where you’re going to come in that is.

Jim okay all right great so now you talked about the fall prevention.

Because to those viewers right out there or to those listening to the podcast.

Just think about this if you fall weather what’s what are the some of the things that could happen if somebody falls well the broken hip that’s very common for an elderly who was a very Fratto who’s gonna sustain a fall okay that can be very costly you know can hip and anything.

With the word broken it’s not good and if that’s something that we can help prevent why not okay all right so definitely that’s one of the major things hmm okay so the.

Other challenge that we are hearing with assisted living facilities is because with Medicare Part B there would be secondary insurance that should cover the remainder of what Medicare Part B does not cover and if they don’t have Medicare if they don’t have that secondary insurance they.

Will pay out of pocket and this is where we want the clarify thinks a.

Little bit further normally let’s say it’s going to.

Be $20 per visit let’s say for about ten to.

Twelve visits doctor go ahead and make sure that you have balance that is established and and that there and.

Then in terms of risk of falling is going to.

If you overall you going to pay out $200 and you mentioned earlier hips hip a broken hip is a common problem or a common occurrence because somebody Falls how much is a I to.

Be honest I have no idea but I just know it’s a very expensive very expensive yes if you were just gonna pay out of pocket that would still be justifiable if that’s gonna help Griffin a broken head broken yes so so and think about this anything broken in with your bones it’s not going to be fine the logistics of taking care of going to the doctor and.

So and so forth and guess what after you do surgery you’ll be back to physical therapy anyway that is true and that is why prevention is the key and again if you watch the podcast a beanbag mentor with all their.

Would the other awesome physical therapists that we have here that’s what we talking about that an announcement prevention is better than a pound of cure that’s very true and here we are do these assisted living facilities and here see the other advantage for ALS is that.

Obviously they don’t want to have records of of people always going to the hospital.

Right that is and that that’s why we all need to work with together with administrators to the staff members and that’s what you said you work with the staff members to provide training all.

Right to go ahead and make sure that the the lesser the accident the better okay and of course for you and your loved ones you don’t want to be overburdened of going through a.

Whole bunch of other medical doctor visits going through surgery and going to physical therapy again and also what other people don’t understand is so some some some people don’t treat a broken hip very.

Seriously but there are studies that that say that it’s 40 or elderlies it’s very it’s you know the mortality rate the mortality I don’t know yeah I mean we don’t want to be morbid here or whatever but I think that’s going to be part right yeah I can provide the literature about it at the end of this video okay sounds good all right great and all right now I always hear this this this acronym ADL was a DLC else would.

Be activities of daily living there and it’s yeah it’s simply for example of bathing eating or transferring from one surface to the other or locomotion who are walking okay yeah maybe else it’s a very.

Vague term but it’s simply you know that the baby activities that you do that we do and that’s where you come in and we’ll we’ll be able to help them out oh yeah yeah just – this fora a ellipse for yellow LF setting mm-hmm yeah that’s also one one one way we can intervene because we must understand that these patients before they were put here in the AOF you used to be independent in their functioning yes.

And some some some patients find it current – transitioning.

From that independent living conditions to an AO left settle in assisted living conditions right yes and you know physical therapists.

Can help with that transition for example incorporating things that a patient used to enjoyed it like for example if a.

Patient used to play or enjoy tennis when during his or her younger days mm-hmm the patient might also enjoy doing balloon tennis now by doing that you are you’re modifying the activity into something that the patient would enjoy therefore you were preventing the decline and function mm-hmm and that’s you know if that improves the quality of life and that’s that’s a key phrase there improves.

Or maintain the quality of life that we want to go ahead and establish so yes.

That is indeed and an important key and and that’s why it is it is really beneficial that that.

Medicare Part B is used to your advantage it’s there that’s something that you guys work for and and sure a 20% coinsurance.

Could a burden for you but if you look at all of the other.

Advantages of continuously working with a medical health professional why not to go ahead and do that so again hopefully that’s something that you guys can go ahead and consider in terms of your stay at an al F and have dr. Marwan to be to be able to go ahead and help you with your program with the quality of life with your range of motion with your strength with your balance and so on and so forth so if you have further.

Questions go ahead and check our website that’s AAA physical therapy comm or call us here at four four three nine seven nine seven one seven one and and work with a doctor Marmont to be here and then find out how we can definitely help you and continue and then we know you’re in an al F but it does not necessarily mean.

You’re going to decline in terms of your health and wellness here yeah another example would be Alzheimer’s have dementia for example okay those sort of progressive diseases okay yeah.

My progressive diseases you know we can also intervene with that not not to be too focused on the disease but the overall wellness of the patient mm-hmm you know there’s nothing’s gonna stop this the progression of these diseases mm-hmm but we can minimize its effects right for example we can we can.

Work with the behavior modifications there are a lot of techniques for that and we can also like work on what’s the left of the patient’s motor function or to put it.

In better terms maximize their current fiscal capabilities and don’t just decline thankful exactly and that will at least obtain the progression of these progressive diseases progressive disease because it’s progressing in that direction stop the progression of that disease and that’s where Medicare Part B will go ahead and come.

In and help out with such things.

So yeah thank you for bringing that up because he indeed there a LFS out there that is your that is your your expertise that to work with such situations so yeah all right great thank you for bringing that up so again if you guys have questions.

Out there to the listeners and to the viewers just go ahead and contact us and go ahead and find ways to go and then to reach out to us and and and find ways on how.

Just maintain and and and avoid.

Any other unnecessary regression that so I’m sorry yeah it’s great you know oh yeah yeah definitely yes you know depression depression and these are kind of setting is very common mm-hmm right and there’s.

A high correlation between depression and pain mm-hmm so if a patient or if a person is depressed that not individuals the individual is more susceptible to experiencing pain and you know there are a lot.

Of different techniques and modalities that physical therapists use mm-hmm to address pain and you know that’s also one you.

Know one way we can fulfill these patients.

And then with that and and then in.

Terms of where they call this with pain some of them may not necessarily be addressed by Medicare Part A where exactly and that’s where again Medicare Part D will go ahead and live and and we mentioned about the.

Quality of life as being an important factor to our lives why go what why forth and go suck it up with that pain if you’re gonna have a physical therapist that’s compassionate and dedicated to go to your well-being to go in and help you to relieve the pain and again just enjoy life a little bit more honest trip so yes so so again there’s so many more advantages than a $20 per visit and we’re not saying $20 per visit and and and belittle it we know how $20 is a.

Very important $20 we completely understand that but if that $20 per visit is going to help you.

Have a better quality of life prevent a whole bunch of other problems that can that could be produced because you.

Fall or your or your quality of life is so bad because you’re so much in pain and then now you’re drinking all these painkillers which is obviously not good for you either it’s just it’s just something that hopefully will.

Be worthwhile for you to go ahead and consider of a $20 per visit working.

With a medical health professional and hopefully you guys could go ahead and find ways to go ahead and find value of that with all the things that will be listed to your quality of life and and again preventing the decline not only cognitively but also physically alright why.

Don’t you keep bringing something up anything else that we’re missing here that’s good well education you know videos like this presentations directed to the patient not.

Just the patient also to the.

Family and stops yeah I can also.

Be very helpful educating them in terms you know all these are imf’s they usually have like certain activities that they do every day or every week we can also intervene with that.

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