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individual emergency plan-home health
Where I work they added a page into the patient information booklet that we provide on admission and we have to check off which level each patient is from the 4 different options based on the patients severity level and then explain it to the patient.
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Home Health Rates
If you're talking to me, I work in PA.
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Home Health Rates
What they're offering seems pretty fair. Where I work it's $56 per revisit, $100 SOC, $85 ROC, $75 Recert, mileage is $0.535 per mile and $10 for a not home/not found. They provide the cell phone.
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documenting with kinnser software?
I work for a HHA in PA, and there's a nurse who routinely does 20 visits a day. She starts out early and finishes her day late, but all her patients love her and give her rave reviews and always ask for her when they get referred again, so I can see it's possible, because if the visits weren't quality, I'd think the patients would complain, no?
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Asked to not recertify d/t expensive supplies
Honestly, I would write that as well. It sounds like this would be an unsafe discharge, which, pt could call the state to file a complaint, and then here they come into the office to review charts, etc. I would definitely ensure that the patient is referred to another home care agency to protect yourself.
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Do you have a territory?
I'd also be curious about this. At the HHA I work for, the nurses are assigned certain zip codes with multiple nurses in same zips. Right now, the clerk looks at each nurses' case load and assigns cases to distribute them evenly. I know the supervisor uses McKesson to run a caseload count report which the clerk works off of to assign cases.
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Asked to not recertify d/t expensive supplies
Is it wound care supplies?
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HH OASIS nurse
Hi, I've been a SOC nurse for 5 years. I only open 3 cases per day, hourly employee. I send an email report to the supervisor who then forwards the report to the case manager. I make sure to confirm the orders with the doc, obtain the follow up appointment with pcp. It's actually getting to be too much for me because of all of the paperwork I have to do and I'm always behind because of the volume of work needed for each start of care. I'm planning to switch back to case managing. I was initially offered this position because I had good hhrg scores with the Medicare patients, and a lot of the nurses don't have good scores, but they are constantly training to improve the numbers.