biggest thing for you is to encourage staff to go forward. insist on clinical documentation to reflect homebound status be clearly documented monthly in notes and with 60day summary. we include a checklist statement combined with clinical assessment in oasis recert package. minimum of weekly wound assessment using flow sheet. if no change/improvement in 3 weeks of treatments, consult to pcp/cetn re trying other treatment. daily wound care greater than 6 months, cut back to every other day to prove worsening status of wound without daily visits (1 week trial). daily wound care greater than 3 weeks must have end date statement from doctor or medicare won't pay. lab work on file prior to start of care + periodically (min q 3 months) for all clients getting b12, epogen, neupogen etc and documentation of why patient unable to self-inject initial note and q 60 day summary etc. for home alone patients over age 65 without caregiver, msw eval first admit to determine long term care needs. if followed, these documentation tips should keep you out of most trouble.
read and know rules: rev 8/23/14
CMS Medicare Benefit Policy Manual
Chapter 7 home health services
all medicare and medicaid rules + regs here. updates sent as transmittal memo's.
check out what medicare considers fraud and abuse
see if agency gets home health line
(hhl) or eli's report,
two weekly professional home healthcare publications providing home health news, legislation, and regulatory changes
pam pohly's net guide: toolbox for health managers & administrators
this toolbox for health administrators provides 13 pages which contain articles, information and links to other websites pertinent to managers and administrators working in healthcare. you can find information about health economics, medical and insurance legislation, industry news, legal issues, regulatory, compliance, policy, business planning resources, human resources, careers, terminology and more.
good luck! come back to vent anytime.