KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. New Home Health Agency Contracting

    KateRN1 replied to Tender HH RN's topic in Home Health

    Private pay home health aides do not have to meet Medicare skilled criteria since they are not providing skilled care, therefore have no ties to the 60-day episode. They are basically just contracted...

  2. Face to Face Encounter

    KateRN1 replied to momsnurse1's topic in Home Health

    We have 30 days from time of admission, so I don't think we'll see a problem until 4/30, which is only 4 days away. Not anticipating any at the

  3. New Home Health Agency Contracting

    KateRN1 replied to Tender HH RN's topic in Home Health

    Sadly, for the most part, until you get your accreditation and certification, you will be operating in the red--far in the red. You may recoup some with private pay home health aides, but that is...

  4. Does HH seem like a right fit for me?

    KateRN1 replied to MomRN0913's topic in Home Health

    Agree with above. And sounds like your experience would be a good fit. Home health has everything from shift work (lower paying) to Medicare intermittent visits (higher paying). Peruse the threads....

  5. Face to Face Encounter

    KateRN1 replied to momsnurse1's topic in Home Health

    Because the doc also has to fill out the F2F form, not just sign it. It forces them to document why the patient is receiving homecare rather than just blindly signing. But I know what you

  6. What kind of bag do you use?

    KateRN1 replied to brandi13's topic in Home Health

    There's no such thing as an "average sized textebook!" I think the plastic envelopes inside are 8X10 or so. If you wanted to take the plastic keepers out of the inner pocket, it would definitely...

  7. Face to Face Encounter

    KateRN1 replied to momsnurse1's topic in Home Health

    Let's not even get started on therapy reassessments. I couldn't get appropriate intial assessments from therapists before this started, now I'm ready to start lynching, but not sure where to put the...

  8. new grad RN as DON?

    KateRN1 replied to Apollo RN's topic in Home Health

    I would be leery of an agency that offers a full time field position to a new grad RN, never mind the directorship. If you were the owner of the agency, would *you* hire you, or someone with the same...

  9. Why HH nurses quit

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    That's a HHABN that the patient signs to acknowledge they will not receive services. Totally not needed for a non-admit, which is why you don't need the consent form singed to do the admission...

  10. Computer use in Home Health

    KateRN1 replied to Isabelle49's topic in Home Health

    I've used both. Depends on the program, sometimes paper is actually faster. The best thing with the computer systems (most of them anyway) is that they prompt you so that you don't turn in...

  11. Face to Face Encounter

    KateRN1 replied to momsnurse1's topic in Home Health

    Our marketers have been given the bulk of the responsibility for getting the F2F signed and we have a biller who will be tracking these. We have a letter in the SOC packets for patients, and a...

  12. Why HH nurses quit

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    I would suggest that you take this up with upper management. The consent is a binding contract obligating you to care for the patient within the terms of the contract. You do not need the service...

  13. Home Care Coordinator Info please!

    KateRN1 replied to Campbell'sSoupCan's topic in Home Health

    This sounds like a sales job. If it is and you're wanting to avoid stress, this is not it. Quotas, leads, calls, ugh. More stress than humanly imaginable. I have no idea how our "liasons" (aka...

  14. What's the difference between Home Health Case Manager-RN and Visiting Nurse-RN?

    KateRN1 replied to RN276's topic in Home Health

    "Visiting Nurse" is a general term for any nurse who sees patients in the home. A Visiting Nurse may also be a "Case Manager" if that visiting nurse takes primary responsibility for a team of...

  15. Why HH nurses quit

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    Sorry to hear you're leaving, Willow. You've definitely opened up a lot of really good convesations here. I think your time spent in home health was not in vain, you just happened to get some pretty...

  16. Looking for tips on Home health clinical

    KateRN1 replied to student_nurse123's topic in Home Health

    If you can get a copy of the 485 plan of care, that will tell you a lot about your patient. Actually, if you just know enough to ask for the 485, that alone may get you some points. The 485 has the...

  17. Dont know about HomeHealth

    KateRN1 replied to trulynurseatheart's topic in Home Health

    Hey, I was the one with the 30 minute OASIS! That was only 30 mintues to answer the M items, not to complete an entire assessment of a patient and to document. The 30 minutes OASIS shows how to...

  18. RN Case Mangers: How long was your orientation and what did it involve?

    KateRN1 replied to shondaRN's topic in Home Health

    That's like asking, "How long is a piece of string?" Orientation is totally dependent on the agency. Some give a great orientation with OASIS-certified nurses, ride-alongs with all disciplines, and...

  19. Need advice re: legality issues

    KateRN1 replied to Mijuo's topic in Home Health

    Don't take patients with you. That is totally unprofessional and in many states illegal. Rise above the antics of this agency and be a more professional

  20. Why HH nurses quit

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    If the link doesn't work for you, PM me your email address and I will email the

  21. Why HH nurses quit

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    Yes, I found the OASIS in 30 minutes, but it's based on OASIS-B. Of course it won't be possible to do your complete admission assessment in 30 minutes, but this gives you ideas on how to combine...

  22. Need advice re: legality issues

    KateRN1 replied to Mijuo's topic in Home Health

    First, run. RUN RUN RUN. This is fraud. First question: Converting to OASIS due to payor source is iffy, if their requirement was for a HHRG score for billing, then that should be known upfront....

  23. Amedisys

    KateRN1 replied to KateRN1's topic in Home Health

    If you're in NE FL, it's entirely likely and we'd have much to talk about.

  24. How to document SN visit frequency

    KateRN1 replied to TINKER968's topic in Home Health

    If the last day of the episode is 4/27, then you can do the recert visit on 4/23 (Saturday) and still be within the 2W8 frequency, but if you are planning to do the recert visit 4/24-4/27, then it...

  25. What's Happening to Home Health Care?

    KateRN1 replied to GoNightingale's topic in Home Health

    PM me with the area that you're in (I'm in NE FL). I may have a lead for you, depending on your