Medicare Blog

how to find medicare facilities

by Mona Aufderhar Published 2 years ago Updated 1 year ago
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To locate a Social Security office near you where you can get help enrolling in Medicare, use this link and type in your zip code in the search box. After clicking “Locate,” you’ll be presented with the address, phone number and office hours of your nearest Social Security Administration office.

Full Answer

How to find a doctor that accepts Medicare?

This Medicare provider search tool replaces tools you might have used in the past, including:

  • Physician Compare
  • Hospital Compare
  • Nursing Home Compare
  • Home Health Compare
  • Hospice Compare
  • Inpatient Rehabilitation Facility Compare
  • Long-Term Care Hospital Compare
  • Dialysis Facility Compare

How do you find a Medicare provider?

  • Providers can enter data via the Interactive Voice Response (IVR) telephone systems operated by the MACs.
  • Providers can submit claim status inquiries via the Medicare Administrative Contractors’ provider Internet-based portals.
  • Some providers can enter claim status queries via direct data entry screens.

More items...

Where can I find a doctor that accepts Medicare and Medicaid?

How to find a doctor who accepts Medicare There are a few simple ways to find a doctor who accepts your Medicare plan: Visit physician compare. The Centers for Medicare & Medicaid Services (CMS) has a tool that allows you to look up doctors near you and compare them side-by-side.

How do I find a Medicare approved Home Health Agency?

How do I find a Medicare-approved home health agency? You can find a Medicare-approved home health agency by • looking at “Home Health Compare” at www.medicare.gov on the web. Home Health Compare provides the • name and office address of the agency, • agency phone number, • services offered by the agency (i.e. Nursing Care, Physical

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What does Medicare consider a facility?

Facilities are defined as any provider (e.g., hospital, skilled nursing facility, home health agency, outpatient physical therapy, comprehensive outpatient rehabilitation facility, end-stage renal disease facility, hospice, physician, non-physician provider, laboratory, supplier, etc.)

What is Medicare searcher?

The Medicare Plan Finder is an online searchable tool on the Medicare.gov website that allows users to compare Medicare plan options, including Medicare Advantage plans, Medicare Part D plans, and Medigap supplemental policies.

How do you compare medical facilities?

Compare Doctors/FacilitiesHealthGrades. http://www.healthgrades.com. ... Hospital Compare. https://www.medicare.gov/hospitalcompare/search.html. ... Leapfrog Group. http://www.leapfroggroup.org. ... National Committee for Quality Assurance (NCQA) http://recognition.ncqa.org/ ... Quality Check. http://www.qualitycheck.org/

What facilities are regulated by CMS?

Long-term care facilities & Skilled Nursing Facilities (SNFs)Nursing Home Resource Center.Skilled nursing facility/long term care Open Door Forum.American Indian/Alaska Native long term care resources.SNF center.

What is the best supplemental insurance for Medicare?

Best Medicare Supplement Insurance Companies of 2022Best Overall: Mutual of Omaha.Best User Experience: Humana.Best Set Pricing: AARP.Best Medigap Coverage Information: Aetna.Best Discounts for Multiple Policyholders: Cigna.

Who is the largest Medicare Supplement provider?

UnitedHealthCareAARP/United Health Group has the largest number of Medicare Supplement customers in the country, covering 43 million people in all 50 states and most U.S. territories. AARP licenses its name to insurer UnitedHealthCare, which helps make these policies so popular.

Do all hospitals accept Medicare?

Not all hospitals accept Medicare, but luckily, the vast majority of hospitals do. Generally, the hospitals that do not accept Medicare are Veterans Affairs and active military hospitals (they operate with VA and military benefits instead), though there are a few other exceptions nationwide.

How do I transfer my Medi-Cal to another county?

You may apply for Medicaid in the state you move to. If you are moving to a new county in California, you also need to tell the county you live in or the county you are moving to. This is to make sure you keep getting Medi-Cal benefits. You should tell your local county office within 10 days of moving to a new county.

What is the Medi-Cal snake called?

CaduceusCaduceus is a symbol with a short staff entwined by two serpents, sometimes surmounted by wings while the Rod of Asclepius is the one with a single snake.

What is Facility vs non facility?

Some codes may only be performed in one place or the other: for example, an initial hospital visit has only a facility fee, because it is never performed anywhere but a facility. Office visits, on the other hand, may be done in the office (non-facility) or in the outpatient department (facility.)

What is a type of facility-based care?

Facility-based long-term care services include: board and care homes, assisted living facilities, nursing homes, and continuing care retirement communities. Some facilities have only housing and housekeeping, but many also provide personal care and medical services.

What is the difference between SNF and NF?

A nursing home or long-term care facility is normally dual certified with designated SNF (Skilled Nursing Facility) or rehabilitation beds and NF (Nursing Facility) or long-term care beds. In other words, the same health center can be both a SNF and an NF.

What is Medicare.gov?

Medicare.gov makes it easy to find and compare nearby health care providers, like hospitals, home health agencies, doctors, nursing homes and other health care services that accept Medicare.

