Gommer

Gommer

Home care, case management

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About Gommer

Gommer has 13 years experience and specializes in Home care, case management.


Latest Activity

  1. Home Care Survey

    I think what surveyors focus on varies region to region, depending on what the prevalence of issues/citations are for that area. Our last survey here they focused on Human Resources, documentation related to case management communication and always a...
  2. Hmm, that's interesting. I always figured duplication of services applied to a client having a duplicate service where BOTH are being paid for by Medicare.
  3. Coding question

    Howdy all, say you have a current client coming out of hospital and your nurse does a ROC with new DX of hyperkalemia, ESRD with Dialysis, new peritoneal dialysis tube, with previous dx of copd, htn and cad. First question is can you use esrd code 58...
  4. My understanding is that there is no conflict here. I have provided HHa services for clients with paid chore providers, etc etc. The HHABN states that ifa client qualifys for HHA services, but wants services above and beyond what Medicare will pay fo...
  5. Documentation of physician communication

    It is my understanding this is one of the responsibilities of the medical director of your agency. If you need orders for a client and cannot get a response from the ordering physician, go through your chain of comand and aak if the med. Director wil...
  6. Fraud or not?

    I am being asked to complete a non-visit discharge oasis from last december that was never done. The nurse is no longer here, and it was before my hire to this company. Is this ok? I really dont think so.
  7. home care per visit pay

    My company in Michigan Pays $40 per routine skilled visit for lpn's, dont know about med set ups.