60 day summary & home health aide services!

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A friend of mine says a plan of care(485) is completed on all patients regardless of the services the patient is recieving.

If that is the case, is a 60day summary required for a pt who is receiving only home health aide services(light housekeeping, laundry, light cooking)? If so, what needs to be addressed in the summary?

Does anyone have a skilled nursing & home health aide 60day summary sample to share?

Any assistance is truly appreciated.

Thanks

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The home health aide doesn't do any direct patient care? Does not monitor vital signs at least? There is nothing the HHA can report on that deals with the medical condition of the patient? Can't see writing a 60 summary about the state of environmental cleanliness only, but I guess if that is all there is, then.....

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My understanding of the 485 is that is is reimbursement driven, and that is only required for skilled care services. I don't have direct experience with personal care only cases so I could be wrong, but I don't think a 485 would be necessary for HHA services only. If the patient is receiving only a HHA and no skilled care then you would not be billing their insurance for the services and therefore a 485 is un-necessary. However, I suppose the 60 Day summary may be dependent of what your agency requires for personal care services... If it's private pay I don't see the point.

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Specializes in Functional Medicine, Holistic Nutrition.

The above poster is correct. The 485 is a requirement for patients receiving skilled care from a Medicare-certified home health agency. If the patient is only receiving home health aide services, it is not considered skilled care and the 485 and 60 day summary would not be applicable.

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Thank you so much for the responses

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here let me give you a sample of a 60 day summary: should you have questions regarding this post? let me know i will be glad to help you!!

82 year old female diagnosed: HTN, CAD, DMII, DEPRESSION, UNSTEADY GAIT. SN assessed pt's all body system and checked VS QV 3X weekly as per POC/MD instructions. Pt is poor vision, ambulates with difficulties & uses a walker to transfer, c/o lower back pain, (B)lower extremities and RT shoulder pain, unable to perform ADL's.HHA assistance being provided to assist with personal hygiene and ADL's. Physical Therapy intervention provided as per MD orders to improve gait/ambulation, decrease pain, increase muscle strength and is to continue with treatment until reaching a functional level, safe ambulation and all goals set are met. SN noted patient experiences high BP at times, notified MD and instructed patient on low sodium prescribed diet compliance importance/meds re-enforced. Sn noted patient's knowledge deficit related to DMII: SN educated patient on DM II disease process and measures to prevent Hypo-Hyperglicemia, proper diabetic diet/foot care thought and re-enforced. SN instructed and re-enforced aseptic/rotation techniques r/t glucometer use. SN educated patient and CG on all aspects r/t all diagnosed diseases and instructed on measures to prevent complications/home management. SN reviewed meds regime and instructed on meds intake compliance importance. Safety/fall prevention re-enforced. SN also educated pt/cg on BP parameter WNL and instructed to exercise as tolerated QD to improve cardiovascular health and improve well vein feeling. Patient rectified for f/u nursing care, meds-disease process management.

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Specializes in Home Health/Peds PACU.

I consider them the same. If I write a d/c summary upon d/c I do not write a 60 day summary. The D/c summary replace it.

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At the 60day point we have to reassess and if we still need to see them. We have to get a verbal order from MD. And we do a recert oasis even with private insurance. If DC we have to do a DC oasis. We are not computerized.

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A friend of mine says a plan of care(485) is completed on all patients regardless of the services the patient is recieving.

If that is the case, is a 60day summary required for a pt who is receiving only home health aide services(light housekeeping, laundry, light cooking)? If so, what needs to be addressed in the summary?

Does anyone have a skilled nursing & home health aide 60day summary sample to share?

Any assistance is truly appreciated.

Thanks

A 60 day summary is required by medicaid, that is for patients who are receiving homemaker or cna services, only, no skilled care.It is actually a supervisory visit to be sure that both client and cna are happy with services provided. No 485 involved and no patient just client.

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Specializes in Pedi.

As far as I know, for Medicare/Medicaid certified agencies, the Home Health Aide must be supervised at a minimum of q 14 days by a skilled/licensed professional. We currently only have one home health aide case in my agency and the RN sees the patient every 2 weeks. This patient does have a 485 and also has to have 60 day recertification assessments.

I also have a friend who works (as a social worker) for an exclusively private pay home care agency. The majority of their cases are home health aides and they are never supervised by an RN because they don't employ any RNs. They don't have to because they're exclusively private pay and therefore don't have to comply with Medicare/Medicaid regulations.

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