What services do home health agencies offer?

Find home health agencies that offer the services you need, like nursing care, physical therapy, and occupational therapy.

Where do hospices give services?

Hospice agencies most often give services where you live, whether you're at home, an assisted living facility, or a nursing home. Find hospices that serve your area and compare them based on the quality of care they give.

What is home health care?

Home health care describes a wide range of health care services that you can be get in your home at less expense than a hospital or skilled nursing facility. Compare home health agencies using the patient survey star ratings or the quality of patient care star rating.

Where is the Centers for Medicare and Medicaid Services located?

The Centers for Medicare & Medicaid Services is headquartered in Woodlawn, Maryland.

What is Medicare office?

A Medicare office is the place to manage your benefits. Locate a Medicare office near you and learn how to utilize Medicare services online or over the phone. The Centers for Medicare and Medicaid Services (CMS) oversees and manages Medicare, and the Social Security Administration (SSA) works with CMS to help enroll Medicare beneficiaries.

What is the number to call Medicare?

The official phone number for Medicare is 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048. You may call Medicare 24 hours per day, 7 days per week, and help is available in both English and Spanish. Check the status on a claim that has been filed on your behalf.

What is SSA.gov?

Learn more about Medicare. SSA.gov is a great resource to learn more about the Medicare program by reviewing a number of free publications.

How do I apply for medicare?

Where do I go to apply for Medicare? 1 Your local Social Security office#N#Use the instructions above to locate your nearest Social Security office. 2 Online computer#N#Go to www.SocialSecurity.gov and follow the instructions to enroll in Medicare. 3 Over the phone#N#Call Social Security at 1-800-772-1213 (TTY 1-800-325-0778) to enroll in Medicare over the phone.

Where is the CMS office?

You can get help with your Medicare questions by contacting or visiting this office. The CMS headquarters is in Woodlawn, Maryland, and regional CMS offices are located in Washington, D.C., Boston, New York, Philadelphia, Atlanta, Chicago, Dallas, Kansas City, Denver, San Francisco and Seattle.

Can you replace a lost Medicare card?

Replacing a lost or stolen Medicare card. Medicare fraud can happen as a result of a lost or stolen card, so be sure to call if you lose your Medicare card. You may also speak to someone in person regarding your Medicare eligibility or enrollment by visiting your local Social Security office.

How to find a nursing home?

Find out about nursing homes in your area 1 Find and compare nursing homes in your area. 2 Ask people you trust, like your family, friends, or neighbors if they’ve had personal experience with nursing homes. They may be able to recommend a nursing home to you. 3 Ask your doctor if he or she provides care at any local nursing homes. If so, ask which nursing homes so you can continue to see your doctor while you're in the nursing home. 4 Visit the Eldercare Locator for more information on long-term care choices in your area. 5 Contact your local senior and community activity center. 6 If you’re in the hospital, ask your social worker about discharge planning as early in your hospital stay as possible. The hospital’s staff should be able to do these:#N#Help you find a nursing home that meets your needs#N#Help with your transfer when you’re ready to be discharged

What to ask a social worker about discharge planning?

The hospital’s staff should be able to do these: Help you find a nursing home that meets your needs. Help with your transfer when you’re ready to be discharged.

Can a doctor recommend a nursing home?

They may be able to recommend a nursing home to you . Ask your doctor if he or she provides care at any local nursing homes. If so, ask which nursing homes so you can continue to see your doctor while you're in the nursing home.

What services does Medicare cover?

Medicare-covered services include, but aren't limited to: Semi-private room (a room you share with other patients) Meals. Skilled nursing care. Physical therapy (if needed to meet your health goal) Occupational therapy (if needed to meet your health goal)

What is SNF in Medicare?

Skilled nursing facility (SNF) care. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. Care like intravenous injections that can only be given by a registered nurse or doctor. The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services.

What is skilled nursing?

Skilled care is nursing and therapy care that can only be safely and effectively performed by, or under the supervision of, professionals or technical personnel. It’s health care given when you need skilled nursing or skilled therapy to treat, manage, and observe your condition, and evaluate your care.

How many days do you have to stay in a hospital to qualify for SNF?

Time that you spend in a hospital as an outpatient before you're admitted doesn't count toward the 3 inpatient days you need to have a qualifying hospital stay for SNF benefit purposes. Observation services aren't covered as part of the inpatient stay.

When does the SNF benefit period end?

The benefit period ends when you haven't gotten any inpatient hospital care (or skilled care in a SNF) for 60 days in a row. If you go into a hospital or a SNF after one benefit period has ended, a new benefit period begins. You must pay the inpatient hospital deductible for each benefit period.

How long do you have to be in the hospital to get SNF?

You must enter the SNF within a short time (generally 30 days) of leaving the hospital and require skilled services related to your hospital stay. After you leave the SNF, if you re-enter the same or another SNF within 30 days, you don't need another 3-day qualifying hospital stay to get additional SNF benefits.

Who certifies SNF?

You get these skilled services in a SNF that’s certified by Medicare.

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