britmess

Latest Activity

1. Ex pat

   britmess replied to Celia M's topic in International

   :kiss Hi all. I trained at Maudsley in London (Psych) and L.G.I. in Leeds. Now doing home nursing in Texas.

2. 485's

   britmess replied to britmess's topic in Home Health

   Sorry Shell, I missed your post. The little red book is indexed by medical condition and then goes on to show ICD9's, SN POC, PT POC, Nursing diagnosis, outcomes, etc. It also gives guidelines for documentation to enhance chances for payment, guideli...

3. Feel Good Visits

   britmess replied to britmess's topic in Home Health

   These are visits to Medicare patients who had previously been certified for a 60 day episode. There was no valid medical reason to continue skilled nursing care therefore they were discharged. However, they still needed assistance for ADL's. How can...

4. Feel Good Visits

   britmess replied to britmess's topic in Home Health

   What is your opinion on aide visits? We often continue them after a pt. is discharged and there is no nurse visit. There is no documentation.

5. Feel Good Visits

   britmess replied to britmess's topic in Home Health

   Thank you. So it is possible to make these non- billable visits but we must document them. Also courtesy visit sounds a lot better than 'feel good'.

6. were do you live?

   britmess replied to bettyboop's topic in International

   To those of studying for NCLEX - don't worry. Been there and done that. If you trained in UK. you are more than ready.

7. Feel Good Visits

   britmess replied to britmess's topic in Home Health

   The agency is aware of the visits and actually assigns nurses and aides, pays the staff but does not bill M/Care, there is no documentation. I applaud the charitable sentiment behind this but am uncomfortable with the legality.

8. Help in a bad situation need advice

   britmess replied to deadend's topic in General Nursing

   JOYRN3, employ me. I'm an RN, live in Plano. I have degrees in general and psychiatric, experience in Rehab and home care, available all shifts. How is the pay scale??

9. Feel Good Visits

   britmess posted a topic in Home Health

   We do a lot of 'feel good visits' ie. not paid for. Patients that have been recerted twice but still need help yet medicare would probably not reemburse? What is our liability if something should happen during our visit? What responsibility are we en...

10. 485's

    britmess replied to britmess's topic in Home Health

    Thank you Renerian, I think I've got it. I bought and studied the 'Little Red Book' and it all seems much less threatening. I still have a little issue with time frames but will be attending a seminar on that issue next week and, hopefully, they will...

11. 485's

    britmess replied to britmess's topic in Home Health

    Thanks, that helps a lot.

12. were do you live?

    britmess replied to bettyboop's topic in International

    Hi, I'm from Leeds, went to London to train in psychiatry at Maudsley Hosp, moved back to Leeds to do SRN. Then I got the urge to travel. Went to Iraq and worked for Sadaam, then onto Thailand and later Saudi Arabia. I'm now nicely settled, two kids,...

13. 485's

    britmess replied to britmess's topic in Home Health

    Thank You Renerian, I'm still puzzled. I f I have a patient on Medicare with a 60 day certification time frame, if I say 'will verbalize understanding of low salt diet in 7days' are they then ready for discharge? I won't get paid for that. Do I exten...

14. Why, why, why????

    britmess replied to sassyr's topic in Ambulatory

    Oops, sorry for the double post.

15. Why, why, why????

    britmess replied to sassyr's topic in Ambulatory

    Ladies, sometimes the reason they smell so bad is that they have been left in a hot room for two hours waiting for the doctor.