homehealth43130

Latest Activity

1. Discharge oasis vs Admission oasis discrepancies

   homehealth43130 replied to AnnemRN's topic in Home Health

   My question to the staff is if the OASIS reflects that the patient status has declined and that decline was not anticipated, why are we discharging them. If the scoring was wrong on admission, then there needs to be education with the entire staff s...

2. How specific on 485?

   homehealth43130 replied to bloomicy's topic in Home Health

   Just another take on this: We have been sited by our State surveyors in the past for being too general and doing things that were not on the 485, we have also been sited for not doing everything that was on the 485. We tend to go into a little more...

3. QA nurses and missed visits

   homehealth43130 replied to LearningRN's topic in Home Health

   I send a FYI note to the physician (dated the day I write it) that on chart review it was noted that a visit for this day was missed. I double check billing to make sure we didn't bill for something we didn't do or have orders for.

4. QA nurses and missed visits

   homehealth43130 replied to LearningRN's topic in Home Health

   I am also a QA nurse and I do not write missed visits notes. I take all of them back to the clinician it involves and have them write them. I was not there, did not talk with the patiet etc. I don't write orders for extra visits either. All corre...

5. Are 15 Minute Visits Possible?

   homehealth43130 replied to athomemom56's topic in Home Health

   There are several payers that don't pay for a visit that is less than 30 min. For our agency, our average visit is around 40 min. We treat all patients the same and each note must be able to stand alone. Just because it is a med box fill doesn't m...

6. Hhabn

   homehealth43130 replied to PattiRN's topic in Home Health

   yes you do need to issue a HHABN when decreasing a Medicare patient between cert period. These rules came out in August of 2006. http://www.cms.hhs.gov/BNI/Downloads/HHABN%20Instructions%20effective%209_1_2006.pdf

7. The weird part of hh

   homehealth43130 replied to nurseby07's topic in Home Health

   It use to be Bob Barker - you didn't dare show up during The Price is Right or you might not get in the door. :chuckle

8. homebound status question

   homehealth43130 replied to dpw's topic in Home Health

   To be homebound you need to take a considerable taxing effort to get out of the home with or without an assistive device. See text from the Center for Medicare Advocacy: "Sections 501-508 of the Medicare, Medicaid and SCHIP Benefits Improvement and...

9. medicare wound care question

   homehealth43130 replied to melissahunter2's topic in Home Health

   Here is the link to the consolidated billing list http://www.cms.hhs.gov/HomeHealthPPS/03_coding&billing.asp everything on the list is consolidated into the PPS rate.

10. Qa/qi

    homehealth43130 replied to mom of one's topic in Home Health

    The nursing audit can be done either way. I do pick a random list of patients - sometimes pick a number and then choose a certain number from there - i.e. start with patient number 15 and audit every 5th chart after that or if I really want to be ra...

11. Qa/qi

    homehealth43130 replied to mom of one's topic in Home Health

    You get your quality indicators from CASPER for the OASIS. Someone - usually the person who submits the data for the agency - has access to pull the CASPER OBQI and OBQM reports. You should be looking at all OBQM adverse events - there is a patient...

12. Hi tech vs low tech visits and pay for LPN

    homehealth43130 replied to CrazyFLBean's topic in Home Health

    We have all new employees pay for their own criminal background check and if it comes back ok, then they get reimbursed for the expence.

13. home health productivity - opinion

    homehealth43130 replied to PattyRN's topic in Home Health

    Since this thread was started in May of 2000, the payment rules were different. Home Health Agencies were being transitioned from Fee for Service to PPS via IPS. Though this is a little high for that period of time, this agency must have survived t...

14. what is your oasis deadline

    homehealth43130 replied to cny4rn's topic in Home Health

    Our policy on all SOC or Recert OASIS is 72 hours, all other paperwork and OASIS assessment is 24 hours. You need to look at what your policy says and follow it, that is the standard you will be held to by a surveying body.

15. A New Car

    homehealth43130 replied to cherilee's topic in Home Health

    Some agencies find it more cost effective to lease a fleet of cars for their home care staff than pay mileage. It's not common, but not unheard of either.