485 Help

[karleigh]

I am a relatively new home health RN, was a case manager for several months, now in administration. I am wondering what other agencies do about creating 485s. I want to create a template but not sure where to start. Are there general statements you use for every one regardless of diagnosis and interventions? Are all 485s the same format regardless of agency? Does your agency have a template you use? If you have any information that can help me in generating/reviewing 485s I would greatly appreciate it!

[caliotter3]

I came across a website one time that has programs for this sort of thing. I think it was referenced on this site. Why don't you do an internet search on "485" and see what comes up? I know I did this one time but it was a long time ago.

[Kyasi]

http://www.med-quest.us/PDFs/Appendix05/E1-E2485HomeHealthCertiandPlanofCarev.4.pdf

This is the one our agency uses. It's pretty standardized.

Kyasi

[KateRN1]

I have a template from a previous agency that might be of use to you. I can fax or email it to you if you will PM your contact info.

Another idea is to use the Marelli handbook and choose the interventions/outcomes that work best for your patient population.

[indbletrble]

The form Kyasi is using is the standard CMS form. Our agency has this form as a part of a software program, so typing up the 485 is a matter of filling in the blank. (I can remember the days Florence and I were out there working and all 485s were handwritten )

Just remember when composing a 485 that the information is patient specific. Stay away from what is termed those "canned" statements. Those are the ones used for every patient no matter what the diagnosis or needs.