A member asked:

Can a md. deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?

6 doctors weighed in across 2 answers
Dr. Pamela Pappas answered

Specializes in Psychiatry

Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm.

Answered 12/10/2013

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Physical therapy: Only services under the hospice diagnosis are covered. Typically pt/ot are never covered. If the patient has a secondary insurance you possibly have the pcp order home pt/ot, if not in a facility.

Answered 4/22/2013

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