How flexibile are you with patients in HH

[amillion3147]

I started as a PT in home care last August. I came from skilled nursing. It took me awhile to get the hang of doing my schedule. It just seemed logical to me to see patients according to geograpical area which was working fine until I started with a new agency. They seem to go above and above trying to cater to paitents even when the patient is being unreasonable in their demands. I was given several patients that were seen by another PT who was swtiched to a different area. As usual I call people the night before to tell them I would be out. A lot of patients were mad when showed up at the home wondering where the other PT was. I had one patient tell me I dont understand why you are here and where is the other PT? I explained to the paitient that the agency has asked me to see them. Then I get drilled on the times they can and can not be seen. One says she does not get out of bed until 12 noon. Another demanded I only come after her morning tv shows are over with. One says you can only come late afternoon and asked me what are doing during the day you can't come at the time I ask?

This agency has me running all over town to multiple cities where the distances may be quite far from each other. They aren't giving me mile reimbursement either. I see two towns on Monday and Wed and the others on Tues and Thurs and any new ones on Friday as everyone is twice a week. If I was just in your area Mon and Wed for therapy there is no way I am driving back to your area on Tuesday when I could have saw you with the other patients in your area that on Monday. I can only be so accomadating. I am all for rescheduling the visit to another day or time if you have an MD appointment. Why should I go out of my way to see you at another time than the one I said I could come when you are out of the home running errands or eating lunch at Olive Garden. I am also seeing that alot of these patients are not truly home bound. ONe patient told me he needed to cancel all his visits for the week because he was going on vacation to Mexico. If one can go toMexico for leisure how are they homebound?

[KSU-SN]

Medicaid patients aren't required to be homebound correct?

[caliotter3]

Medicaid patients aren't required to be homebound correct?

Yes. Do not have to be homebound. Check out the eligibility table found at "athomehealth dot org" when you do an internet search for "Do medicaid home health patients need to be homebound?" Table gives a lot of info in an easy to read format.

[KelRN215, BSN, RN]

Medicaid patients aren't required to be homebound correct?

Not in my state but it may vary since Medicaid is a state program.