Resumption of care

Sep 05, 2009 07:54 PM

by teton1898

Hi--

I work for a new home care company. I had a patient who was admitted to the hospital for a 23 hour observation. My boss is saying I need to discharge him and do a ROC. Is this correct? It sounds wrong to me.

berube · Sep 06, 2009, 02:16 PM

Re: Resumption of care

i always thought less than 24hrs no transfer oasis is completed therefore no ROC, just treated as a regular SN visit.

KateRN1 · Sep 06, 2009, 07:44 PM

Re: Resumption of care

No. A ROC is only when the patient has been in the hospital for 24 hours. Under 24 is considered observation, not an admission. We have a visit category called "post hospitalization assessment" that we use when they've had an outpatient procedure or a less-than-24-hours stay.

chenoaspirit · Sep 09, 2009, 11:36 PM

Re: Resumption of care

Nope, we dont do that either. An observation is not an admission so there is no need to do ROC.
Is this boss new? Is this a new HH agency? Maybe she doesnt know better?

HmarieD · Sep 10, 2009, 10:12 AM

Re: Resumption of care

There is a new reg in the State of Illinois for IL Medicaid patients, when they are admitted then a discharge and re-admit is now required. However, I think this only applies for an admission >23 hours.

berube · Sep 10, 2009, 03:52 PM

Re: Resumption of care

Originally Posted by HmarieD

There is a new reg in the State of Illinois for IL Medicaid patients, when they are admitted then a discharge and re-admit is now required. However, I think this only applies for an admission >23 hours.

is this for medicaid skilled patient or medicaid personal care? just curious,,,as this is the way we handled our personal care side.

HmarieD · Sep 10, 2009, 04:17 PM

Re: Resumption of care

Originally Posted by berube

is this for medicaid skilled patient or medicaid personal care? just curious,,,as this is the way we handled our personal care side.

For skilled care.

berube · Sep 10, 2009, 06:00 PM

Re: Resumption of care

MORE PAPERWORK!!!!!! i imagine we will see this in other states, if not all, soon

tabster224 · Sep 13, 2009, 02:39 PM

Re: Resumption of care

I live in CA (but the same thing went in Indiana and Arizona) We only do a resumption if the patient has been in the hospital for more than 23 hours. If the patient is admitted for 24 hours or more we do a transfer to inpatient, when they come out we do a resumption. They are not discharged just because of a hospital admission. Hope this helps.

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Resumption of care

Resumption of care

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