homehealth43130

homehealth43130

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All Content by homehealth43130

  1. Pediatric Recertification

    homehealth43130 replied to AmPmRnoncall's topic in Home Health

    Pediatric patients do not need to have an OASIS done on them unless they are over 18. As a Medicare Certified Agency, you need to follow all of Medicare rules with all payer sources, that means...

  2. Missed certification visits.

    homehealth43130 replied to AmPmRnoncall's topic in Home Health

    CMS has answered this question (OASIS Q&A page)- you are to continue seeing the patient under the new plan and do the recert as soon as it is discovered that it was missed documenting the reason...

  3. PM visits and admissions and safety

    homehealth43130 replied to meagansmom's topic in Home Health

    We do openings in the evening - the nurse on call for that night begins work around 2 pm until 10. We have never had a problem with safety in the home at night - we are also rural. We do have a...

  4. OASIS in home care

    homehealth43130 replied to susannyc's topic in Home Health

    Interrater reliability with OASIS is very low, and as such, many agencies have decided to answer questions in a certain way to help increase that reliability - just look at how a RN and PT will assess...

  5. What does LOL stand for?

    homehealth43130 replied to nursern20's topic in Home Health

    CMS uses it to mean limitiations on liablility - issues around the new

  6. Child needs Home health help! Please Advise!!

    homehealth43130 replied to kwagner_51's topic in Home Health

    If your state has a medicaid waiver program, he should qualify. He would have a case manager and maybe could be approved for an attendant at school. Start with the local Welfare agency or the State...

  7. 485's Home Health Plan of Care

    homehealth43130 replied to Ms. RN'02's topic in Home Health

    The Centers for Medicare and Medicaid. -

  8. 485's Home Health Plan of Care

    homehealth43130 replied to Ms. RN'02's topic in Home Health

    We use the 485 form for all our patients, you should be able to get a copy on the cms web site or form your intermediary. Ours is built into our billing system so I don't have an electronic version...

  9. RN supervision of LPN

    homehealth43130 replied to vitalnursemom's topic in Home Health

    LPN's must get and give report to the casemanager before seeing the patient, all orders must be co-signed by the RN. They can only observe and report, all changes in care must be by the direction of...

  10. help

    homehealth43130 replied to kitmcjc1's topic in Home Health

    Did you try looking on the medqic site (http://www.medqic.org) - they have a section on telehealth and other good information and is available for free. You might also try your QIO for any...

  11. SOC Oasis vs. ROC Oasis

    homehealth43130 replied to PattiRN's topic in Home Health

    You do a SOC as there was no qualifying visit in the new period prior to

  12. A ? for Home Health Nurses

    homehealth43130 replied to VivaLasViejas's topic in Home Health

    It has to do with what is in the basic contract that the client has with the ALF. Medicare's position is that if it is in the contract that the ALF provides nursing or aide services then home care...

  13. Dealing with HH agency...so not to short change yourself!

    homehealth43130 replied to FreshRN05's topic in Home Health

    There is no one answer for any of your questions, each agency is set up and functions differently. In our agency, we have all our nurses on staff so we do not pay a visit rate. We have case managers...

  14. Thinking Of Hh, Please Answer ?'s

    homehealth43130 replied to lisa41rn's topic in Home Health

    Its our policy to do a full assessment on each visit unless they are BID etc and then it depends upon why we are seeing them. Venipuncture is similar to starting a peripheral line. We send all our...

  15. OMG ! The price of gas! No reimbursement...

    homehealth43130 replied to DutchgirlRN's topic in Home Health

    No answers, just a few thoughts. Mileage expense is one of the largest expenses that an agency has sometimes bigger than salaries. Medicare reimbursement for home care has been frozen, Medicaid...

  16. is this the norm

    homehealth43130 replied to reddellrn's topic in Home Health

    We never send a nurse out alone until they have at least 3 to 4 weeks orientation especially a nurse new to home health. We have found that it saves a lot of problems later on if we bring everyone up...

  17. Cuts to Medicare: What impact on HH?

    homehealth43130 replied to Mijourney's topic in Home Health

    NAHC has been working to get the freeze out of next years budget for Medicare - they recommend that you call your congressman/congresswoman and let them know your opinion. The more voice we have as a...

  18. PDAs For Oasis

    homehealth43130 replied to AZHHRN's topic in Home Health

    We just looked at point of care and PDA's don't have enough memory to support most home care

  19. RN-BSN online at Jacksonville University

    homehealth43130 replied to ira1027's topic in Online Distance Learning

    I am currently taking the community health practicum - almost done - only 2 more nursing classes and two general - Should be done in December the off to Jacksonville for Graduation!!!!! I have...

  20. New to Home Health....any tips or advice?

    homehealth43130 replied to jkaee's topic in Home Health

    To help find your way, especially in a rurual county - stop at the county courthouse and pick up a county map - they are usually free - and become your best friend. Good luck with your job

  21. Productivity Expectations for Rural Areas

    homehealth43130 replied to mousie's topic in Home Health

    Yes we

  22. Productivity Expectations for Rural Areas

    homehealth43130 replied to mousie's topic in Home Health

    We utilize case managers and visit nurses. Case managers carry a caseload between 30 to 35, but do not have any productivity expectations, we are interested in quality not quantity. They do the...

  23. Home health question?

    homehealth43130 replied to Stellar84's topic in Home Health

    Hello Stellar One of the upcoming issues with home care is pay for performance (P4P). This is where home care agencies (skilled intermittent) will be paid according to outcomes. Everyone thinks that...

  24. Abbreviations!!!!

    homehealth43130 replied to Traveler's topic in Home Health

    JCAHO put in a list of "do not use" abbreviations in their 2005 safety goals. If you are a JCAHO certified agency, then you must follow their standards. It is a hard habit to break and took months...

  25. Question regarding alternative therapies

    homehealth43130 replied to weetziebat's topic in Home Health

    alternative therapies are not considered a skill under a plan of care and would not be reimbursable as a stand alone visit. If you did receive an order for x therapy x times a week, what happens if...