2011: Update: New to Homecare? Info to get you startedRegister Today!
This is a discussion on 2011: Update: New to Homecare? Info to get you started in Home Health Nursing, part of Nursing Specialties ... check out cahaba's: coverage guidelines for home health agencies (aug 06 revision) 94 pages of...by NRSKarenRN Admin Jan 12, '05check out cahaba's:
coverage guidelines for home health agencies (aug 06 revision)
94 pages of great advice in easy to read format.
medicare reference guide: home health coverage guidelines updated link 5/15/2008
especially helpful is:
70 conditions the patient must meet (pg. 23)
70.15 documentation of homebound status (pg.26)
70.10 beneficiaries who are not homebound (pg. 25+26)
80.30 prn orders (pg.34)
80.40 verbal/oral orders (pg.35)
90 covered skilled nursing services (pg. 38 -40)
90.5 principle one: requires the skills of a nurse
90.10 principle two: service is not skilled because performed by a nurse
90.15 principle three: service does not become unskilled because it is taught
90.20 principle four: reasonable and necessary
100 skilled nursing services (pg. 40)
100.10 management and evaluation of the care plan(pg. 41)
100.5 observation and assessment (pg. 42)
110 teaching and training activities (pg. 43)
110.5 administration of medications (pg. 44)
110.40 prefilling syringes (pg. 46)
110.70 catheters (pg. 48)
110.75 wound care (pg49)
110.115 diabetes outpatient self-management training (dsmt) (effective 1/1 2004) (pg. 51)
110.120 foot care (pg. 53)
110.130 psychiatric nursing (pg. 54)
140.30 safety dependence/secondary complications (pg. 59)
150 general principles for reasonable and necessary physical, speech, and occupational therapy (pg. 60)
200.5 covered home health aide activities (pg. 71)
210 drugs & biologicals
drugs and biologicals are generally excluded from coverage under the medicare home health benefit. there are a few exceptions from this exclusion.
210.5 drugs covered by medicare part b (pg. 73)
these drugs include hepatitis b vaccine, hemophilia clotting factors, calcitonin, pneumococcal pneumonia vaccine, influenza virus vaccine, and intravenous immune globulin (ivig)
220 coverage exclusions (pg. 76)
240.20 blood glucose monitor (pg. 80)
240.35 protime test systems (pg. 81) * not covered
240.75 covered medical supplies (pg. 82)
240.80 routine medical supplies (pg..83) * not coveredLast edit by NRSKarenRN on May 3, '06 : Reason: edited link
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- 37,246 Views
- Feb 11, '05 by renerianExcellent! Thanks!
- Jan 20, '06 by NRSKarenRNNurse.com CE articles for those new to HomeCare
from nursing spectrum/ nurse week ---now nurses.com updated links 4/9/08
course: 60085 · 5.3 hrs
getting started in home care
author: bethany schroeder, ms, mfa, rn
ce109-60e · 1.0 hr
[color=#91278e]for nurses new to home care
authors: terry aisenstein, rn, ma & jennifer savon, rn, ms, chpnLast edit by NRSKarenRN on May 15, '13
- Jan 21, '06 by jeepnurse1970i desperately need a book like that but searched and searched and couldn't find it. i recently bought springhouse's guidelines for reimbursement/documentation but it was mostly fluff-stuff anyone should already know. i need meat and potatoes!
anyone know where to find it? bookfinder.com, ebay and amazon didn't have it...sob
- Jan 25, '06 by NRSKarenRNQuote from jeepnurse1970look at these books by tina m. marrelli--helped mei need meat and potatoes!
[color=#996633]handbook of home health orientation
diagnosis coding and writing homecare plan of treatments:
[color=#003399]handbook of home health standards and documentation -- guidelines for reimbursementLast edit by NRSKarenRN on Nov 20, '11
- Jan 25, '06 by DutchgirlRNHi Karen, I can't acesss the info in the post. The link is not working?
- Jan 26, '06 by NRSKarenRNFixed the link for you!
- Jan 26, '06 by DutchgirlRNThank you sooooo much!
- Jan 27, '06 by NRSKarenRNfound today home health quick reference guide supplement -updated 4/08
[color=#231f20]10 medicare educational resources quick reference guide
[color=#231f20]40 home health certification and plan of care (poc)
[color=#231f20]40.5 coding clues[color=#231f20]
40.5.5 basic icd-9-cm coding
40.5.10 patient's wound care
40.5.15 coding for specific diagnoses
40.5.20 coding a primary diagnosis with therapy services
40.5.25 coding of chronic conditions in home health
[color=#231f20]50 wound care flow sheet[color=#231f20]
[color=#231f20]60 home health quick reference sheets
[color=#231f20]60.5 home health prospective payment system (hh pps) cheat sheet
[color=#231f20]60.10 special billing situations under hh pps
[color=#231f20]60.15 home health medicare billing codes sheet
[color=#231f20]60.20 submitting requests for anticipated payment (raps) in msp situations
[color=#231f20]60.25 home health billing and medicare secondary payer sheet
[color=#231f20]60.30 hh abn (cms-r-296) regulations and billing procedures
[color=#231f20]60.35 outpatient home health services reference sheet
[color=#231f20]60.40 m0175 14 day look-up table
Last edit by NRSKarenRN on Aug 10, '06
- Jan 28, '06 by NRSKarenRNcms--official home health regulations
chapter 7 - home health services
above revised 2008 : home health conditions of participation—42 cfr 484.1Last edit by NRSKarenRN on Feb 16, '07