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Which best describes their mobility?
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How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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I'm interested in how others have handled identifying deductible medical expenses from statements for room and board when the facility doesn't offer an itemized breakdown.
Update: Decided not to wait for the biller to return on Monday; I've spent almost all day on trust work and want to make some tentative plans this weekend.
Spoke with someone else in the billing department and was a bit surprised at how this issue is handled. The company apparently aggregates costs annually and makes a determination of an (average?) amount expended on medical care vs. room and board. Medical costs ran around 44% for 2017, by this method. They do have standard rates for the facility usages, but medical costs can vary.
There is NO calculation of individual medical costs, so each patient could be above, or below the average.
So it seems to me that it's an average rate that applies to all patients on hospice care for that particular year. I won't know the rate for 2018 until the end of January, 2019.
Then it would still be based on the excluded amount of AGI, which would be very low since Dad passed in April.
I'm not sure I concur that this is a good method. I'll have to do a rough calculation to see if it'll benefit us.
Good suggestion JoAnn. By starting with the Medicare billing, I can deduct that and determine what was paid for room and board.
The hospice team is the same group of nurses, aides, SW and others who provided SNF to PC to Hospice care - all in one facility, all the same non-profit. It was truly a turnkey facility.
Mom was on Medicaid and Hospice but no bill. Call the Hospice who cared for ur LO. Ask them what Medicared paid for. This way went you talk to billing you have an idea what they should be charging.
CM, I don't know! Good question. I received the invoice the day after the billing specialist went on vacation, so I haven't been able to reach her yet. There aren't that many admins, especially for these kinds of tasks, so I'm waiting for her return.
I would have thought the breakdown would be provided automatically, but in the chaos of the last week or so I didn't think to ask while the billing specialist was still there.
Thanks for the quick response and the frank query on why this isn't done automatically!
Background: Dad went from hospitalization to SNF for rehab, seguing into Palliative and then Hospice care. He remained at the SNF receiving hospice care until he passed earlier this month. Only difference was that the financial arrangements changed, and we pay for room and board in a lump sum.
I've received an invoice for the period from which he was no longer on Medicare, but as expected, there's no breakdown separating the medical and hospice aspect from the room and board. So I have no way of knowing the cost of the medical aspects.
I'll be addressing this with the billing department, and anticipate there might be some resistance to factoring out this detail. However, I would think that the detailed charting from the nurses would indicate which services are medical, so that the costs could be fairly easily segregated and provided in an updated invoice showing the room and board costs and the medical costs separately.
For those who've had to factor out these two different aspects, one reimbursable (amount and tax laws dependent), and the other private pay, do you have any suggestions from your experience to assist in getting an accurate amount for the medical and nonmedical costs? Did you ask for these breakdowns in invoices? Was there resistance to providing this level of detail, and if so, how did you overcome it?
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Spoke with someone else in the billing department and was a bit surprised at how this issue is handled. The company apparently aggregates costs annually and makes a determination of an (average?) amount expended on medical care vs. room and board. Medical costs ran around 44% for 2017, by this method. They do have standard rates for the facility usages, but medical costs can vary.
There is NO calculation of individual medical costs, so each patient could be above, or below the average.
So it seems to me that it's an average rate that applies to all patients on hospice care for that particular year. I won't know the rate for 2018 until the end of January, 2019.
Then it would still be based on the excluded amount of AGI, which would be very low since Dad passed in April.
I'm not sure I concur that this is a good method. I'll have to do a rough calculation to see if it'll benefit us.
Anyone else ever heard of something like this?
The hospice team is the same group of nurses, aides, SW and others who provided SNF to PC to Hospice care - all in one facility, all the same non-profit. It was truly a turnkey facility.
I would have thought the breakdown would be provided automatically, but in the chaos of the last week or so I didn't think to ask while the billing specialist was still there.
Thanks for the quick response and the frank query on why this isn't done automatically!
I've received an invoice for the period from which he was no longer on Medicare, but as expected, there's no breakdown separating the medical and hospice aspect from the room and board. So I have no way of knowing the cost of the medical aspects.
I'll be addressing this with the billing department, and anticipate there might be some resistance to factoring out this detail. However, I would think that the detailed charting from the nurses would indicate which services are medical, so that the costs could be fairly easily segregated and provided in an updated invoice showing the room and board costs and the medical costs separately.
For those who've had to factor out these two different aspects, one reimbursable (amount and tax laws dependent), and the other private pay, do you have any suggestions from your experience to assist in getting an accurate amount for the medical and nonmedical costs? Did you ask for these breakdowns in invoices? Was there resistance to providing this level of detail, and if so, how did you overcome it?
Thanks for any suggestions.
Perhaps it's time they did..?