Is Oxygen Covered in the Nursing Home?

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I was visiting with the daughter of one of my clients today and she said her Mother is on oxygen and in the local nursing home. She showed me a bill for around $500 for the last month that is for renting the concentrator and a bunch of oxygen tanks used. It is supplied by a local durable medical equipment provider and they claim Medicare will not pay for it and do not even run it through Medicare.

This lady is on self-pay and not Medicaid. Have any of you ran into oxygen being used in the nursing home for someone not on Medicaid and if so was it covered by Medicare A or B and a Med Sup? Everything I read says Part B covers oxygen at home but doesn't mention in a nursing home.

I called Medicare and of course got the old if they are a Medicare provider then they would be able to bill Medicare and it would be covered, lady obviously had no idea so just told me that.
 
I was visiting with the daughter of one of my clients today and she said her Mother is on oxygen and in the local nursing home. She showed me a bill for around $500 for the last month that is for renting the concentrator and a bunch of oxygen tanks used. It is supplied by a local durable medical equipment provider and they claim Medicare will not pay for it and do not even run it through Medicare.

This lady is on self-pay and not Medicaid. Have any of you ran into oxygen being used in the nursing home for someone not on Medicaid and if so was it covered by Medicare A or B and a Med Sup? Everything I read says Part B covers oxygen at home but doesn't mention in a nursing home.

I called Medicare and of course got the old if they are a Medicare provider then they would be able to bill Medicare and it would be covered, lady obviously had no idea so just told me that.



I am sure being in a nursing home would have nothing to do with it.Maybe the DME provider is not on medicare's approved list or maybe this person is on a MA plan ?

I believe if a Medicare provider submits a claim to Medicare it still shows up on the part B E.O.B as a filed claim even if its not approved so that's where I would start the process of elimination.
 
She is on a BCBS Medicare Supplement but they aren't even seeing the claims because the provider won't submit to Medicare.
 
That's what I told her but she said she already mentioned that to the nursing home and they said that's who they are contracted with for DME and if she wants a different provider will need to find a new nursing home.
 
That's what I told her but she said she already mentioned that to the nursing home and they said that's who they are contracted with for DME and if she wants a different provider will need to find a new nursing home.

Is this nursing home run by Obama?:1mad:
 
That's what I told her but she said she already mentioned that to the nursing home and they said that's who they are contracted with for DME and if she wants a different provider will need to find a new nursing home.





If that nursing home accepts people who are on Institutional Medicaid than they could get in big trouble if there is some type of kick back happening
 
If that nursing home accepts people who are on Institutional Medicaid than they could get in big trouble if there is some type of kick back happening

What is considered institutional Medicaid? Can a skilled Nursing Facility require residents to only use their contracted oxygen provider. Also what about schemes that uses one contracted oxygen provider for a chain of nursing homes but an outside billing services also DME but not oxygen provider
 
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