Page 100 - CHHA Binder 2.3.20

4/11/2019

Order Of Payors

st
1. Payor of 1 resort
o Medicare or Commercial Health Insurance
2. Supplemental Insurance
o pays a percentage of what Medicare allows

3. Payor of last resort
o Medicaid
4. Worker’s Comp or No Fault Insurance

st
o Becomes Payor of 1 resort when activated

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Where The Medicare $$ Comes From

 Federal program

 Payment is “per episode” or “Cert Period”
 9 weeks
 2 months
 60 days

 Payment is the same whether a patient is on program 2
weeks or 9 weeks!

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