KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Coding question

    We're facing a brutal survey in the next 90 days--where you at????? LOL (blushing)
  2. It's a duplication anytime Medicare is being asked to pay for services that the patient already receives. For example, we have many dual-enrolled patients who receive Medicare and Medicaid. If the...
  3. Coding question

    Hypertensive chronic kidney disease is 403.90. You cannot include in your plan of care anything that is covered under the Medicare Hemodialysis benefit--diet education, fluid status education, or...
  4. Home Health RN Salary...didn't know the answer

    Search for "Baylor nurse," as that is the position you are describing. Starting salary in our area (northeast FL) is around $60K for full
  5. Fraud or not?

    I've tried several times to post the applicable OCCB Q&A but can't get it to post from here. I will try again when I get home, but if you need it quickly, it's in Q&A #37, situation
  6. Fraud or not?

    No, this is not illegal--it is perfectly fine and expected. Non-visit discharges should be completed with all questions answered exactly the same as the last OASIS, whether a SOC or a recert....
  7. Discharge of hospitalized patients

    The agency completes RFA 06, transfer to inpatient facility (without discharge from agency) if the patient goes to an inpatient facility. If the episode expires while the patient is hospitalized,...
  8. You also have to look at what is reasonable and necessary. If the patient has a privately-hired caregiver (CNA or equivalent, not homemaker chore) then would an aide provided by the agency be...
  9. Average IQ of a BSN nurse

    How long is a piece of
  10. Seriously thinking about quitting

    Have you considered trying life at a different agency? Sometimes processes are better in another agency. Ask around, see if you can find an agency where there is little turnover and the nurses are...
  11. Trauma ICU to Home Health?

    To answer your first question, pay for all areas of nursing in Florida sucks. But like everything else, it depends on your agency, the area of the state, visit requirement, etc. For Medicare home...
  12. Keep in mind that Gentiva, along with Amedisys and a few other agencies, are under federal investigation for Medicare fraud. For anyone considering a home health management position, if you haven't...
  13. Diabetic Education

    http://www.diabetes.org/ Years ago I ordered a diabetic care kit that has served me well and has been passed on to numerous other nurses. It came with handouts, pamphlets, videos, etc. and was...
  14. Is home health good for new Grads

    Here's how I look at it, right or wrong: Nursing school is there to teach you the very rudimentary basics of nursing and how to pass boards. The nursing world is there to teach you how to be a nurse....
  15. LPNs need co-signer for verbal orders

    I found this thread while I was searching for an answer to the same question. Per the Home Care Association of
  16. Help Would you negotiate salary LVN Home health rate

    Don't let NurseNatasha fool you, there is no nursing shortage. If you were offered a job in home health and you need a job, then take it. If you were not willing to work for $24/hr, then you...
  17. How is there a shortage?

    Much of it is geographical. I'm in NE Florida. There is no grand shortage. LPNs/LVNs have been hearing that since the dawn of the ASN programs. Many hospitals still hire LPN/LVN staff, although not...
  18. Home Health Happy Hour

    I would totally be up for it, but have noticed that (at least in my area) no one really wants to network. It's such a dog-eat-dog marketplace that no one wants to share information. I've never seen...
  19. Face to face MD visits

    If these are not Medicare or Medicaid patients, they are not subject to face to face rules. Make sure that your agency has a charity care compliance plan and that you are meeting all requirements for...
  20. Face to face MD visits

    Well, let's see. You comply to the letter and spirit of the law, you close because you can't bill, or you get closed for fraud. Your choice. CMS has indicated that HHABN option 2 is for use in a...
  21. RN Case Manager for retirement center

    What exactly is the position? Are you the "case manager" RN who goes out and does visits? Or are you the "case manager" RN who processes the paperwork of the nurses who do the visits? If the...
  22. Face to face MD visits

    Reminder that for Medicare patients, the physician still has to sign the face to face form, even if the non-physician provider saw the patient and fills out the form. Also, keep in mind that you...
  23. home care per visit pay

    I have to agree with all the above. Pay per visit encourages a piecemeal mentality for both the agency and the nurse. And $17 per visit would be okay for a home health aide in most areas, but not a...
  24. FYI--north Florida sucks, don't even
  25. RN Case Manager for retirement center

    Try posting in the home health forum for more responses. Generally, I would not recommend home health to any new grad or any nurse without several years of experience. Home health is a very...