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Houston, Texas 77096

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Your Questions About At Home Care Medicare

Lisa asks…

How do I determine my fees to provide a consult?

I have been offered the opportunity to consult with a new agency for home health care for Medicare patients. They want me to train their Director of Nursing about the role of the DON and how to handle intakes and referrals. How do I know how much to charge for my services?

Healthadvisor answers:

You’ve basically got two approaches you can use:

a) the hourly approach
b) the value approach

For (a), set an hourly fee that you think makes sense (it’s competitive with the market, it’s what they’ll pay, etc.) This could be anywhere from $8 / hour (for a babysitter) to $250 / hour (for an experienced business consultant)… Or even higher. But you’re probably going to be somewhere in the $50 – $150 / hour range. You can probably do some research on the Web to find representative rates.

For (b), you work with the client to figure out what your consultation is worth to them, and then you charge them a percentage of that value. For example, if you’re able to save the client $50,000, you negotiate with them for 10%, or 20% of that value: $10,000 – $20,000.

You’ll see that if you take approach (b), you’ll end up making a lot more money. If you’re looking to become a professional consultant, it’s definitely the way to go. But it tends to be harder to get that kind of deal… So if you’re only going to be doing this infrequently, you might go for the hourly approach.

If you want more information on the value approach, check out Alan Weiss’ book “Million Dollar Consulting” — highly recommended.

William asks…

can a person living in an assisted living receive medicare skilled home care visits?

If a person lives in an assisted living facility can they receive skilled home care from a medicare certified agency ie nursing , physical therapy aide services?

Healthadvisor answers:

Assisted living facilities do not/cannot provide “skilled care” as in doctoring, nursing, therapists, etc. They provide assistance with the activities of daily living, a lessor level of care. (You probably already know this.)

If the resident requires a higher level of care, it may be determined a skilled care facility is necessary. However, if the resident has the ability to hire private assistance or has insurance coverage for home care, it’s their prerogative.

The resident has the right to acquire any personal care they might need. However, if the facilities policies dictate the resident is no longer “fit” and doesn’t meet the criteria for assisted living standards, they may insist the family start making other arrangements to have the resident moved to a skilled care facility.

Paul asks…

How would a person go about obtaining a license to practice home health care?

I don’t mind working in home health care, but hate working for agencies. I would love to be a free-lance health care worker, but was wondering if anyone knows the steps on how to get a license to do that? Thanks for your help.

Healthadvisor answers:

This site has some
http://education-portal.com/home_health_aide_schools.html

i see commercial all the time…there are many schools inmy area
you will have ot check with each of them to see if they take private students or only agency sponsored studnets..

Also be awar–aides are often paid by medicare–who pays the agency–it may be hard to get a job without an ’employer’ agency

Thomas asks…

How will seniors respond to these proposals by House Republicans?

House Republicans have made the following propositions in budget debates. How do you think Senior Citizens will react to these suggestions?

Replacing Social Security with a “premium support” program where instead of regular Medicare coverage as they currently receive, Seniors would receive a government voucher of $220 a month to use towards the purchase of medical coverage.

Phasing out the Social Security program entirely.

Eliminating the PBGC – the Pension Benefit Guarantee Corporation, so that when executives raid the corporate pension fund to pay themselves bigger bonuses the seniors who paid into those pension plans would be left with nothing to live on.

Elimination of the Heating & Energy Assistance Program (HEAP) which provides support to low income seniors living in rural communities via energy payment vouchers and discount fuel oil programs.

Elimination of the Meals on Wheels program.

Elimination of the portion of the Medicaid program that allows Seniors to stay in nursing home care. Under the Republican proposal, instead of declaring indigence and receiving government assistance to cover your nursing home costs, you either move in with family members or end up homeless.

How do you think Senior Citizen voters will respond to learning of these Republican Party proposals?

Healthadvisor answers:

Not only seniors but 70% of America is opposed to this Pubbie nonsense

Susan asks…

Do you think the dems are right when they say they’re strengthening Medicare?

By cutting payments to doctors, hospitals, hospices and home care by $500 billion, The CBO states that growth of medicare spending is cut by 2%, but is unclear whether it’s accomplished through greater efficiencies in the delivery of health care or would reduce access to care or diminish the quality of care.
It doesn’t take a genius to figure this one out!

Healthadvisor answers:

Look at it this way, how would you like government coming in ans reducing your pay by what ever percentage they decide? But it OK to do that to some other profession. It takes anywhere from ten to twelve years to be completely trained. Compare that to your training? That is why they should make more then you are making..If Congress does cut medicare by the 500 mil amount no doctor in there right mind is going to work for that little amount Please use common sense to know that is the end of Medicare. So many people are so lazy to check things out for themselves but are quick to repeat what somebody else said not knowing if it is the truth or not and follow like little sheep.

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