HH regulations

[lossforimagination]

I am new to home health and can't say a lot about the orientation I received. There do not seem to be any regulations in the office. I'm always hearing that we will be "out of compliance" if such and so isn't done on time....but how does anyone know this stuff? I don't see any regulations or references anywhere. I've asked and no one seems to know. I'd like to know exactly what regs govern home health and how do you get them?

[renerian, BSN, RN]

Go the the website:

http://www.cms.gov

Look for home health provider information.

renerian

[NRSKarenRN, BSN, RN]

main homecare regulations:

brief summary of medicare and medicaid

http://www.cms.hhs.gov/review/supp/2001/overview.pdf

commonly called him 11; all medicare and medicaid rules + regs here. updates sent as transmittal memo's.

medicare hh agency manual

conditions of participation: home health agencies

medicare coordination of benefits

state medicaid manual

oasis

hh pps regs located in section 2 of hh manual

201. home health prospective payment system

-----------------

additional info:

medicaid resources:

http://www.cms.hhs.gov/states/default.asp

check out what medicare considers fraud and abuse:

http://www.medicare.gov/fraudabuse/overview.asp

http://www.cms.hhs.gov/providers/fraud/defini2.asp

listing of medicare fraud alerts

http://www.cms.hhs.gov/providers/fraud/umfa2.asp

reading of regulations in the past quite..dry...and technical. medicare info much easier to read over past two years. all of the above are necessary to read and understand when managing/supervising homecare nurses and staff.

[renerian, BSN, RN]

Your awesome.....

renerian :yelclap:

[danursern]

Well, I just bought a course spent $29.00 for one on Home Health: A Comprehensive Review of Practical and Professional Issues through Western Schools you get 30 CEU credits. It is a 245 page manual full of stuff. It has a lot of this information, but most of it is to technical for me to understand. Sometimes I feel really empty headed.

http://westernschools.com/westernsch/product.asp?pid=61

Thanks for the post with info.

[hoolahan, ASN, RN]

Well, I just bought a course spent $29.00 for one on Home Health: A Comprehensive Review of Practical and Professional Issues through Western Schools you get 30 CEU credits. It is a 245 page manual full of stuff. It has a lot of this information, but most of it is to technical for me to understand. Sometimes I feel really empty headed.

http://westernschools.com/westernsch/product.asp?pid=61

Thanks for the post with info.

It takes the newbies a minimum of 6 months to begin to put together the big picture, please don't ever say you're empty headed! You are learning, and like most of the rest of us, we are given the minimum orientation to get the visits done, and the rest is either taking the intitative to learn for yourself, or getting it wrong over and over and getting frustrated and quitting. You are not alone, we have all been where you are at one time, don't give up!! It will come in TIME!! :)

[lossforimagination]

It takes the newbies a minimum of 6 months to begin to put together the big picture, please don't ever say you're empty headed! You are learning, and like most of the rest of us, we are given the minimum orientation to get the visits done, and the rest is either taking the intitative to learn for yourself, or getting it wrong over and over and getting frustrated and quitting. You are not alone, we have all been where you are at one time, don't give up!! It will come in TIME!! :)

Why don't they just train new people properly?

ACTUAL good orientation and training....does it happen in nursing?

[NRSKarenRN, BSN, RN]

DaNurseRN: that looks like a good course!

Also check out: HHA Surveyers Interpretive Guidlines

http://www.cms.hhs.gov/manuals/107_som/som107ap_b_hha.pdf

[hoolahan, ASN, RN]

If they spent as much time as it would take to orient you to all the nuances of insurances, you'd be on orientation forever. It changes very often as well. The regs can be complicated, not clear cut, interpreted in several ways by different sup's, inconsistencies abound, and it just adds to the complications.

I think the better way to do it is to be sure you are clinically competent, and start you out doing visits, less than everyone else, with 2 hours at the end of the day to review what you did w your supervisor. Tagging along wiht someone else for too long isn't good either, unless you need to learn a procedure or skill, or be observed doing one.

I wish the agencies would just make new people take the on-line training courses for the OASIS and courses like you found. But, it is also hard to apply until you expereince the field work.

In short, I don't think agencies can aford to keep a nurse buddied up for too long, even if in the long run they turn out a better clinician. Most agencies are just making it with very little profit margin, so I imagine that is why. I just bumped into a friend from my old agency in the supermarket. Four nurses slipped on ice and are doing office work only. FOUR!! It's always something, they just barely get the visits covered as it is every day. I don't know what else to tell you. Doesn't make it right, but that is the reality.

[danursern]

Hi

Actually, I highly recommend that course I listed above it has all kinds of information. Lots on Oasis too.