homehealth43130 replied to AnnemRN's topic in Home Health
My question to the staff is if the OASIS reflects that the patient status has declined and that decline was not anticipated, why are we discharging them. If the scoring was wrong on admission, then...
homehealth43130 replied to bloomicy's topic in Home Health
Just another take on this: We have been sited by our State surveyors in the past for being too general and doing things that were not on the 485, we have also been sited for not doing everything that...
homehealth43130 replied to LearningRN's topic in Home Health
I send a FYI note to the physician (dated the day I write it) that on chart review it was noted that a visit for this day was missed. I double check billing to make sure we didn't bill for something...
homehealth43130 replied to LearningRN's topic in Home Health
I am also a QA nurse and I do not write missed visits notes. I take all of them back to the clinician it involves and have them write them. I was not there, did not talk with the patiet etc. I...
homehealth43130 replied to athomemom56's topic in Home Health
There are several payers that don't pay for a visit that is less than 30 min. For our agency, our average visit is around 40 min. We treat all patients the same and each note must be able to stand...
homehealth43130 replied to dpw's topic in Home Health
To be homebound you need to take a considerable taxing effort to get out of the home with or without an assistive device. See text from the Center for Medicare Advocacy: "Sections 501-508 of the...
homehealth43130 replied to melissahunter2's topic in Home Health
Here is the link to the consolidated billing list http://www.cms.hhs.gov/HomeHealthPPS/03_coding&billing.asp everything on the list is consolidated into the PPS
homehealth43130 replied to mom of one's topic in Home Health
The nursing audit can be done either way. I do pick a random list of patients - sometimes pick a number and then choose a certain number from there - i.e. start with patient number 15 and audit every...
homehealth43130 replied to mom of one's topic in Home Health
You get your quality indicators from CASPER for the OASIS. Someone - usually the person who submits the data for the agency - has access to pull the CASPER OBQI and OBQM reports. You should be...
homehealth43130 replied to cny4rn's topic in Home Health
Our policy on all SOC or Recert OASIS is 72 hours, all other paperwork and OASIS assessment is 24 hours. You need to look at what your policy says and follow it, that is the standard you will be held...