A friend asked me about the terms under which her dad is receiving home-bound services under Medicare, after hospital discharge. Her father needs to have a barium swallow test before he is cleared for feeding therapy. This test is only done (at least in NYC) on an outpatient basis; in other locales, we are told there are travelling "barium swallow vans" but not in NY. Home care agency advised against going out for this test, as it will disqualify patient for home nurse, PT, OT, etc. This doesn't sound right. Patient is going for the test today; I told friend to contact supervisors up the chain of command, because there must be exceptions for these sorts of situations, yes?