…and regarding support for incompetence, I’d ask for any documentation to support the dementia diagnosis, ie Drs report, imaging reports with findings, etc.

I’m sure you’ve already investigated as to whether the family member with dementia has a living will/trust that may contain an AD, or some other designation as to who their trustee/trustors are?
If so, I would request a copy of the portions of the document that pertains to this situation, so I have that documentation in my records. Good job on doi…[Read more]

Hi Ashley,

I am curious if you’ve had a chance to review the denial from Oscar for this claim? Oscar is very specific regarding which labs and facilities they partner with as in network as probably already know.

Have you been able to get access to an explanation of benefits document?

I would also consider checking with Oscar directly if t…[Read more]

Hi Melanie,
Although I am not in California I have supported several California based individuals file these types of claims. They are typically completed through an online submission with the proper documentation in hand, and with the additional support of a licensed physician.

I would be happy to connect with this individual and offer my…[Read more]

Good morning,

My name is Calanthe (Ca-lan-thee) Jackson, and I’m excited to begin this program :-). I have a BS in Health Promotion and Disease Prevention and a Master of Public Health. I am currently in school for my Dr. of Public Health. I worked for the Los Angeles County Department of Public Social Services in Medi-Cal Mail. I enjoyed a…[Read more]

Dena – in what state are they looking for these services?
Linda Beck
Square One Elder & Health Advocacy

Hi Katy – what an odd-sounding situation. If you found out what facility the woman was in, please contact the Long Term Care Ombudsman program to let them know about what could be elder abuse. You can reach tThe LTCO program for Lancaster CA at is Ombintake@agencyonaging4.org
1.916.376.8910
LTCO may also have information on transportation…[Read more]

I’m in agreement with paying for your travel time. I think it’s important to remind yourself that you wouldn’t be spending that time in your car in the first place (1-2 hrs), if it weren’t for that client so why wouldn’t they be charged for the time? The only time I don’t charge is if it’s relatively local, around 20 minutes or less. For those…[Read more]

I would bill three hours. But I would have explained all of this to the client before doing it. I also discourage them from choosing this because of the expense. If, however, they desire it and I can spare the time, which is often not the case, I would do it.

For me, it is not desirable to travel to see clients. It usually requires that I put my…[Read more]

For those who bill travel time the same as regular time, what would you bill if it took you
2 hours for to and from travel, and you spent 1 hour or a little more with a patient and family in a hospital setting in a downtown metro area.

Hi Katy, I’m in Las Vegas and just read your post.

-Will loved one live in a facility or with family?
-If facility, what level of care do they need? LV has some good facilities and a lot of icky ones.

I’m happy to help on the Nevada end in locating facilities based on the person’s insurance policy. I don’t generally work with aging seniors…[Read more]