Dear Resident and Family Member:

We would like to take this opportunity to inform you of your rehabilitation therapy services coverage through your Medicare Part B health insurance benefits. When rehabilitation therapy is provided to a long term care resident of the home, the therapy is billed to the Medicare Part B potion of your Medicare benefits.

As a resident of The Hebrew Home you may be evaluated and treated by Occupational, Physical or Speech Therapy during the course of your stay with us. Based upon a referral from your Attending Physician, the requested therapy service conducts an evaluation and requests therapy treatments when indicated.

In order for therapy services to be covered by Medicare Part B, the therapist must be providing “skilled” services. The Licensed Therapist determines whether the specific services meet the Medicare guidelines related to “skilled” or “non-skilled” therapy services. “Skilled” services are discontinued when you achieve the defined therapeutic goals or reach a plateau in your progress.

At the time the Licensed Therapist determines that further skilled rehabilitation therapy will not be covered by Medicare Part B, you will be notified of same through an “Advance Beneficiary Notice”. The staff of the Health Information Management Department will notify you in person when possible, via telephone when in-person contact is not possible and via certified mail of this termination of Medicare covered therapy services.

Should your health status change in the future, additional therapy evaluations and treatments may again be billed to Medicare Part B.

Advance Beneficiary Notices are provided after each discontinuation of Medicare Part B covered therapy services.

If you have questions regarding this rehabilitation Medicare Part B benefit, please contact Michelle Mayer, Director of Rehabilitation Services at 718-581-1731.

If you have questions regarding the Advance Beneficiary Notice, please contact the Health Information Management Department at 718-581-1591.