Horizon Homecare MobileCare-GPS TRACKING - page 2

My agency will be using Mckesson software and their mobilecare smartphones coming in the next year. We already have laptops and I wondered why they would want us to switch to palms, so I went to... Read More

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    Quote from carwin
    Honestly guys there is no time in the office to sit and track nurses all day long. Agency owners who hate to pay up may have time to watch the tracking screen all day. There's not enough time to do what's needed!! If you are hired full time, that is how an agency could verify that you are putting in your time. If you are contingent, why do you need to be tracked?

    As a manager myself who was once in the field, I would only use tracking (if we had it) to help explain why things aren't going the usual path or patterns of consistently late paperwork or patients always calling looking for the nurse. Spouses ALWAYS call the office! I've told some nurses, I think your hubby is checking up on you. The funny thing is that I eventually found those same things out anyway without those devices. It might take longer but you find out.

    There are people who just don't like being "watched" so they should move on. I would have loved to have been tracked when I was in the field. I would always think if I ran into a deep ditch who would find me.
    Carwin, being an exemplary employee you probably aren't being one watched. Therefore, they probably wouldn't be looking for you in the ditch. It would probably be the snow plow in the spring that would find you. One of those ironies of nursing where the weak ones are the ones that are rescued.

    Still I not in favor of tracking devices on employees. It doesn't show a great amount of respect for them. To OP, sorry your agency is having to make an uncomfortable decision to track their employees. Hopefully you will be able to find some good and peace in this transition.
    Last edit by RubyRN,CHPN on Dec 5, '10

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  2. 0
    Although a new software system or a form may be put in place in our respective agencies, they are only tools. Tracking software could prove to an FBI agent that you did make a visit and the fraud in the agency lies with the sweet little biller in the finance office. That's where we are in home health these days because of fraud. I'm in a high-fraud area and many of my posts run along that vein. After reading many entries in this forum, I've wondered (I hope erroneously) if my fellow nurses know what's happening in our industry and how we are impacted. Depending on the management team to inform staff might be laughable in some cases. Medicare fraud is big, RACS and P4P are here and AS MANAGERS WE NEED TO INFORM STAFF of their roles in all of this. Too often people are told what to do without a reason why. Grown people want to know why.

    The office QA person should be there for you and I'm sorry not an LPN. QA needs to be all over these sites so they can interpret to staff what is needed.

    To expand your knowledge on what YOU NEED to know, Google some of the following terms: home health compare, home health fraud, pay for performance in home health care, etc.

    Pay for performance (P4P) is why you need to complete the OASIS to best of your ability. So yes, we all need to do it better. The link below explains in a nutshell home health agencies being paid incentives for good outcomes. The Home Health Compare compares SOC OASIS to D/C OASIS. The public is advised to look at this site to see how well an agency provides care for its patients. Are you willing to do it better so your agency is chosen over another?

    Centers for Medicare Medicaid Services then search home health-all you ever need to know is here
    Medicares Home Health Pay for Performance Demonstration Year 1 Incentive Payments Issued
    Medicare.gov " the Official U.S. Government Site for Medicare

    OASIS Answers, Inc.

    The fraud in home care is ridiculous. Seven cities are being targeted by the feds. There are things some of you may be doing and not realize it's fraudulent. Are you making corrections the right way or should you touch that documentation at all?!?!? Your management team may not know either. Public service announcements are running on TV and radio stations to inform the public to say no to people offering gift cards, house cleaning, etc.

    Stop Medicare Fraud

    Recovery Audit Contractors (RACS) These guys have mining software (tracking the agency) that arbitrarily pulls records for review is you bill m-caid or m-care. These guys are to identify and recover overpayments made by Medicare Advantage plans, Part D and Medicaid. Agencies must self-report and return the overpayment in 60 days. Now if there is charting that does not support the plan of care, they will say you didn't do what you were paid to do. US gov takes the money back. Of course the RACs get a percentage of what they recover so you know how fine-toothed their combs are. What if they want money back on 20 cases? That amount could equate to hundreds of thousands of dollars and close an agency immediately. Private insurance companies have always done this.

    Overview Recovery Audit Contractor

    Take care of yourself by informing yourself. Ruby and Dijmart tracking sucks but never do you want an unscrupulous manager blaming you for visits not made to cover themselves for what they aren't doing. I've seen it happen. When I've talked to nurses and other clinicians who have sat with FBI agents, they were happy to have proof they were in the home.
  3. 0
    Big Brother is watching
  4. 0
    Quote from carwin
    Although a new software system or a form may be put in place in our respective agencies, they are only tools. Tracking software could prove to an FBI agent that you did make a visit and the fraud in the agency lies with the sweet little biller in the finance office. That's where we are in home health these days because of fraud.
    Proving I was in the home would be the ONLY upside to tracking. Anyways, the fraud I see in my company's office is with management. My admission oasis answers are changed during "review", severity ratings are changed and diagnosis are up coded, ect. I don't even get consulted...I get an email that the changes have been made.

    They complain about outcomes not being better, yet they are the ones requiring the patient needing SN to be discharged way to soon and I have no say in the matter. So, how can outcomes be good when you've had only one month to work on many issues....I think they want the nurses to lie! They want us to rate patients god awful on admit and peachy keen on discharge, but I refuse to lie....period....Regardless of pay for performance (P4P).

    Honestly, the RAC will probably have a field day at my company's office!
  5. 1
    We'll be getting these next year too. Am very skeptical, half the staff still cant figure out how to check their messages on their regular phone. One geezer still cant manage how to get it off speaker phone. Everytime they answer the whole room hears the conversation.

    Just because there is available technology does not mean its smart to assume everyone will use it effectively.

    We shall see how it goes.
    LaRN likes this.

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