KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Need clarification about SOC, certifications, etc

    KateRN1 replied to nurse955's topic in Home Health

    Okay, I'll try to answer the questions that you've posed. The start of care date is the same date as the admission date is the same date that the first billable service was rendered. Episode of care =...

  2. Is it just our agency? How do you deal with this?

    KateRN1 replied to Burlshoe114's topic in Home Health

    Don't forget that the patient has the right to choose where they will live and receive care. We cannot force someone to be compliant, we cannot force them to choose a higher level of care, and we...

  3. Home Health Reimbursement

    KateRN1 replied to smartandgrit's topic in Home Health

    http://www.cms.gov/HomeHealthPPS/ http://www.cms.gov/ProspMedicareFeeSvcPmtGen/downloads/hippsusesv4.pdf Scroll down to page 6. Clear as mud? The short version is that your OASIS generates the HHRG...

  4. Is it just our agency? How do you deal with this?

    KateRN1 replied to Burlshoe114's topic in Home Health

    Get an MSW consult, document your keester off, and discharge. You cannot force people to be compliant but you can document their

  5. Ideal New Hire

    KateRN1 replied to KateRN1's topic in Home Health

    If I had a good set of questions, I wouldn't be in the pickle I'm in most days. LOL Seriously, I'm working on a pre-test to gauge how much knowledge a potential candidate has so that we can tailor...

  6. Advice needed: new to home health

    KateRN1 replied to nolenurse730's topic in Home Health

    You know what they say about an attorney who represents himself, right? Well the same can be said of the nurse who agrees to be paid to care for a friend or a family member. It's a good way to ruin...

  7. First Nursing Interview

    KateRN1 replied to aandino's topic in Home Health

    I can tell a lot more about someone by the questions they ask than by what they seem to think they know. Do some reading in the HH forum to get a feel for what to expect. Start with the stickies at...

  8. New to home health- HELP

    KateRN1 replied to nurse955's topic in Home Health

    Honestly, the consultant will pay for him/herself in saved lawsuits, audits, and billing failures, as well as staff turnover. What state are you in? I can help if you're in FL, otherwise, call your...

  9. New to home health- HELP

    KateRN1 replied to nurse955's topic in Home Health

    Much of this depends on whether you are accepting Medicare cases, insurance cases, or private pay cases. If you have this many questions on the basics, you might want to consider hiring a consultant...

  10. inservices

    KateRN1 replied to tx2007's topic in Home Health

    OASIS, OASIS, OASIS, OASIS. Documentation. Documentation. Time management. Documentation. Boundary setting. How to make an effective call to a physician and get what the patient needs....

  11. Nursing wages

    KateRN1 replied to Thankful RN,BSN's topic in General Nursing

    You know who I feel sorry for? The social workers. The stuff they put up with, what they have to do, the disappointment when patients/clients disregard all their hard work--and then they make almost...

  12. Husband Worried

    KateRN1 replied to kittypie's topic in Home Health

    Honestly, if you're both squicked out about it that much, home care is not the right field for you. Consider shift work instead, where you spend a set amount of time in on patient's

  13. Which job should I take?

    KateRN1 replied to dxlpochacco's topic in Home Health

    I worked from home editing books and journal articles when my son was an infant and I can vouch for the above. It's almost impossible to get anything done. I had a teenage daughter and a husband at...

  14. OBQI in Home Health

    KateRN1 replied to KateRN1's topic in Quality Improvement

    Have started the OASIS re-education, but not having a great deal of luck with buy-in from staff. In fact, I was ever-so-politely accused of Medicare fraud last week because I suggested that the RN...

  15. OBQI in Home Health

    KateRN1 posted a topic in Quality Improvement

    Anyone doing OBQI in home health? Would love to chat about this. Please PM me for contact info as I'd really like to talk to someone IRL.

  16. OMG....We are soooo short staffed!!!

    KateRN1 replied to RN1263's topic in Home Health

    In most offices, the office RNs are required to help out as needed, but sometimes this backfires. When you have someone who is great in the office but sucks in the field, it makes life even more...

  17. Shorted on paychecks

    KateRN1 replied to paddler's topic in Home Health

    Sounds exactly like a company I used to work for, starts with an A, ends with a huge headache and loss of

  18. How many admissions can you do or have been asked to do in one day?

    KateRN1 replied to RN1263's topic in Home Health

    The most SOCs I've done in one day is 4, 4 more the next day plus two follow-up visits for 2 of the patients from the day before and sent one of those to the hospital. "Doable" depends on a lot of...

  19. OBQI in Home Health

    KateRN1 replied to KateRN1's topic in Quality Improvement

    I am prepping documents for upcoming state and accreditation survey. One of the requirements is that we have documented "an ongoing performance improvement program." We don't. So I am starting our...

  20. how to write qow frequency for medicare

    KateRN1 replied to terlyn's topic in Home Health

    Make sure that your QOW frequency is an even number as you can't do QOW with odd numbers. For an entire episode, 1W1, QOW8 or if recert, QOW8, 1W1 (insert effective date). Either way, you have to...

  21. I just have to say this....

    KateRN1 replied to tokmom's topic in Patient, Colleague Relations

    I would consider going back to hospital nursing for a sweet gig like this and promise to work nights and every holiday, too. Dang. And people don't appreciate this?

  22. Portable scanner

    KateRN1 replied to twokidsmom,rn's topic in Home Health

    Ooooh! That is such a neat idea. Will have to ponder that

  23. best way to treat stage III pressure ulcer

    KateRN1 replied to ira1027's topic in Home Health

    What about eschar? I need to get ahold of that KCI

  24. Help! Having hard time transitioning from acute to HH

    KateRN1 replied to rnkwissie143's topic in Home Health

    Most of home health is teaching, not task based, as you've already discovered. Start off each episode thinking, "How can I change this person's way of life over the next 60 days?" Identify what the...

  25. best way to treat stage III pressure ulcer

    KateRN1 replied to ira1027's topic in Home Health

    I thought Wound VAC can't be used with a large amount of slough in wound? It's been a while since I had an inservice from them and their guidance changes every so