How do you charge for extra services in HFA?

Specialties LTC Directors

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I am a new DON and one of my jobs is to revamp how we charge for additional services provided in our HFA end. I would appreciate any ideas. (We are a private pay facility and we do not accept Medicare/Medicaide)

Right now it is incrediable subjective. The thinks we charge extra for currently are frequent insulin injections, frequent caths, frequent toileting assistance, intervention for behavior difficulties.

We figured that basic services were basic housekeeping, meals, normal med passes etc.

Any help would be appreciated.

Thanks

laura

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Specializes in acute care and geriatric.

OK- This is unpleasant because (Thank G-D) I have a CEO who includes EVERYTHING ( and I mean EVERYTHING), but we are a non-profit org. I know the private facilities in our area and here are their lists.

Expensive meds could be extra, if the pt is depressed and requires more monitoring that could be extra, certain high risk fallers who need a lot of monitoring because they don't want to be restrained could be extra, Extra diapers for diarrhea could be extra. Stage 3 or 4 decubitus ulcers should be extra, Pts who require constant oxygen and suctioning,

Good luck with this.

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Specializes in LTC, Hospice, Case Management.

Not sure what HFA is??? assuming assisted living?

Anyways, years ago when I was health care coordinator of an assisted living we did an assessment on each resident that was very similar to an MDS... based on your answers it calculated a score and then they were charged according to where they fell on the different levels. Maybe there is a software that is available for purchase like this from one of the many healthcare software companies?? Just a thought.

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