juliesosarn

Latest Activity

1. Obqi

   juliesosarn posted a topic in Home Health

   Has anyone started on their OBQI? We have printed and analyzed our reports and just today selected our target outcomes. I would be interested in talking to anyone who is already well into this new process. And is anyone doing anything with their A...

2. Pain assessment- what do you use?

   juliesosarn replied to PattiRN's topic in Home Health

   We also added a line to our nursing note with four parts: Pain (0-10): Location: Duration: Quality: Our plan of care generally has a goal like :States pain at tolerable level of

3. ? about SN frequency orders on 485

   juliesosarn replied to hoolahan's topic in Home Health

   hoolahan, it's in the regs. I will try to find it for you. It's not an issue so much for the state surveyors, but it is how Medicare can read the chart if you have to submit it for ADR review. We have never been cited for it because I have never, ...

4. ? about SN frequency orders on 485

   juliesosarn replied to hoolahan's topic in Home Health

   We don't write range visits (1-3, etc.). The regulations say that Medicare and surveyors will interpret the range as an order for the highest number in the range so you will be out of compliance if you only do 2 visits on a week with a 1-3 range. A...

5. Interviewing For a Home Health Position

   juliesosarn replied to nightingale's topic in Home Health

   I don't know exactly where you are. Our agency pays 50 for evals, post-hosp assessments and recerts and RNs get 33-40 for followup visits. IV visits are $5 more (evals and follow-ups). LVNs get 25-30 per visit. We don't pay mileage unless it's an...

6. I want to hear from all whose agencies are closed on holidays...please

   juliesosarn replied to hoolahan's topic in Home Health

   Our office is closed weekends and holidays but of course we have patients we have to see. We have an on-call nurse all the time (rotates between me and my assistant). We try desperately NOT to do visits when we are on call, but sometimes we have to...

7. 485 Summaries

   juliesosarn replied to TopazStone's topic in Home Health

   Topaz, I'm sorry that it appears that you have to "write" all your 485s and 487s. Ours are computerized and much easier to do since I would rather type than write. They are similar to what everyone else has said: done at 60 days, state the reason ...